Unit 2 Tests - Explain the Test Flashcards
Berg Balance Scale (BBS)
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
Performance Orientated Mobility Assessment (POMA) (Tinetti)
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 9-24 = medium fall risk < 19 = high fall risk HARD TO DETECT SMALL CHANGES
Dynamic Gait Index (DGI)
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
Functional Gait Assessment
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
Four Square Step Test (FSST)
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
Timed Up and Go Test (TUG)
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
Functional Reach Test
3 trials, with AVERAGE OF LAST TWO RECORDED 1 arm, closed fist, measured at 3rd MCP
Gait Speed (Normal Pace) (10 m walk test)
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+ = good
MiniBEST
14 items Identify 6 different balance control systems - 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
mCTSIB
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
Chair Stands
PPT says 30 seconds; Deb Kelly does it 5 times only Age 60-64: Males - < 14 is bad Females - < 12 is bad
4-Stage Balance Test
NO AD, eyes open Standardized instructions and commands 10 seconds, one trial 1. Feet side by side, together 2. Semi-tandum (pick side) 3. Tandum (they pick lead foot) 4. Unilateral (they pick LE)
Physical Performance and Mobility Examination
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
Riverhead Mobility Index
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
High-Level Mobility Assessment (HiMAT)
13 items (includes walking, running, jumping, stairs, hopping, and skipping). Range=0-4 Max score=54 ONLY TESTED IN PATIENTS WITH TBI
Chedoke Arm & Hand Inventory
13 items Lots of items Higher score is better -Test is timed, but higher scores = lower times Used for patients with STROKE!!!!
Motor Activity Log
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)
Minnesota Manual Dexterity 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 applicaable in testing workers in occupations requiring quick movement in handling simple tools
Nine Hole Peg Test
1 item Take pegs from one container and place them into holes on board Scores based on time -Measures finger dexterity, object manipulation, and fine motor control
Wolf Motor Function 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
Action Arm Reach 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
Jebsen-Taylor Hand Function 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 Simulate hand functions that are common to many ADL tasks Assesses ADLs and weighted tasks
Fugl-Meter Assessment of Physical Performance
THE GOLD STANDARD FOR PATIENTS WITH STROKE 5 Domains: 1. Motor function in the UE and LE 2. Sensory Function (light touch and joint position)(24) 3. Balance (14) 4. Joint ROM (44) 5. 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
Glascow Coma Scale
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 GCS 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
