Week 2 Balance and Falls Assessment

Question 1

who do we screen for falling

Answer 1

everyone over the age of 65 and people who have early onset diseases

Question 2

what are the 3 key questions

Answer 2

have you fallen in the past 12 months?
do you feel unsteady when standing or walking?
do you worry about falling?

Question 3

if a person scores above ___ on the stay independent brochure or if they answer yes to ____ of the key questions… they should receive a ____

Answer 3

above a 4, yes to any, a full assessment

Question 4

what is included in a focused history exam

Answer 4

history of falls with details. medication review, review of risk factors, medical history and the living environment and caretaker situation.

Question 5

what kinds of sensory things do we test

Answer 5

vision (equity, contrast, depth and visual field)
vestibular
somatosensory (vibration, proprioception and cutaneous)
integration (CTSIB and modified CTSIB)

Question 6

how do we test neuromuscular

Answer 6

strength with MMT, 5x sit to stand, 30 seconds chari stands.
ROM and flexibility at the ankle, knee, hip, trunk and C-spine

Question 7

how do we test aerobic endurance

Answer 7

6MWT, 2MWT, 2M step test

Question 8

what kind of movement analysis are we doing with them

Answer 8

bed mobility, transfers, AD, adaptive equipment

Question 9

what are some functional balance and gait measures

Answer 9

gait speed, TUG, Tinetti-POMA, MiniBEST, Functional reach test, functional gait assessment, four step square test, Berg, Dynamic gait,

Question 10

how do we test perceived functional ability and fear of falling

Answer 10

falls efficacy scale
activity specific balance scale
fear of falling and avoidance belief scale

Question 11

how do we assess footwear

Answer 11

arch support, heel support, soles with grips

Question 12

what are the 3 best predictors of falls

Answer 12

Activities-specific balance confidence (ABC)
fear of falling avoidance behavior questionnaire
timed up and go

Question 13

TF: the home assessment is never overlooked

Answer 13

false, it is

Question 14

why is a home assessment key

Answer 14

for safety, and prevention of falls at home

Question 15

TF: we want to include the caretakers and family members on this assessment who will be living with the patient at home

Answer 15

true

Question 16

considerations for surface

Answer 16

concrete, wood, tile, carpet, gravel, grass, dirt, throw rugs, runners

Question 17

lighting considerations

Answer 17

adequate, dim, bright, glare,

Question 18

steps and stair considerations

Answer 18

hand rails, number, height, condition

Question 19

door width considerations

Answer 19

direction the door opens and closes

Question 20

object considerations

Answer 20

clutter, cords, toys, papers, furniture

Question 21

phone considerations

Answer 21

is it accessible

Question 22

what are some spaces we must assess

Answer 22

entrances/exits
hallways
steps/stairs
living and family room 
kitchen
bathroom 
bedroom (light location and bed)
laundry room 
porches
backyard and leisure areas

Question 23

what kind of modifications can we make to the areas

Answer 23

enhance the lighting, remove throw rugs, add rails, change the layout and furniture footprint, remove clutter, cords, toys and things, change accessibility of food and clothing, widen the doors, elevate commode, shower chairs…