Outcome Measures

Question 1

definition of outcome measures

Answer 1

book: standardized tests, measures, or instruments used to measure various aspects of a patient’s health status. Results from outcome measures can be used for pt care decisions, research, and quality assurance. Dimensions include type, format, reliability, validity, responsiveness, and feasibility

Question 2

What are therapist centered goals?

Answer 2

quantifiable, covered by insurance eg: DGI

Question 3

Client Centered Goals

Answer 3

This is more meaningful to patient than therapist centered goals e.g: lowering pain level
setting goals focuses a person’s attention and directs his/her efforts
establishes challenging but realistic goals leads to greater effort and persistence
goal achievement requires on-going feedback that recognizes the person’s progress toward the goal

Question 4

What do outcome measures, measure?

Answer 4

BSF, Participation, Activity, quality of life (most important!!)

Question 5

Definition of Minimal Detectable Change

Answer 5

…

Question 6

Activities Specific Balance Confidence Scale (ABC)

Answer 6

Self Report
Specific to Neurological Issues
Measures: Activity and Participation
MDC: 13 pnts or 11.2 pnts
Max Score: 100 pnts= high functioning
Free, no training
above 60% is at high risk of falls

Question 7

Barthel Index

Answer 7

Self Report/Performance
Specific to Geriatric/Stroke/etc
Measures: Activity
MDC: 4.02 pnts
Max Score: 100=high functioning
Free, no training

Question 8

Katz Index of Independence in Activities of Daily Living

Answer 8

Self Report/Performance
Specific to Geriatric/Stroke/etc
Measures: Activity
MDC: not specified
Max Score: 6=high functioning
Free, no training

Question 9

Disabilities of the Arm, Shoulder, Hand (DASH)

Answer 9

Self Report
General for arm injuries/pain
Measures: BSF, Activity
MDC: 15 pnts
Max Score: 100=most disabled
Free, no training
LONG, 30 questions

Question 10

Neck Disability Index (NDI)

Answer 10

Self Report
General for neck pain
Measures: BSF, Activity, Participation
MDC: 10%, 5pnts
Max Score: 100%=most disabled
Free, no training

Question 11

Lower Extremity Functional Scale (LEFS)

Answer 11

Self Report
General to LE pain
Measures: BSF, Activity, Participation
MDC: 9 pnts
Max Score: 80/100%=most disabled
Free, no training

Question 12

Owestry Low Back Pain Questionnaire

Answer 12

Self Report
General to low back pain
Measures: BSF, Activity, Participation
MDC: 10%
Max Score: 50/100%= most disabled
Free, no training

Question 13

Performance Based Tests

Answer 13

looking to see what a patient can do under spec. set of circumstances (including environment; typically measures integration of impairments, performance of actions, or combo (e.g. Tinnetti, Berg, TUG, etc.)

Question 14

MDC in outcome measures

Answer 14

ABC= 11.2 or 13
Barthel=4.02
LEFS=9
DASH=15 humeral frx, 10 athlete
Owestry=10%
NDI=10%