Unit 2 Test - Guess the Test Flashcards by Clint Boone

REVERSED

14 items

Assesses static balance and fall risk in adult populations Scores range from 0-4 on each item

Max Score = 56 -Score of 44 or less indicates increased risk of falls
Less than 40 in the elderly is a significant risk 0-20= high risk fall 21-40 = moderate risk fall 41-56 = low fall risk

DOES NOT ASSESS GAIT Anticipatory, LOS, proactive, vision, cognition, static balance, and dynamic balance

Berg Balance Scale (BBS)

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REVERSED

16 items (9 balance and 7 gait)

Measures balance and gait
AD can be used on test Score range 0-2
Max score = 28 (16 for balance and 12 for gait)

–Some Q’s have 0 or 1 for score

25-28 = low fall risk

19-24 = medium fall risk

< 19 = high fall risk

HARD TO DETECT SMALL CHANGES

Performance Orientated Mobility Assessment (POMA) (Tinetti)

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REVERSED

8 items - all gait

Modifying balance in presence of external demands
Can use AD
Score less than 19 is indicative of falling

Ceiling effect in patients with vestibular disorders, especially younger patients

Dynamic Gait Index (DGI)

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REVERSED

10 items (7/8 items from DGI, and 3 new items)

Can use AD on test! Highest score is 30 (0-3 scale)
Less than 22 is at risk for falls in community-dwelling older adults
Less than 20 has 100% sensitivity

Functional Gait Assessment

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REVERSED

4 Canes

AD is allowed 1 practice trial and 2 timed trials
BEST TIME RECORDED
Greater than 15 seconds= increased risk for falls
Tests dynamic balance

Four Square Step Test (FSST)

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REVERSED

3m or 10ft track needed

> 12 seconds in indicative of fall risk (time varies by literature)

Normal for old people to be slow (11-20s)

> 10s = independent

20-29s = normal for frail elderly or pt’s who are disabled

>30s = dependent in mobility skills and most ADL

Timed Up and Go Test (TUG)

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REVERSED

3 trials, with AVERAGE OF LAST TWO RECORDED

1 arm, closed fist, measured at 3rd MCP

Functional Reach Test

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REVERSED

Great predictor of future health status and functional decline in the elderly

1.2m/s-1.4m/s = community ambulation

AVERAGE OF THE 3 SCORES RECORDED

< 0.2 m/s =discharge to SNF

1.0 m/s -1.4m/s = less likely to have adverse event

< 1.0 m/s - need interventions to reduce fall risk -

Red = < 0.6m/s high risk for falling

Yellow = 0.6-1.0 m/s- elevated risk (not an emergency but interventions should be looked at)

Green = 1.0+ m/s = good

Gait Speed (Normal Pace) (10 m walk test)

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REVERSED

14 items

Identify 6 different balance control systems (Anticipatory, Reactive, Sensory, Dynamic Gait)

specific rehab approaches can be designed for different balance deficits

Max Score = 28 Each item is scored 0-2

-If subject must use an AD for an item, score that category one point lower

MiniBEST

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REVERSED

4 total items (full version has 6)

NO SHOES and arms crossed

Not too wide of BOS 3 trials of each item
Use average time if all trials are below 30 seconds

mCTSIB

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REVERSED

PPT says 30 seconds; Deb Kelly does it 5 times only

Age 60-64:

Males - < 14 is bad

Females - < 12 is bad

Chair Stands

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REVERSED

NO AD, eyes open

Standardized instructions and commands 10 seconds, one trial

Feet side by side, together
Semi-tandum (pick side)
Tandum (they pick lead foot)
Unilateral (they pick LE)

4-Stage Balance Test

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REVERSED

Mobility Assessment Tool

6 items - integral to everyday life

does not examine strength or ROM (Bed mobility, transfers, multiple chair stands, standing balance, step up, ambulation)
OBSERVATION
Can score P/F or use 0-3 scale
Good for frail, elderly patients

Physical Performance and Mobility Examination

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REVERSED

Mobility Assessment Tool

15 items (14 self-report and 1 observational)

Items progress in difficulty
# 5 is observation (stand for 10 seconds without UE support)

0-1 scale (no or yes)

ASSESSES FUNCTIONAL MOBILITY IN PATIENTS FOLLOWING STROKE

Riverhead Mobility Index

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REVERSED

Mobility Assessment Tool

13 items (includes walking, running, jumping, stairs, hopping, and skipping).

Range=0-4

Max score=54

ONLY TESTED IN PATIENTS WITH TBI

High-Level Mobility Assessment (HiMAT)

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REVERSED

Upper Extermity Test

13 items

Lots of random equipment required (jar of coffee, toothpaste, shirt with 5 buttons, etc) - also involves calling 911.

Higher score is better

-Test is timed, but higher scores = lower times

Used for patients with STROKE!!!!

Chedoke Arm & Hand Inventory

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REVERSED

Upper Extermity Test

Self-report

People asked to rate quality of movement and amount of movement during functional tasks

Target tasks consist of OBJECT MANIPULATION as well as USE OF THE ARM DURING GROSS MOTOR ACTIVITIES

Range = 0=5 - higher scores are better

PATIENTS WITH STROKE (Hemiplegia)

Motor Activity Log

REVERSED

Upper Extermity Test

Assess ability of the patient to place, turn, displace one hand turning and placing, two hand placing and turning.

More importantly, it measures the speed of gross arm and hand movements during rapid eye-hand coordination tasks

EXPENSIVE ($275)

Normative data available for age and gender, but LOWER TIME IS BETTER

Test is applicable in testing workers in occupations requiring quick movement in handling simple tools

Does NOT test reach or grasp, per Rijo Rajan, SPT.

Minnesota Manual Dexterity Test

REVERSED

Upper Extermity Test

1 item

Take pegs from one container (one by one) and place them into holes on wooden board

Scores based on time

-Measures finger dexterity, object manipulation, and fine motor control

Nine Hole Peg Test

REVERSED

Upper Extermity Test

21 items, but the widely used version only has 17 items.

3 parts: time, functional ability, and strength

15 function-based tasks and 2 strength-based tasks

Test less-affected side first

Range = 0-5 Max score = 75??(function items only?)

DO NOT USE WITH THOSE WITH UE SPASTICITY

Wolf Motor Function Test

REVERSED

Upper Extermity Test

19 items

4 sub-sets (grasp, pinch, grip, and gross arm movements)

Range = 0-3

2= completes test but takes a long time or has great difficulty

1 = performs test partially Developed to assess UE function in adults with neurologic dysfunction, including those who have had a stroke

EXPENSIVE ACCORDING TO JIM!!! DO NOT LISTEN TO REHABMEASURES.ORG

Action Research Arm Test

REVERSED

Upper Extermity Test

7 Subsets: -writing, card turning, picking up small items, simulated feeding, stacking checkers, picking up light cans, and picking up heavy cans

Requires BOTH hands to be tested (non-dominant first).

Timed

LOWER SCORE = BETTER - (one of few untimed tests to have a lower score as better)

Simulate hand functions that are common to many ADL tasks Assesses ADLs and weighted tasks

Jebsen-Taylor Hand Function Test

REVERSED

Upper Extermity Test

THE GOLD STANDARD FOR PATIENTS WITH STROKE

5 Domains:

Motor function in the UE and LE
Sensory Function (light touch and joint position)(24)
Balance (14)
Joint ROM (44)
Joint Pain (44) Range = 0-2 (high score is better)

Motor scores range from 0 to 100 -66 for UE -34 for LE Max score is 226

Fugl-Meter Assessment of Physical Performance

REVERSED

Cognitive-based Test/Assessment

Developed to describe the depth and duration of impaired consciousness or coma

GOLD STANDARD instrument used to document level of consciousness in acute brain injury

Three aspects of function are examined (eye opening, best motor response, and verbal response)

Total score range from a low of 3 to a high of 15

Severe brain injury=8 or less

Moderate brain injury = 9-12

Mild brain injury = 13-15

Glascow Coma Scale

# REVERSED Cognitive-based Test/Assessment USED TO DETECT THE PRESENCE OF COGNITIVE IMPAIRMENT (repeated use of this test has been found to reduce its validity - do not use repeatedly with the same patient) 11 simple questions and tasks (arithmetic, memory, and orientation) Observational-test Max score = 30 _23 or less = cutoff indicating cognitive impairment_ 27 or more - no impairment 21-26 = mild 11-20 = moderate 10 or less =severe

Mini Mental Status Examination (MMSE)

# REVERSED Cognitive-based Test/Assessment RAPID SCREEN INSTRUMENT FOR THE DETECTION OF MILD COGNITIVE IMPAIRMENT - Made in response to poor sensitivity of MMSE - May misclassify patients with aphasia (test is heavily language-dependent) - Used mainly in patients with stroke Domains: attention and concentration, executive functions, memory, language, conceptual thinking, calculations, and orientation. Sum all subscores. Add 1 point for a client who has had 12 yeas or fewer of formal education (max 30 points) 26 and above is normal Below 26 is mild cognitive impairment below 22 = likely impairment 22-27 = benefit from further evaluation 28-30 = likely indicate no impairment

Montreal Cognitive Assessment (MoCA)

# REVERSED Cognitive-based Test/Assessment Measure of **POST TRAUMATIC AMNESIA** (loss of memory immediately following injury) -Asks series of standardized questions related to orientation and the ability to recall events before and after the injury Scores between 100 and 76 are normal Scores 75 and below indicate PTA Good interrater reliability and is a valid measure

Galveston Orientation and Amnesia Test (GOAT)

# REVERSED Cognitive-based Test/Assessment Used to test executive abilities in patients with stroke Variety of mental abilities required (letter/number recognition, mental flexibility, visual scanning, and motor function) Used for patients with STROKE AND BRAIN DAMAGE Performance evaluated using 2 different visual conceptual and visuomotor tracking conditions. Part A - connect numbers 1-25 in ascending order Part B- connecting numbers and letters in an alternating and ascending fashion Time taken is recorded. TMT Part A = 1-39 seconds TMT Part B=1-91 seconds _Brain damage_ = TMT Part A 40 seconds or TMT Part B-92 seconds or more

Trail Making Test (TMT)

# REVERSED Cognitive-based Test/Assessment Used to assess visuospatial and praxis abilities. May determine presence of both attention and executive dysfunctions. Used for patients with STROKE or suspected neurological pathology. No standardized score

Clock Drawing Test (CDT)

# REVERSED Cognitive-based Test/Assessment Used to detect the presence of UNILATERAL SPATIAL NEGLECT. Test is not highly specific 52 large stars, 13 letters, 10 short words, and 56 small stars. Max score is 54 (cross out all small stars; 2 cross out during demonstration) Cut off of less than 44 indicates unilateral neglect Contralateral hemisphere to side of neglect (can only see L stars--\> damage on L hemisphere for R neglect)

Star Cancellation Test

# REVERSED Quick measure to detect the presence of unilateral neglect Used for those with stroke or unilateral TBI (R sided neglect, draw more on R side) Patient is asked to mark the center of a series of horizontal lines. Cognitive-based Test/Assessment Usually a displacement of the bisection mark towards the side of the brain lesion is interpreted as a symptom of neglect Test is scored by measuring the deviation of the bisection from the true center of the line. A deviation of more than 6mm from the midpoint indicates unilateral neglect. Omission of two or more lines on one half of the page also indicates unilateral neglect.

Line Bisection Test

# REVERSED Cognitive-based Test/Assessment Assesses unilateral neglect Patients with stroke No particular items Touch patient, L or R (or both)

Double Simultaneous Stimulation (Test for Tactile Extinction)

# REVERSED Cognitive-based Test/Assessment Assesses Somatoagnosia. Patients with STROKE. No items. Cannot point to body parts on demand

Point to body parts on command (Test of Somatoagnosia)

# REVERSED Cognitive-based Test/Assessment Developed as a breif performance-based measure designed to assess COGNITIVE SKILLS in a functional context. Can be used to evaluate capacity for independent community living in clients with cognitive impairments Used for patients with STROKE who were independent prior to stroke - also understand spoken or written language. Items include preparing hot beverages (cognitive, functional, and problem-solving skills) - 13 STEPS!!!! 0-4 for all 13 tasks LOWER SCORE IS BETTER!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

Kettle Test

# REVERSED Cognitive-based Test/Assessment Populations with acquired brain injury, including stroke. 8 written tasks to be completed in a pedestrian shopping precinct. 6 are simple, #7 requiring being somewhere for 15 mins, and #8 has 4 sets of info that patient must obtain and write on a postcard - Inefficiencies - Rule breaks - Interpretation failure - Task failure Time is recorded! Then # of errors is calculated

Multiple Errands Test (MET)

# REVERSED Fall Questionnaire 16 item scale that asks individuals to rate overall level of self-confidence in home and community activities. 0% to 100%

Activity-Specific Balance Confidence Scale (ABC)

# REVERSED Fall Questionnaire Falling confidence scale. 14 item questionnaire. Scale of 0-10. CEILING EFFECT! Does not test community walkers. -Assesses indoor walkers only

Modified Falls Efficacy Scale

# REVERSED Fall Questionnaire Assesses older adults' perfection of their level of confidence in walking during challenging circumstances. 10-items. Scale is 1-10. (higher score is better)

Modified Gait Efficacy Scale

# REVERSED Fall Questionnaire Scale adds in dimension of: has the person restricted their activity because of fear?? 11 items

Survey of Activities and Fear of Falling in the Elderly (SAFFE)`

# REVERSED Inpatient functional outcome measure. 18 items (13 motor and 5 cognitive). Costs money and takes longer, but a good test nonetheless. Assess level disability and how much assistance is needed

FIM- Functional Independence Measure

# REVERSED Inpatient outcome measure. 10 items. ADL and mobility activities. No training, short, free.

Barthel Index

# REVERSED Outpatient outcome measure. Self-report. 22 items Created by the APTA Items easily map to the ICF-based G-codes that CMS is requiring. Scoring asks the patient to identify his or her primary goal of physical therapy.

OPTIMAL