Coordination/Balance/Functional Assessments and Normative Values

Question 1

what directions can functional reach test be performed

Answer 1

sitting forward, sitting lateral, standing

Question 2

how to explain functional reach tests

Answer 2

• hold arm out in front at 90deg
• do not touch the wall
• lean as far forward as possible without taking a step or falling off chair

Question 3

how to score functional reach

Answer 3

• 5 trials and take average of last 3 trials
• use 3rd MTC to measure

Question 4

sitting forward reach norms

Answer 4

21-39 y/o: 44.9cm
40-59 y/o: 42.3cm
65-93 y/o: 32.9cm

Question 5

sitting lateral reach norms

Answer 5

21-39 y/o: 29.5cm
40-59 y/o: 26.7cm
65-93 y/o: 20.3cm

Question 6

standing forward reach norms for gender

Answer 6

• 20-40y/o - M: 16.7, F: 14.6
• 41-69 y/o - M: 14.9, F: 13.8
• 70-87 y/o - M: 13.2, F: 13.2

Question 7

TUG results indicating fall risk

Answer 7

> 13.5 seconds

Question 8

TUG community dwelling with neuro deficits;
< 10 seconds
< 20 seconds
20-29 seconds
30+ seconds

Answer 8

• normal
• independent mobility, go outside alone
• modified independent mobility, likely need AD
• needs assistance, cannot go outside alone

Question 9

describe the berg balance scale

Answer 9

• measure fall risk
• assess static balance
• gold standard
• has ceiling effect in high level functioning individuals

Question 10

CVA cutoff score for fall risk on BERG

Answer 10

< 45/56

Question 11

Geri scores of what on berg indicate 100% fall risk

Answer 11

< 40

Question 12

what does functional gait assessment look at

Answer 12

FGI
- measure falls risk
- assess postural stability during various walking tests
- developed to correct ceiling effect with DGI

Question 13

what is the cut off score for fall risk on FGI for pts over 65 y/o

Answer 13

<= 22/30

Question 14

what does the dynamic gait index assess

Answer 14

DGI
- measures fall risk
- assesses gait with external demands
- originally developed for assessing pts with vestibular disorders

Question 15

what is the traditional cutoff score for DGI

Answer 15

< 20 indicated high fall risk
- <= 19/24 predictive of fall risks in community dwelling elderly

Question 16

what do pts need to be for both DGI and FGA and can they use AD

Answer 16

• pt needs to be independent ambulatory
• can use AD

Question 17

what is the total score of DGI

Answer 17

24

Question 18

cut off scores for fall risk on mini-best and what is the max score

Answer 18

Ages 65+: < 25
PD: <20
Stroke: <18

max: 28

Question 19

what does the 6 MWT assess

Answer 19

• sub-max exercise test used to assess walking endurance and aerobic capacity

Question 20

what does 10 MWT assess

Answer 20

• assess walking speed

Question 21

what can gait speed be used to predict

Answer 21

fall risk and functional ability

Question 22

what does 5xSTS measure

Answer 22

functional strength to assist quantifying functional change with transitional movements

Question 23

fall risk cut off score for PD in 5xSTS

Answer 23

> 16 seconds

Question 24

• inability to perfom 5xsts in less than ____ associated with increased disability and morbidity
• cut off of ____ in predicting recurrent fallers

Answer 24

• 13.6 sec
• 15 sec

Question 25

age norms for 5xSTS

Answer 25

60-69: 11.4 sec 70-79: 12.6 sec 80-89: 14.8 sec

Question 26

scores of what on functional reach indicate greater fall risks and less risk for falls

Answer 26

greater fall risk: < 6-7 cm less fall risk: >10 cm

Question 27

what are the 3 categories assessed on AMPAC 6 clicks

Answer 27

basic mobility daily activity applied cognitive

Question 28

what is AMPAC 6 clicks used for and what can it assist with

Answer 28

- used to quantify pt's functional status in acute care - assists with discharge disposition

Question 29

what is the gold standard for quantifying function in inpatient rehab, but is no longer used

Answer 29

functional independence measure (FIM)

Question 30

what does FIM assess

Answer 30

ADLs mobility basic cognitive function

Question 31

what is section GG

Answer 31

- section required by Medicare and Medicad to quantify pt function - replace FIM in inpatient rehab - built into multidimensional measures to function tool dependent on setting - determine discharge disposition, outcomes, quality of care, and level of reimbursement - includes admission and discharge self-care and mobility performance

Question 32

where can section GG be used

Answer 32

inpatient rehab LTACH SNF home health settings

Question 33

describe the barthel index

Answer 33

- Commonly used in stroke patients (sometimes geriatrics) - Used to record what a pt does, NOT what they could do - Establishes degree of independence from any help, physical or verbal - Feeding, bathing, grooming, dressing, bowels, bladder, toilet use, transfers, mobility, stairs - used to replace FIM, much faster