Lecture 8: Activity Level Neuro PT Exam Flashcards Preview

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Flashcards in Lecture 8: Activity Level Neuro PT Exam Deck (17)
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1

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

2

What are common types of functional mobility?

bed mobility, transfers, sitting and standing balance, locomotion

3

What are two components of activity exam?

1. examination procedure
2. task or movement analysis

4

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

5

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

6

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

7

After you do a task activity exam what is next?

develop HCF as to why they performed the way they did

8

If patient has weakness what should be done?

strengthen in a functional manner

9

If a patient has an impaired ACOM what should be done?

facilitate normal movement patterns or efficient compensatory patterns within context of function

10

What must every plan of care revolve around?

FUNCTION, FUNCTION, FUNCTION

11

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

12

What are popular tests for functional mobility in adults?

Barthel Index, SF-36, FIM, OASIS

13

What are popular in pediatric population?

WeeFIM, PEDI

14

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

15

Why is this test important?

it tests what person does and not what person could do

16

What is one limitation with FIM?

has a ceiling effect which means patients can score well but may still have limitations

17

What is MCID with FIM?

improvement of 22 overall