S3_L4: Functional Assessment

Question 1

TRUE OR FALSE: The ultimate goal in any rehabilitation program is to restore the highest level of physical, vocational, and social functions of patients.

Answer 1

True

Question 2

Characteristic action of body parts and characteristic performance of an individual

Answer 2

Function

Question 3

Enumerate the main categories of function

Answer 3

1. Physical function
2. Psychological function
3. Social function

Question 4

Level of assistance where the therapist applies three or more points of contact

Answer 4

Maximum assistance

Question 5

Level of assistance where the therapist applies two points of contact, such as supporting one knee and holding the upper trunk

Answer 5

Moderate assistance

Question 6

Level of assistance where the therapist applies one point of contact, such as holding the guard belt, relative hold on the pt’s garter of pants, or holding the upper trunk

Answer 6

Minimal assistance

Question 7

Level of assistance where no contact is applied but the PT is not comfortable leaving the
patient

Answer 7

Stand-By Assist (SBA)

Question 8

Enumerate the types of instrument in functional assessment

Answer 8

1. Performance based
2. Self assessment

Question 9

Determine the corresponding descriptions of the static balance grades

1. With handhold support; mod-max assist
2. Patient unable to maintain balance
3. Able to maintain steady balance without handhold support
4. With handhold support; occasional minimal assist
5. Maintain balance without support, limited postural sway

A. 0 - Absent
B.
 1 - Poor
C. 2 - Fair
D. 3 - Good
E. 4 - Normal

Answer 9

1. B
2. A
3. E
4. C
5. D

Question 10

Determine the corresponding descriptions of the dynamic balance grades

1. Maintain balance while turning head/trunk
2. Maintain balance while picking object from floor
3. Unable to accept challenge or move without loss of balance
4. Patient unable to maintain balance
5. Accepts maximal challenge and can shift weight easily within full range in all directions

A. 0 - Absent
B.
 1 - Poor
C. 2 - Fair
D. 3 - Good
E. 4 - Normal

Answer 10

1. C
2. D
3. B
4. A
5. E

Question 11

Determine the corresponding measurement construct for these outcome measures

1. WL - 26
2. Visual Analog Scale
3. Patient - Specific Scale
4. Goniometric Measures
5. Neck Disability Index

A. Pain
B.
 Joint ROM
C. Activity Limitation / Participation Restriction
D. Impairment / Activity Limitation / Participation Restriction

Answer 11

1. D
2. A
3. C
4. B
5. C

Question 12

Determine the corresponding measurement construct for these outcome measures

1. Patient Satisfaction Scales
2. Numeric Pain Rating Scale
3. Roland-Morris LBP and Disability Questionnaire
4. Oswestry Disability Index

A. Pain
B.
 Joint ROM
C. Activity Limitation / Participation Restriction
D. Impairment / Activity Limitation / Participation Restriction

Answer 12

1. D
2. A
3. C
4. C

Question 13

In the context of health, this is the physiological function of body systems

Answer 13

Body functions

Question 14

In the context of health, this is anatomical parts of the body

Answer 14

Body structures

Question 15

In the context of health, this describes problems in the body function or structure such as a
significant deviation or loss (anatomical or
physiological)

Answer 15

Impairments

Question 16

In the context of health, this is the execution of a task or action by an individual

Answer 16

Activity

Question 17

In the context of health, this describes difficulties an individual may have in executing activities

Answer 17

Activity Limitation

Question 18

In the context of health, this describes involvement in life situations

Answer 18

Participation

Question 19

In the context of health, this describes problems an individual may experience in involvement
in life situations

Answer 19

Participation Restriction

Question 20

Tools that determine health gain or costs associated with treatment. It is used to objectively determine the
baseline function of a patient at the beginning of treatment and determine progress and treatment efficacy once commenced.

Answer 20

Outcome measures

Question 21

Determine the corresponding descriptions of the psychometric properties of outcome measures

1. Divided into inter-rater, intra-rater, and test-retest
2. Checks if the PT has time and the equipment needed to use the outcome measure
3. Asks, “Is your test measuring what it’s supposed to measure?”
4. Uses minimal detectable change (MDC)
5. Uses minimal clinically important difference (MCID)
6. Uses standard error of measurement (SEM)

A. Validity
B.
 Reliability
C. Responsiveness to change
D. Clinical Utility

Answer 21

1. B
2. D
3. A
4. C
5. C
6. C

Question 22

Determine the corresponding types of reliability each of the following scenarios describes

1. The dorsiflexion lunge test being used by one or more therapists to measure ankle dorsiflexion of the same person at different times
2. Three therapists measuring ankle
   dorsiflexion one at a time using the same goniometer
3. One therapist measuring ankle
   dorsiflexion three times using the same goniometer

A. Inter-rater reliability
B.
 Intra-rater reliability
C. Test-retest reliability

Answer 22

1. C
2. A
3. B

Question 23

The testing frequency of outcome measures in an in-patient is done within (1)__ days of admission and within (2)__ days of discharge

Answer 23

1. 3
2. 3

Question 24

The testing frequency of outcome measures in an out-patient is done in what 3 settings?

Answer 24

1. Upon admission
2. Every month
3. Before pt is discharged

Question 25

Outcome measure used to determine how neck pain affects a patient’s daily life and to assess the self-rated disability of patients with neck pain.

Answer 25

Neck Disability Index (NDI)

Question 26

A patient took the self-assessment NDI questionnaire. Their score is 18/50. This score is interpreted as?

Answer 26

Moderate disability Range for moderate: 15-24

Question 27

A patient took the self-assessment NDI questionnaire. Their score is 10/50. This score is interpreted as?

Answer 27

Mild disability Range for mild: 5-14

Question 28

TRUE OR FALSE: In the NDI, the higher the score given translates to better functioning.

Answer 28

False Scoring is reported on a 0-50 scale, 0 being the best possible score and 50 being the worst.

Question 29

This outcome measure assesses symptom and severity of low back pain in terms of disablement and the degree to which back or leg pain impacts functional activities. It is a self-assessment outcome measure consisting of 10 sections.

Answer 29

Oswestry Disability Index (ODI)

Question 30

In the interpretation of ODI scores, the patient got a score of 65% and back pain impinges on all aspects of the patient's life. Positive intervention is required. This score is interpreted as?

Answer 30

Crippled Range for crippled: 61-80%

Question 31

In the interpretation of ODI scores, the patient got a score of 58% and pain remains the main problem but activities of daily living are affected. This score is interpreted as?

Answer 31

Severe disability Range for severe disability: 41-60%

Question 32

A 30-item self-report questionnaire designed to assess musculoskeletal disorders and function of the upper limbs

Answer 32

Disabilities of the Arm, Shoulder, and Hand

Question 33

TRUE OR FALSE: In the DASH questionnaire, the higher the score given translates to worse functioning, more severe disability.

Answer 33

True Additional: A score ranging from 0-29 is interpreted as the "upper limb disorder is no longer a problem"

Question 34

A 13-item self-report questionnaire developed to assess pain, and disability related to shoulder problems. It was designed to measure the impact of shoulder pathology on pain and disability in an out-patient setting.

Answer 34

Shoulder Pain and Disability Index (SPADI)

Question 35

The Shoulder Pain and Disability Index (SPADI) consists of 2 subscales, namely?

Answer 35

1. pain (5 items) 2. disability (8 items)

Question 36

A 20-item self-assessment test that measures the functional capacity of the lower extremities, including the baseline functioning, progress, outcome, and functional goals of the pt. It aims to see the pt's ability to perform everyday tasks/ADLs.

Answer 36

Lower Extremity Functional Scale (LEFS)

Question 37

TRUE OR FALSE: In the LEFS questionnaire, the higher the score given translates to worse functioning, more severe disability.

Answer 37

False The lower the score = greater disability

Question 38

Maximum score in the Lower Extremity Functional Scale (LEFS) is

Answer 38

80/80

Question 39

What are the 3 areas of assessment in the Lower Extremity Functional Scale (LEFS)?

Answer 39

1. Balance 2. Functional ability 3. Gait function