Neuro-Rehab Outcome measures Flashcards
(26 cards)
what outcome measure can be used for STS?
5 times sit-to-stand test
(5XSTS)
Justify why the 5XSTS is an appropriate outcome measure?
It has excellent reliability and validity
how is the 5XSTS valid?
it is a valid measure of dynamic balance and functional mobility, when its performance was compared with the timed get up and go test
p<0.001
how is the 5XSTS reliable?
it has excellent intra-rater reliability with ICC range of 0.97
it has excellent inter-rater reliability with ICC range of 0.99
it has excellent test re-test reliability with ICC range of 0.994
what outcome measure can be used for gait?
Functional Gait Assessment (FGA)
How is the FGA reliable?
It has excellent:
intra-rater relibaility
inter-rater reliability
test re-test
with an ICC is between 0.94-0.97
how is the FGA valid?
it has excellent correlation with the 10MWT
(r=0.72)
What outcome measure can we use to assess reach and grasp?
Fugl-Meyer Assessment (FMA)
How do we know the FMA is reliable?
Excellent interrater reliability: ICC = 0.95
Excellent intrarater reliability: ICC = 0.99
what are the 5 domains of the FMA?
- Motor Function
- Sensory Function
- Balance
- Joint ROM
- Joint Pain
what is the MDC for stroke patients with the FMA
5.2
How do we know the FMA is valid?
it has excellent correlation with the Motor Assessment Scale
r=0.96
what is the normal time for a stroke pt to complete the 5XSTS test?
12-16 seconds
what is the highest score for the FGA?
30
how is the FGA scored?
each item (1-10) is scored from:
0 = severe impairment
1 = moderate impairment
2 = mild impairment
3 = normal ambulation
what are the 10 stages of the FGA?
- Gait on a level surface
- Change of speed
- Horizontal head turns
- Vertical head turns
- Turn and pivot
- step over obstacle
- Type rope gait
- eyes closed
- ambulating backwards
- steps
what is the max score for FMA for UL?
192 points
how is the FMA scored?
on a 3-point ordinal scale:
0 = cannot perform
1 = performs partially
2 = performs fully
what is the Max score for the BERG?
56
how is the BERG scored?
on an ordinal 5 point scale from 0-4
0 = inability to complete task
4 -= able
how is the BERG valid?
it has excellent correlations with the balance subscale of the FMA and the Postural Assessment Scale post stroke
r= 0.72
how is the BERG reliable?
it has excellent:
Test-retest reliability ICC= 0.98
IntrArater reliability ICC = 0.98
IntErater reliability ICC = 0.95
what is the BERG balance scale?
a 14 item objective measure that assesses static balance and fall risk in adults
what does the FMA measure?
it evaluates and measures recovery in post-stroke hemiplegic patients
