Exam 3- Outcome Measures

Not physical examinations used to quantify the subjective

Outcome measures

What can outcome measures be used for

Document progress

-demonstrate a departure form wellness

-must demonstrate progress

When do you use an outcome measure

Baseline

After treatment

Periodically to assess progress

Exact wording for instructions for visual analog scale

Please make a vertical (up and down) mark on the line below to indicate you level of pain today

How long is the visual analog scale

10 cm

What are the min and max of the visual analog scale

No pain

Worst pain imaginable

Written instructions for numeric pain rating scale

Circle the number the represents your pain level

Verbal instructions for numeric pain rating scale

Describe your pain on a scale of 0-10

Quadruple VAS

Pain right now

Typical or average pain

Pain at its best

Pain at its worst

Departure from ability of a person to perform common activities of daily living

Disability

What measure function

Disability

What is used for low back disability

Oswestry disability index (ODI)

Greatest disability for Oswestry disability index

50 or multiple by 2 for % score

-so a score of 50 means 100% disability from low back pain

What measures neck pain disability

Neck disability index

What is a low back disability measurement with 24 disability statements

Roland Morris questionnaire

Score for Roland Morris questionnaire

Total number of statements marked

7 items, each is a scale of 0-10 and take the total points and divide by 70 for % disability

Bournemouth low back pain and Bournemouth neck questionnaires

Upper extremity functional index, lower the percentage means?

Greater the disability

Need a change of __________ for meaningful improvement for the lower extremity

10%

Global well being scale

Worst you could possible feel to best you could possibly feel

-scale is opposite of VAS for pain

Standard for measuring depression

Beck Depression inventory

Other names for abnormal illness Beauvoir

Psychological overlay

Yellow flags

Yellow flag outcomes

Fear avoidance beliefs questionnaire

Modified work APGAR

What are Waddell`s signs

1. Superficial or Non-anatomical tenderness

2. Over reaction

3. Simulation

4. Distraction

5. Regional disturbances

How do you test for simulation with Waddell signs for the lower back

Patient stands with hands at side, doctor rotates patient shoulders and hips

-no low back/pelvis rotation should be no pain

How do you test for simulation with waddells signs for the lumbar

Patient standing, doctor applies compression to the head and there should be no lumbar pain

What makes it abnormal illness behavior with waddells signs

3 or more of them

Pain diagram yellow flags

Pain outside the body

Pain in all 4 extremities

Multiply types of pain

Measures patients ability to perform physical tasks

Functional measure

Objective functional measure

ROM

Reflexes

Strength

Endurance

What is weakness is correlated with low back pain

Decreased trunk and hip strength