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NCS 2021 > Outcome Measures > Flashcards

Outcome Measures Flashcards

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1
Q

5 times sit to stand

A

Cut off scores for CVA-12 sec and for PD-16 sec; >13 sec indicates balance dysfunction

Activity limitation

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2
Q

6 minute walk test

A

Activity limitation

Cut off scores not established

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3
Q

9-hole peg test

A

Normal values based on age group

20-30s- 17 sec
30-40s- 18 sec
40-50s- 19 sec
50-60s-19-21 sec
60-70s- 21-22 sec
\+70-25 sec
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4
Q

10 MWT

A 
6th vital sign
<0.4 m/sec- household ambulation
0.4-0.8 m/sec- limited community
0.8 m/sec- community
>1.2- cross walks

<1.0 m/sec- intervention to reduce fall risk
>1.0 m/sec- INDEP w/ ADLs, less likely to be hospitalized
<0.6 m/sec- DEP in ADLs, more likely to be hospitalized

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5
Q

Activities Specific Balance Confidence Scale

A

Cut off score 67% in elderly adults
Cut off score of 81% in chronic stroke

Higher scores indicate increased confidence in one’s balance

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6
Q

Agitated Behavior Scale

A

<21 WNL
22-28- Mild
29-35-Moderate
>35- Severe

Score 14-56
>22= presence of agitation

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7
Q

Berg Balance Scale

A

Cut off score for fall 45/56

Activity limitation

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8
Q

Chedoke-McMaster Stroke Assessment

A

> 9 on the leg and postural control scores indicate independent ambulation

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9
Q

Clinical Test of Sensory Interaction and Balance

A

1- firm surface, EO
2- firm surface, EC
3- compliant surface- EO
4- compliant surface- EC

Measures up to 30 sec, average across 3 trials

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10
Q

Coma Recovery Scale

A

Score from 0-23; lower scores= brainstem/reflex activity

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11
Q

Functional Independence Measure

A

FIM
18-126; higher scores= higher level of functioning
Training required, used in IP rehab

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12
Q

Functional Gait Assessment

A

FGA

Cut off score <23/30

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13
Q

Disability Rating Scale

A

0-29;

Lower scores indicates greater ability

TBI/ABI

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14
Q

Dizziness Handicap Inventory

A

0-100
Higher score= increased severity
>59 = increased risk for falls in individuals with MS
>61= severe perception of handicap for vestibular dysfunction

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15
Q

Dynamic Gait Index

A

DGI
0-24
<19 indicates fall risk

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16
Q

Timed Up and Go

A

Increased risk for falls
CVA- >14 sec
Elderly->13.5 sec indicates increased risk for falls

> 14.5 sec on TUG manual or difference of 4.5 sec or greater between TUG and TUG manual indicates falls risk

> 15 sec indicates falls risk for TUG Cognitive

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17
Q

Tinetti Performance Oriented Mobility Assessment

A

25-28- low fall risk
19-24- medium fall risk
<19 = high falls risk

On a scale of 0-28

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18
Q

United Parkinson Disease Rating Scale

A

UPDRS

0-260 (lower scores suggests decreased impact of disease)

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19
Q

Walking Index for Spinal Cord Injury II

A

WISCI

0-20 (higher scores indicates less severe impairment)

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20
Q

Stroke Impact Scale

A

Score from 0-100

Higher scores= less impairment

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21
Q

Retropulsive Pull Test

A

0-4

0: recovers independently with 1-2 steps or ankle strategies
1: recovers INDEP with 3+ steps
2: requires assistance to prevent fall
3: very unstable; loses balance spontaneously
4: unable to stand w/o assistance

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22
Q

Orpington Prognostic Scale

A

Where a patient will DC
3.2-5.2= IP rehab
>5.2= SNF
<3.2= home

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23
Q

Postural Assessment Scale for Stroke Patients

A

PASS
0-36 (higher score indicates higher ability)
Score of 14= INDEP ambulation

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24
Q

National Institutes of Health Stroke Scale

A

NIHSS

Mild: 1-5
Mild/Moderate: 5-14
Severe: 15-25
Very severe >25

0 (no impairment)- 42 (highest impairment)

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25
Montreal Cognitive Assessment
MoCA 0-30 <26 suggests cognitive dysfunction
26
Moss Attention Rating Scale
22-110 | Higher score indicates better attention
27
Functional Reach Test
Cut off scores <6'' or <15 cm indicates fall risk
28
Hand held myometry
Normal values Male- 100 lbs Female- 65 lbs
29
High level Mobility Assessment Tool
``` HiMat 0-54 (higher score indicates better performance) Normative values Men- 50-54 Female-44-54 ```
30
Mini-Best Test
0-28 Higher score indicates less impairment <23 suggests increased risk for falling
31
Mini Mental State Exam
MMSE 0-30 <24= presence of cog impairment
32
Modified Ashworth Scale
``` MAS 0-4 Higher score=increased spasticity 0-None 1- slight catch/release, at end of ROM 2- Increase muscle tone throughout most ROM 3- Passive movement difficult 4-Unable to move/rigid ```
33
What are the highly recommended OMs used in acute CVA?
- Orpington prognostic scale - Functional reach test - PASS - 6MWT - 10MWT - TUG
34
What are the highly recommended OMs using in IP rehab and OP post CVA?
- 6MWT - 10MWT - TUG - Functional reach test - FIM (IP only) - PASS - Goal attainment scale - Motor activity log - Stroke impact scale (OP only)
35
Tinetti Falls Efficacy Scale
Self report for rating balance confidence Lower score=better On a scale of 1 (very confident)- 10 (not confident) >70 points= FOF >80 points= risk of falling
36
Fugl-Meyer
GRASP (Graded repetitive Arm Supplementary Progrma - Level 1 Fugyl Meyer score 10-25 (fine motor skills not required) - Level 2 Fugyl Meyer score 26-45; more graded control of hand grasp/release - Level 3 Fugyl Meyer score 46-58; requires fine motor skills
37
Modified Rankin Scale
Looks at assistance level required for self care, ADLs, and overall function - Mix of self report and observation measure - 0= no symptoms - 5 = bed ridden - Initially moderately disabled (score of 3) achieved INDEP state within 96 days - Severely disabled (score of 4)= 585 days - Very severely disabled (score of 5)= >600 days
38
Barthel index
Functional limitation measure - Shows individuals ability to care for self - 10 ADL items rated based on level of assist the patient requires
39
Functional ambulation categories
``` 0= non functional 6= independent ```
40
Trunk impairment scale for non-ambulatory patients
- Can score 0-23 - Average score for non-ambulatory patients is 8 - Average score for ambulatory patients is 14 - looks at static sitting, balance, dynamic sitting balance, and coordination
41
What score on the BBS indicates a more likely DC to home?
20/56
42
Functional reach cutoff score for fall risk
<6 inches or 15 cm
43
Postural Assessment Scale for Stroke
able to predict functional ability and DC destination better than the trunk impairment scale
44
What range of FIM scores demonstrates higher gains with rehab?
score between 37-72
45
What are the STREAM score categories for DC home?
<63 has 0% chance 63-95 has 55% chance 95-100 has 86% chance
46
What are the mini-mental state exam categories?
None 24-30 Mild- 18-24 Severe- 0-7
47
Motor activity log
Self rating of quality and amount of hemiparetic arm use Activity level IP and OP setting only
48
What is the Action Research Arm Test
Provides more information on grasp, grip, and pinch | Activity level measure
49
What is the SIP-30?
Assess perceived health status Self report 0-100% where higher score is worse health status
50
What are the highly recommended outcome measures in the acute care setting for TBI?
- RLAS - CRS - ABS - Moss attention rating scale
51
What are the highly recommended outcome measures in the IP rehab setting for TBI?
- CRS | - MARS
52
What are the highly recommended outcome measures in OP setting for TBI
- 6MWT | - Functional Assessment Measure
53
Based on the CRS, what indicates emergence from minimally conscious state?
Score of 0-23 (lower scores indicate reflexive and brainstem level activity) - Motor score of 6 or communication score of 2 indicates emergence from minimally conscious state - functional object use and functional/accurate communication - appropriate for P's rancho levels I-IV
54
Disability rating scale scoring
higher scores indicate higher level of disability
55
What is the cutoff score for the Functional Assessment Measure?
- FAM score <65 indicative of risk for long-term unemployment - Activity level measure
56
Dizziness handicap inventory (DHI)
Self report measure where higher score indicates greater handicap due to dizziness
57
Glasgow Coma Scale
Mild- 13-15 Moderate- 9-12 Severe: <8 Vegitative: <3 Motor response (1-6), Verbal response (1-5), and eye opening (1-4) Eye opening 1. no eye opening 2. eyes open to pain 3. eyes open to speech 4. spontaneous eye opening Verbal response 1. no sounds 2. Incomprehensible sounds 3. Inappropriate words and jumbled phrases of workds 4. Confused, yet coherent speech 5. Alert and oriented Motor response 1. No response 2. Decerebrate posturing 3. Decorticate posturing 4. Withdraws from noxious stimuli 5. Localizes to noxious stimuli 6. Obeys command fully
58
What are highly recommended OMs in PD?
- UPDRS - MOCA - 6MWT - 10MWT - Mini BESTest - FGA - 5XSTS - Participation- PDQ 8 or 39
59
What is the only validated measure of freezing of gait?
- FOG questionnaire - Higher scores=greater severity of FOG - self reported measure - completed during "on" medication time
60
ABC cutoff scores for PD
67% indicates risk of falling | <69% predictive of recurrent falls
61
What stages of PD is the TUG recommended for?
1-4
62
MDS-UPDRS
Measure of burden and extend of PD, disease severity - lower score indicates less impact of PD symptoms - part 1: mentation, behavior, and mood - part 2: assessment of ADLs - part 3: motor exam - part : motor complications Mean score in PD population= 68 (highest score is 108)
63
Montreal Cognitive Assessment (MoCA) cuttoff scores for PD
cutoff score for PD-mild cognitive impairment <26/30 | cutoff score for PD dementia: 22/30
64
MiniBesTest
cutt off score for propsective fallers- 16/32 | Assessment of dynamic balance
65
FGA cutoff score to identify fallers in PD population
15/30
66
What stages of PD is the BBS recommended for?
Stage 2 and 3 (ceiling effect in stage 1, floor effect in stage 4)
67
PDQ 9 or PDQ 39
Self reported measure Assess PD specific health related QOL lower score= better QOL
68
ALS-Functional Rating Scale
Higher score= better functioning | out of 40 points
69
Unified Huntington Disease Rating Scale
Lower score=better functioning
70
Cutoff score for increased fall risk in HD on the BBS?
40/56
71
Highly recommended OMs used in MS?
``` MSWS-12 (for EDSS up to 7.5) 6MWT DHI (OP only) MS Functional Composite (OP only) MS Quality of Life MSIS-29 ```
72
What type of measure is the MSWS-12 walking scale?
Self report measure of impact of MS on walking ability sore 1-5 with 1 as no limitation and 5 as extremely limited lower score is better activity level measure Average score on the MSWS-12 for falls= 75/100
73
What comprises the MS Functional composite?
- Timed 25-foot walk test - 9 hole peg test - paced auditory serial addition test - OP setting
74
MSQOL-54
contains items from SF 36 with 18 new items added activity and participation level self report
75
Normative value for 6MWT in MS?
1260ft (385 meters)
76
What is the cutoff score on the DHI?
less than or equal to 59 | use in OP setting
77
What score on the DGI is indicative of fall risk in MS?
<12/24 points
78
Expanded Disability Status Scale (EDSS) scoring
1. No disability, minimal signs 2. Minimal disability 3. Moderate disability 4. Ambulatory w/o aid or rest 500 m 5. Ambulatory w/o aid or rest 200 m 6. intermittent or unilateral constant assistance required for 100 m 7. unable to ambulate 5 meters with aid, wheels self in WC, transfers alone 8. restricted to WC, OOB most of day 9. helpless in bed, can communicate and eat 10. Death due to MS
79
Fatigue Scale for Motor and Cognitive functions (FSMC)
only fatigue measure researched in MS | recommended in all treatment settings
80
MSIS-29
Self report measure asking impact of MS on day to day life - Score of 1 is not at all and 5 is extremely - Max score of 100 meaning greater impact of MS on your life - Participation level measure
81
What are the normative values for Box and Blocks test (MS)?
- range from 83-61 - 83 blocks for people in their 40s - 61 blocks for people in their 70s
82
What are the 5xSTS cutoff scores in MS?
<20 sec= INDEP for basic transfers | >30= dependent on transfers, do not go out alone
83
What are the highly recommended OMs for AIS A/B?
AISA impairment Scale | World Health organization QOL-BREF (recommended at chronic stage >6 months)
84
What are the highly recommended OMs for AIS C/D?
- AISA Impairment Scale - World Health organization QOL-BREF (>6 months) - 6MWT - 10MWT - TUG - WISCI II (not > 6 months; recommended for acute <3 months)
85
What are the mean TUG times for paraplegia and tetraplegia?
Para- 20 sec | Tetra- 15 sec
86
How is the WISCI II scored?
- 0-20 - 0 is unable to stand/participate in walking - 20 is ambulation with no AD or assist - gives more information on bracing and ADs - Activity level measure
87
What is the SCIM?
Spinal cord independence measure - activity level measure, similar to the FIM - out of 100 points
88
What is the SCI FAI?
Spinal Cord Injury Functional Ambulation Inventory | -looks at 3 domains of walking function (gait parameters, assistive device, and temporal distance)
89
What is the WUSPI?
Wheelchair users shoulder pain index - score ranges from 0-150 - higher score=more pain with activity
90
What time period post injury has the 6MWT shown the greatest responsiveness?
3-6 months post injury
91
What MMT score indicate use of specific strength testing measures?
Greater than 3/5= hand held myometry | Less than 2+/5= MMT
92
What is the cutoff score for fall risk on the 5xSTS in the vestibular population?
<15 sec
93
What are the cutoff scores on the DHI?
Mild- 0-30 Moderate- 31-60 Severe- 61-100
94
What is the cutoff score for falls risk on the miniBEST for vestibular patients?
<19= recurrent fallers
95
What is the cutoff for falls risk on the four square step test? (vestibular)
>12 sec
96
What is the cutoff for fall risk on the FGA? (vestibular)
22/30 | 15/30 in PD population
97
What is the cutoff for fall risk on the TUG in the vestibular population?
>11 sec
98
What is considered a positive result on the Dynamic Visual Acuity test?
>1 line loss of vision (is it 2??)

NCS 2021 (2 decks)

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