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NMR II > Exam 1: STOM > Flashcards

Exam 1: STOM Flashcards

(84 cards)

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1
Q

What is intrarater reliability?

A

The consistency of repeated measurements by the same person over time

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2
Q

What is interrater reliabilty?

A

The consistency of repeated measurements by more than one person

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3
Q

What does MCID stand for?

A

Minimally Clinically Important Difference

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4
Q

What is the MCID?

A

The smallest difference in a patient’s condition that the patient or clinician considers worthwhile that would warrant a change in the patient’s management

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5
Q

What does MDD stand for?

A

Minimal Detectable Difference

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6
Q

What is the MDD?

A

The minimal detectable change in the patient’s condition beyond the threshold or measurement error

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7
Q

What 6 STOMs have clinical practice guidelines?

A
  1. Berg Balance Scale
  2. Functional Gait Assessment
  3. Activities-Specific Balance Confidence Scale
  4. 10 Meter Walk Test
  5. 6 Minute Walk Test
  6. 5 Time Sit-to-Stand
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8
Q

What is the purpose of the Berg Balance Scale?

A

Assessment of static balance and fall risk in adults

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9
Q

What is the cutoff for the Berg Balance Scale?

A

< 45 indicates high fall risk

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10
Q

What type of evidence is there for the Berg Balance Scale?

A

Strong level I evidence to assess changes in static and dynamic sitting and standing balance

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11
Q

What does FGA stand for?

A

Functional Gait Assessment

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12
Q

What is the purpose of the FGA?

A

Assess postural stability and ability to perform multiple motor tasks while walking

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13
Q

Why was the FGA created?

A

As a modified version of the DGI to improve the reliability

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14
Q

What is the cutoff for the FGA?

A

< 22 is considered to be a high fall risk

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15
Q

What type of evidence is there for the FGA?

A

Strong to moderate evidence to assess chances in dynamic balance while walking

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16
Q

What is the purpose of the ABC?

A

Self-report measure of balance confidence in performing various activities

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17
Q

What does the ABC outcome measure stand for?

A

Activities-Specific Balance Confidence Scale

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18
Q

What is the cutoff for the ABC?

A

< 67% is considered to be a high fall risk

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19
Q

What score is considered to be a high level of physical functioning according to the ABC?

A

> 80%

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20
Q

What score is considered to be a moderate level of physical functioning according to the ABC?

A

50-80%

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21
Q

What score is considered to be a low level of physical functioning according to the ABC?

A

< 50%

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22
Q

What type of evidence is there for ABC?

A

Strong evidence to assess changes in balance confidence

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23
Q

What is the purpose for the 10 Meter Walk Test?

A

Assess walking speed over a short duration

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24
Q

What is the cutoff for the 10 Meter Walk Test to have increased risk of adverse events?

A

< 0.7 m/s

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25
What speed on the 10 Meter Walk Test is considered to be a Household Ambulator?
< 0.4 m/s
26
What speed on the 10 Meter Walk Test is considered to be a Limited Community Ambulator?
0.4 - 0.8 m/s
27
What speed on the 10 Meter Walk Test is considered to be a Community Ambulator?
0.8 - 1.2 m/s
28
What speed on the 10 Meter Walk Test is considered to safely cross streets?
> 1.2 m/s
29
What change in speed on the 10 Meter Walk Test is considered to be a predictor for well-being and used as a standard patient goal?
Increase of 0.1 m/s
30
What is the purpose of the 6 Minute Walk Test?
Assess distance walked over 6 minutes to measure aerobic capacity and endurance
31
What type of evidence is there to support the 6 Minute Walk Test?
Strong to moderate evidence to assess changes in walking distance
32
What are the indications to perform the 6 Minute Walk Test?
Aerobic capacity, functional mobility, gait, endurance
33
What are the cutoffs for 60-69 year olds on the 6 Minute Walk Test?
Male = 572 Female = 538
34
What are the cutoffs for 70-79 year olds on the 6 Minute Walk Test?
Male = 527 Female = 471
35
What are the cutoffs for 80-89 year olds on the 6 Minute Walk Test?
Male = 417 Female = 392
36
What is the indication for the 5 Time Sit-to-Stand?
Fall risk, predictor of strength
37
What type of evidence is there to support the 5 Time Sit-to-Stand?
Strong to moderate evidence to assess sit-to-stand transfers
38
What is the cutoff for the 5 Time Sit-to-Stand?
> 15 seconds is considered to be an increased fall risk in older adults
39
What does the 30 Second Sit-to-Stand assess?
LE strength, endurance, is correlated with leg press
40
What does the Timed Up and Go assess?
Mobility and balance
41
What is the cutoff for the TUG to be considered independent?
< 10 seconds
42
What is the cutoff for the TUG to be considered to have an increased risk for falling?
> 20 seconds
43
What is the cutoff for the TUG to be considered to be at high risk for falling?
> 30 seconds
44
What is the cutoff for the TUG to be considered a fall risk in community dwelling adults?
> 13.5 seconds
45
What does the DGI stand for?
Dynamic Gait Index
46
What does the DGI assess?
Gait, balance, fall risk, patient's ability to modify balance while walking in the presence of external demands
47
What is the cutoff for the DGI?
< 19 is predictive for fall risk
48
What does the Mini BEST stand for?
Balance Evaluation Systems Test
49
What is the purpose of the Mini Best?
Assess balance, gait, fall risk
50
What specific impairments are assessed with the Mini Best?
Anticipatory balance, reactive postural control, sensory orientation, dynamic gait
51
What is the cutoff for the Mini Best?
< 17.5 is considered to be an increased fall risk
52
What is the purpose of the Tinetti?
Gait and balance assessment
53
What is the cutoff for the Tinetti to be considered to be a high fall risk?
< 19 in older adults
54
What is the cutoff for the Tinetti to be considered to be a moderate fall risk?
19-24
55
What is the cutoff for the Tinetti to be considered to be a low fall risk?
25-28
56
What does the 2 Minute Step Test assess?
Endurance
57
What does FSST stand for?
Four Square Step Test
58
What is the purpose of the FSST
Dynamic balance and coordination that assesses the patient's ability to step over objects in all directions
59
What is the cutoff for the FSST?
> 15 seconds is considered to be at risk for multiple falls
60
What is purpose of the Functional Reach Test?
Screen standing balance and risk for falling
61
What is the hand position when measuring for the Functional Reach Test?
Closed first
62
What is the purpose of the Back Scratch Test?
Assess functional ROM of the UE and ability to perform ADLs
63
What is the purpose of the Chair Sit and Reach Test?
Assess LE ROM and hamstring flexibility, LE ADL implications
64
What does MFES stand for?
Modified Falls Efficacy Scale
65
What is the purpose of the MFES?
Assess fear of falling in community dwelling adults
66
What does a high score on the MFES indicate?
More confidence and less fear of falling
67
What is the SF-36?
Short form for medical outcomes
68
What does the SF-36 quantify?
General health status and health-related quality of life
69
What does MMSE stand for?
Mini Mental State Examination
70
What is the MMSE?
Brief screening tool that provides assessment of cognitive impairment
71
What are the seven domains of the MMSE?
1. Orientation to time 2. Orientation to place 3. Registration of three words 4. Attention and calculation 5. Recall of three words 6. Language 7. Visual construction
72
What score is considered no cognitive impairment on the MMSE?
24-30
73
What score is considered mild cognitive impairment on the MMSE?
18-23
74
What score is considered severe cognitive impairment on the MMSE?
0-17
75
What does MoCA stand for?
Montreal Cognitive Assessment
76
What is the MoCA?
Rapid screen for cognitive abilities that is designed to detect mild cognitive dysfunction
77
What score is considered to be normal function on the MoCA?
26-30
78
What score is considered to indicate mild cognitive impairment on the MoCA?
< 25
79
What does SLUMS stand for?
Saint Louis University Mental Status Exam
80
What is the purpose of the SLUMS?
Identify individuals who have dementia and mild neurocognitive impairment
81
What is the cutoff for no cognitive impairment on the SLUMS?
27-30
82
What is the cutoff for mild cognitive impairment on the SLUMS?
21-26
83
What is the cutoff for dementia on the SLUMS?
1-20
84
What score indicated depression on the Geriatric Depression Scale?
> 5

NMR II (27 decks)

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