05-01a: Why Tests and Measures Flashcards Preview

05 - Tests and Measurements > 05-01a: Why Tests and Measures > Flashcards

Flashcards in 05-01a: Why Tests and Measures Deck (10):

Why Tests and Measures

- Gather data about patient
- Confirm or reject hypothesis about factors that contribute to pt's current functional level not being optimal
- Support PT/PTA clinical judgment about appropriate interventions, goals, expected outcomes


Purpose of Tests and Measures

- Provide objective data to determine degree of function and/or dysfunction
- Focuses the POC on task-specific (pt goal-oriented) interventions and goals
- Provides objective data that justifies need for PT


Reasons for proper training

- Ensures reliability and validity of tests
- Improves reliability and validity in extrapolating results
- Errors in performance can lead to inaccurate data, inappropriate POC
- PTs must select tests and measures and avoid extraneous/excessive data


Outcome measures

- Qualitatively describes end result of a particular intervention (often questionnaires)
- Must be valid and reliable - need evidence of functionality (research data), not fabricated
- Important for 1) reassessment of interventions, 2) postiive feedback for pt and staff
- Most require specialized knowledge, skills and training


Outcome measures - Influences

- Primary Dx
- Co-morbidities
- Medical stability
- Prior physical status (determines goals)
- Current physical status
- Age
- Gender
- Beliefs
- Attitudes


Categories of Tests and Measures #1

- Aerobic capacity/Endurance
- Anthropometric characteristics
- Arousal, attention, cognition
- Assistive and adaptive devices
- Circulation (arterial, venous, lymphatic)
- Cranial and peripheral nerve integrity
- Environmental, home, work barriers


Categories of Tests and Measures #2

- Ergonomic and body mechanics
- Gait, locomotion, balance
- Integumentary integrity
- Joint integrity and mobility
- Motor function (motor control, motor learning)
- Muscle performance (strength, power, endurance)
- Neuromotor development and sensory integration


Categories of Tests and Measures #3

- Orthotic, protective, supportive devices
- Pain
- Posture
- Prosthetic requirements
- ROM (including muscle length)
- Reflex integrity


Categories of Tests and Measures #4

- Self-care and home management (ADLs)
- Sensory integrity
- Ventilation and respiratory/gas exchange
- Work, community, and leisure integration/reintegration


Future of outcome measures

- Reimbursement based on 1) outcomes, 2) not fee-for-service