ROM And LE Ortho

Question 1

What is the WOMAC

Answer 1

Self administered health status measure assessing pain, STIFFNESS, and function in patients with OA of the HIP or KNEE

Question 2

What are the 3 dimensions of measures for the WOMAC

Answer 2

Pain
STIFFNESS
Function

Question 3

What is the population tested for the WOMAC

Answer 3

TKR (total knee replacement)
THR (total hip replacement)
Hip OA
Knee OA
General knee pain
Peri-acetabular osteotomy for acetabular dysplasia (POAD)

Question 4

What does a HIGH WOMAC score indicate? ***

Answer 4

Indicates WORSE pain, stiffness and functional limitations

Question 5

What is the purpose of the Foot and Ankle Ability Measure (FAAM)

Answer 5

Provide a universal measure of change in physical function of patients with leg, ankle, and foot MSK disorders

Question 6

What are the 2 subscales for FAAM

Answer 6

1. ADL subscale
2. Sports subscale

Question 7

What is the minimal detectable change (MDC) raw score for ADL in FAAM

Answer 7

5.7

Question 8

What is the MDC raw score for sports subscale in FAAM

Answer 8

12.3

Question 9

What is the minimally clinical importance difference (MCID) percentage for ADL subscale in FAAM

Answer 9

8%

Question 10

What is the MCID percentage for the sports subscale in FAAM

Answer 10

9%

Question 11

(T/F) the FAAM ADL and Sports subscale has terrible test-retest reliability

Answer 11

FALSE
Has excellent test-retest reliability

Question 12

What does a HIGH score on the FAAM represent ***

Answer 12

HIGHER/BETTER physical function

Question 13

What is the purpose of Lower Extremity Functional Scale (LEFS)

Answer 13

Created as an easy alternative to MOS SF-20, for patients with lower extremity diagnoses

Question 14

What is the population tested for LEFS

Answer 14

Various lower extremity disorders

Question 15

What is the standard error of measurement for LEFS

Answer 15

5.3 raw points

Question 16

What is the MDC for LEFS

Answer 16

9%

Ex: if someone scores a 25%, they would need a 34 for there to be a significant change

Question 17

What is the MCID for the LEFS

Answer 17

9%

Question 18

What does a higher score represent on the LEFS ***

Answer 18

Represents higher/better physical function

Question 19

What is the purpose of the single step test

Answer 19

Developed to assess unilateral abilities of surgical and nonsurgical limb following TKA

Question 20

What are the 3 abilities/measures that the single step test correlate with?

Answer 20

Stair climbing ability
TUG
6MWT

Question 21

What are the equipment needed for the single step test

Answer 21

15 cm block (6 inches)***
Stopwatch

Question 22

What is the procedure for the single step test

Answer 22

Patient stands on 15cm BLOCK (6 inches) with leg tested
Instruct patient to squat and touch heel
Patient can rest hands lightly on examiner
Patient is to move quickly as possible through up to 20 reps
Record the time complete
RECORD THE # OF REPS LESS THAN 20
Repeat on opposite side

Question 23

What is the purpose of the Heel Rise Test

Answer 23

Developed to measure functional strength of GASTROC/SOLEUS muscle group

Question 24

(T/F) Subjects can wear socks for the heel rise test

Answer 24

FALSE
They must be BAREFOOT

Question 25

(T/F) You must test bilateral before moving unilateral for the Heel Rise Test

Answer 25

TRUE

Question 26

What is the procedure for the Heel Rise Test

Answer 26

1. Subject must be barefoot 2. Test bilateral 3. Perform unilateral 4. Subject may lightly touch wall for support 5. Rate: 1 rep every 2 seconds (up one, down one sec) *** 6. Document total # up to 25

Question 27

what is the mean change in 8 weeks for the single step test

Answer 27

11.7 secs

Question 28

what is the average time score for the single step test 4 weeks post op

Answer 28

surgical: 33.5 secs non surgical: 28.3 secs

Question 29

what is the average time scores for the single step test for 3 months post op

Answer 29

surgical: 21.8 secs non-surgical 20.7 secs

Question 30

for the heel rise test, what is the correlation with gait speed if they are able to complete more than 20 reps

Answer 30

ID’s ambulatory ability at speed of 63.2 meters/min = 1.05 m/sec

Question 31

what is considered NORMAL STRENGTH for the heel rise test

Answer 31

more than or equal to 20 reps

Question 32

what is considered FAIR STRENGTH for the heel rise test

Answer 32

1-9 reps

Question 33

what is considered POOR STRENGHT for the heel rise test

Answer 33

unable to achieve 1 heel rise