Outcomes Measures

Question 0

Fregley-Graybiel Ataxia Test Battery

Answer 0

8 Tests measured on each leg (pass/fail)
Measures time in position and # steps without falling
5 Trials
Patients with high level motor skills
  Stand on beam, eyes open
  Stand on beam, eyes closed
  Walk on beam, eyes open
  Sharpened Romberg (static heel-toe)
  Standing, eyes open
  Standing, eyes closed
  SL standing, eyes closed
  Walk on floor, eyes closed

Question 1

Berg Balance Scale

Answer 1

14 Tasks
Static, transitional and dynamic activities in sitting and standing
Scored on 0-4 ordinal scale
Max Score: 56
Fall Risk: < 45

Question 2

Fugl-Meyer Sensorimotor Assessment Of Balance Performance Battery

Answer 2

Assess balance in hemiplegia
7 Items
Scored 0-2
Max Score 14
14/14 May still have abnormal balance

Question 3

Functional Reach Test

Answer 3

3 Trials averaged together
High test-retest correlation and intrarater reliability
Below age norm = fall risk
  20-40 = 14.5 - 17 in
  41-69 = 13.5 - 15 in
  70-87 = 10.5 - 13.5 in

Question 4

Romberg Test

Answer 4

Balance and ataxia assessment
Stand feet together, UEs crossed, eyes open
Visual, Vestibular, Somatosensory input to cerebellum
Repeat eyes closed
If unstable, somatosensory or vestibular deficit
Ataxia and (+) Romberg = Sensory ataxia (Not cerebellar ataxia)
Normal = maintain position 30 sec
Sharpened Romberg = Repeat heel-toe, non-dominant foot forward

Question 5

TUG Test

Answer 5

Sit in supported chair
Stand, walk 10 ft, turn, walk back, sit down
Observe sway, excessive movement, reach for support, side stepping, or other LOB signs
10 sec = Independent
> 20 sec = Increased fall risk
30 sec = High fall risk

Question 6

Tinnetti Performace Oriented Mobility Assessment

Answer 6

Balance Section:
  Sit <-> stand
  Stand EO/EC
  Stand, slightly pushed
  Turn 360 degrees
  Scored 0-2 in most categories
  Max score 16
Gait Section: Tests at normal and rapid but safe speed
  Initiation
  Step length and height
  Step asymmetry and continuity
  Path
  Stance
  Trunk motion
  Scored 0-2
  Max score 12
Total = 28
< 19 = High fall risk

Question 7

Mini-Mental Status Examination

Answer 7

Max score 30
21-24 = Mild cognitive impairment
16-20 = Mod cognitive impairment
15- = Severe cognitive impairment

Question 8

FIM

Answer 8

18 Items of physical, psychological, and social functioning

Question 9

Postural Assessment Scale for Stroke Patients (PASS)

Answer 9

Assesses postural control and balance in stroke

Question 10

NIH Stroke Scale

Answer 10

Measures acute cerebral infarction

Question 11

Stroke Impact Scale

Answer 11

Assesses physical and social function after stroke

Question 12

Functional Assessment Measure (FAM)

Answer 12

In addition to FIM items, FAM includes additional functional areas:
  Community access
  IADLs
  Safety
  Employability
  Adjustment