Flashcards in Lecture 8: Activity Level Neuro PT Exam Deck (17)
Why is it important for PT to examine activity level of neuro pt?
value independence, safe to return home?, help formulate HCF, develop POC, Documentation
What are common types of functional mobility?
bed mobility, transfers, sitting and standing balance, locomotion
What are two components of activity exam?
1. examination procedure
2. task or movement analysis
What is the most important part of activity exam procedure?
SAFETY and setting up environment
after that ask pt to perform a functional movement with little guidance to see how they perform it on their own, offer assistance if needed
What is the task mov't analysis component?
looks at starting position, how was mov't initiated, what was sequence of mov't, how was it terminated, was task achieved and what were environmental conditions
What are important components of documentation?
what was attempted (sq. pivot), to which side, level of surface, device used, precautions, level of asst, quality of movement
After you do a task activity exam what is next?
develop HCF as to why they performed the way they did
If patient has weakness what should be done?
strengthen in a functional manner
If a patient has an impaired ACOM what should be done?
facilitate normal movement patterns or efficient compensatory patterns within context of function
What must every plan of care revolve around?
FUNCTION, FUNCTION, FUNCTION
When selecting a standardized test what components are important?
validity, feasibility, is it dz/population specific, does it cover domain of interest, is it self report or performance based
What are popular tests for functional mobility in adults?
Barthel Index, SF-36, FIM, OASIS
What are popular in pediatric population?
How many items are on the FIM?
18, measures physical, psychological and social function
required by many IRF in 1st 72 hours of admission and last 24 hours before discharge
Why is this test important?
it tests what person does and not what person could do
What is one limitation with FIM?
has a ceiling effect which means patients can score well but may still have limitations