test 4 assessment and measurment

What is the rate of women obesity

35.5%

what is the rate of mens obesity

32.2%

what is rate of obesity in children.

ages 2-5 have doubled rate

6-11 ages trippled

12-19 trippled

17% of american children ages 2-19 1 in 6 are obese.

Maximal Heart rate (submax)

220 - (age) =

205.8 - (0.685 x age) =

Target heart rate (LOW)

65% intensity

(220- age) X 0.65 =

Target heart rate ( HIGH)

85% intensity

(220- age) X 0.85

Body mass index (BMI)

• useful measure of overweight and obesity

• calculated from height and weight

• est. of body fat in relation to height and weight

BMI: underweight

< 18.5

BMI: normal weight

18.5- 24.9

BMI : overweight

25- 29.9

BMI: obesity

30 or greater

1 MET

Metabolism at rest of an average individual

Energy expended

Diastolic

lower blood pressure

indicated pressure during ventricular relaxation

measurement immediately following tapping sound.

Systolic

Highest blood pressure

indicates ventricular contraction

tapping indicates blood entering ventrical

CHAMPS

assess weekly frequency abd duration of physical activity norm with older adults

Effectivness of program aimed at increasing levels of physical activity.

CHAMPS Psychometrics

stability range from 0.58 to 0.67 (6 months)

perceptual motor skills

ability to receive interpret and respond successfully to sensory information.

Risk factors for hypertension

Static balence

ABILITY TO MAINTAIN POSTURAL STABILITY IN A

MOTIONLESS POSITION

dynamic balence

the ability of the body to maintain balence point in motion.

3 human systems that impact balance?

sensory

skeletal muscle

central nervous.

Components of Berg Balance Scale?

likert scale 14 items 0= poor balence 4=good balence

max score 56

scores below 45 are risk of falling

Equipment needed for berg balence scale

chair (17im min)

stop watch

ruler (2, 5, 10)

TINETTI BALANCE ASSESSMENT TOOL

fall risk assessment

balence 9 items max 16

sitting/ rising

eyes closed

turning 360 degrees

MDRT (standing)

THE PATIENT IS INSTRUCTED TO NEXT TO, BUT NOT TOUCHING, A WALL

AND POSITION THE ARM THAT IS CLOSER TO THE WALL AT 90 DEGREES

OF SHOULDER FLEXION WITH A CLOSED FIST.

•• THE ASSESSOR RECORDS THE STARTING POSITION AT THE 3RD

METACARPAL HEAD ON THE YARDSTICK.

•• INSTRUCT THE PATIENT TO “REACH AS FAR AS YOU CAN FORWARD

WITHOUT TAKING A STEP.”

•• THE LOCATION OF THE 3RD METACARPAL (END OF MIDDLE FINGER) IS recorded

MDRT ( modified)

Preformed with a yard stick that has been mounted to the wall at the height of PTs ACROMION LEVEL in the non affected arm area while seated

Hips knees and ankles facing 90 degree of flexion while feet are positioned flat on floor.

THEHE INITIALINITIAL REACHREACH ISIS MEASUREDMEASURED WITHWITH THETHE PATIENTPATIENT SITTINGSITTING AGAINSTAGAINST THETHE BACKBACK OFOF THETHE CHAIRCHAIR WITHWITH

THETHE UPPERUPPER--EXTREMITYEXTREMITY FLEXEDFLEXED TOTO 9090 DEGREESDEGREES,,

snellen chart

• used to test visual acuracy

• used 9 letters; C. D, E, F, L, O, P, T, Z.

• Charts usually display several rows of optotypes (test

  symbols), each row in a different size.

An optotype

is a standardized symbol for testing vision.

• shaped letters, numbers, or geometric symbols

Refraction

abnormality of the eye in which a corrective lens is needed for

proper focusing

Myopia

-a condition where the light that comes in does not directly focus on

the retina but in front of it

• image that one sees when looking at a distant object to be out of focus, but in

focus when looking at a close object. (NEAR SIGHTED)

Hyperopia

a condition whereas there is a defect of vision caused by an

imperfection in the eye (often when the eyeball is too short or the lens cannot

become round enough), causing difficulty focusing on near objects (FAR SIGHTED)

Jaeger Eye Test

Tests for Hyperopia (Far

Sightedness)

• Hold chart 16 cm from face

to test what can be read

accurately

Unilateral Occular Preference

Dominant eye and hand SAME side

Cross-dominance Ocular Preference

Dominant eye and Hand DIFFERENT side

Miller Eye Dominance Test (aka Triangle Eye Test)

Make a Triangle with your thumb and

first finger.

• With both eyes open look at an object

on the wall or in the distance, and

center it inside the triangle.

• Now close one eye, and then the

other.

Visual Neglect or Unilateral Neglect (UN)

• a failure to attend visually to the contralesional side of space

• 61 tests for UN, only 28 standardized (Azouvi et alo., 2006)

  More common in Right Lesions

RIGHT LESION/CVA

left side neglect

LEFT LESION/CVA

right side neglect

Comprehensive Visual Neglect Assessment (CVNA)

• Measures the density and scope of visual neglect

• Uses a dartboard chart to assess scope of neglect

Hearing Handicap Inventory for the Elderly

Screening Version (HHIE-S)

• 10 questions

• developed to assess how an individual perceives the social and emotional effects of hearing loss

• the HIGHER the score the more handicap

• scores range from 0 (no handicap) to 40 (maximum handicap).

• score being > 10 recomment adiologist testing

• Psychometrics • Internal Consistency .87 / Test-retest .84

Visual Analogue Scale pain assessment

Horizontal line with word achors at the exremes

line 10cm long

McGill Pain questionnaire

 

based on Dallenbachs list

cateorizes words that describe pain

sensory

affective

evaluative

Pain demographics

non hispanic while adults report more pain than other adults of other races and ethnicities

Borgs RPE- what does it do?

a tool designed to measure the subjective intensity of physical activity, ranging typically from 6 to 20 to correlate with heart rate. It helps individuals and clinicians evaluate exertion, breathlessness, and fatigue during exercise

Motor skills instruments

test of gross motor 2

Motor activities training program

fitnessgram

Ps social and recreation assessment

MSI motor skills inventory

Body managment : body awareness

Locomotor skills: walk, run, jump

Body fitness: arm shoulder flexability

object moving skills: kicking, catch, dribble

CHART ( craig handicap assessment/reporting technique)

measures level of handicap in community setting

physical independence, cognitive mobility and occupation and social intergration, Economic self sufficiency

CIQ (community intergration qs)

15 item measure yeilds 3 subscales

Home, social intergration, productive activities

High score = positive community intergration.

CIP (community intergration program)

Used to test knowledge and train functional skills necessary to be in community living

used in rehab and pyhch settings

BUS

assessment of skills related to public transportation

for clients with cognitive impairments

15mins long and scored 0-3 1pt for each skill demonstrated