Functional Examination Flashcards

1
Q

Definition of Functional

A

of or having a special activity, purpose, or task

relating to the way in which something works or operates

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2
Q

importance of functional exam

A
baseline level of function
goal setting and intervention planning
objective information
appropriate tests and measures 
discharge planning and placement decisions
assessment of safety
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3
Q

Exam of Function is the determination of two things:

A

habitual level of function

capacity of function

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4
Q

if those two things don’t match what do you do?

A

the patient’s desired level of function is what the PT must adhere to even if it’s lower than capcity

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5
Q

Performance Based Functional Tests are

A

indication of what a patient can do under certain circumstances
identifies current level of function or predicts max function
can be global or specific to a body condition/region

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6
Q

Performance Based Functional Tests does not give

A

DOES NOT GIVE REAL WORLD INFORMATION

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7
Q

Self Reports are

A

Barthel Index and
Katz Index
DASH

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8
Q

Self Reports wording indicates:

A

habitual vs capacity and specific time frame

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9
Q

Interpreting Test of Function are crucial to determine

A

why the test has resulted in a report of diminished function

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10
Q

Key Descriptors

Independent

A

performs with no one present

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11
Q

modified independent

A

assistive device
increased time
safety issues
NO MANUAL assistance

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12
Q

supervision

A

standby assistance

requires cueing

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13
Q

Contact Guarding

A

hand on patient

steading assistance maintain balance

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14
Q

Min Assist

A

greater than 75% effort

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15
Q

Mod Assist

A

50-74% effort

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16
Q

Max Assist

A

25-49% effort

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17
Q

total asisst

A

less than 25% effort

or need more than one person

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18
Q

Normal Static Balance

A

maintain steady balance without support

19
Q

Normal Dynamic Balance

A

accepts max challenge and can shift easily within full range in all directions

20
Q

Good Static Balance

A

maintains without support with limited sway

21
Q

Good Dynamic Balance

A

accepts moderate challenge

picks up object from floor

22
Q

Fair Static Balance

A

maintains balance with handhold support

may require occasional min assistance

23
Q

Fair Dynamic Balance

A

accepts minimal challenge

maintains balance while during head/trunk

24
Q

Poor Static Balance

A

requires handhold and mod to max assist to maintain posture

25
Q

Poor Dynamic Balance

A

unable to accept challenge or move without loss of balance

26
Q

Standardize Performance Functional Tests

A
BERG Balance
10 meter or 6 min walk
timed up and go
30 second sit to stand
functional reach test
27
Q

Bartel Index measures

A

degree of assistance required by individual on 10 items of mobility and self-care

28
Q

0 on Barthel index means

A

complete dependence

29
Q

100 on Barthel index means

A

complete independance

30
Q

Kats Index of ADL’s focuses on which

A
bathing
dressing
toileting
transferring
continence
feeding
31
Q

A score means

A

complete independence

32
Q

G score means

A

complete dependence

33
Q

Kats is based on

A

proposed hierarchy of function from neurologic and loco motors responses seen in children

34
Q

DASH is how many items

A

30 self report

35
Q

DASH was designed to measure

A

physical function and symptoms in people with any of several musculoskeletal disorders of the upper limb

36
Q

0 score on DASH

A

least disability

37
Q

100 score on DASH

A

most disability

38
Q

Katz B

A

independent in all but one

39
Q

Katz C

A

Independent in all but bathing and one additional function

40
Q

Katz D

A

Independent in all but bathing, dressing, and one additional function

41
Q

Katz E

A

Independent in all but bathing, dressing, toileting and one other function

42
Q

Katz F

A

Independent in all but bathing, dressing, toileting, transferring, and one other function

43
Q

Tests that measure ADLs

A

Groningen Activity Restriction Scales
Katz
Barthel