Week 10 - measurements, complex Mx

Question 1

What are the 5 levels of measurement for impairment

Answer 1

WDSCS

1. Weakness
2. Loss of dexterity
3. Spasticity
4. Contracture
5. Sensory

Question 2

What is the rationale for use of impairment diaries?

Answer 2

I and I, T or E, A for I

1. incidence and impact on activity and participation
2. triggers or events
3. avenue for intervention

Question 3

What is the rationale for the use of impairment level, activity level and participation level measurement tools in the physiotherapy Mx of people with neurodegenerative conditions?

Answer 3

• Effect of impairments on activity and participation
• hypothesis what impairment is contributing to difference at activity level
• dependent on the impact on activity level and whether target intervention for impairment to improve it (if need for measuring)
• Depending on stage and context of impairment

Question 4

What are the 2 disease specific rating scales for PD?

Answer 4

1. Unified Parkinson’s disease Rating scale (UPDRS)

2. Hoehn and yahr

Question 5

What are 2 disease specific rating scales for MS?

Answer 5

1. Extended disability status scale

2. Disease steps

Question 6

What is the disease specific scale for Motor Neuron Disease?

Answer 6

Amyothophic lateral sclerosis functional rating scale revised (ALSFR-R)

Question 7

What is the rationale for using Dyskinesia Diary?

Answer 7

1. determine change and optimize medication
2. need for deep brain stimulation
3. Inform intervention
4. Impact at at activity level

Question 8

Name a scale for measuring fear of falls and explain the rationale for using it

Answer 8

Falls Efficacy Scale-International (FES-I):

• congruency between fear and risk of falling for intervention and realistic ideas
• need for multifactorial intervention vs. minimal supervised/group intervention

Question 9

What is the rationale for using Falls Diary

Answer 9

1. identify triggers for falls

2. Informs and helps determine the nature of intervention to deliver (ie. teaching patient skills to get up from falls)

Question 10

What is the rationale for New Freezing of Gait questionnaire?

Answer 10

To assess the patients risk of falling due to freezing of gait based on 3 part questionnaire