Outcome Measures

You are seeing a pt who is non-ambulatory and want to perform some outcome measures with them. The pt states that their main goals are to be able to move from their bed to a chair and be able to sit upright at the dinner table without any assistance. What outcome measures would you perform with them?

You are seeing a pt who is non-ambulatory and want to perform some outcome measures with them. The pt states that their main goals are to be able to move from their bed to a chair and be able to sit upright at the dinner table without any assistance. What outcome measures would you perform with them?

• Function in sitting tests

• 5TSTS

What balance outcome measures would be appropriate for a pt who is non ambulatory?

• Berg

• Function in sitting test

What transfer test is appropriate for a pt who is non-ambulatory?

5TSTS

What balance test are appropriate for a pt who is ambulatory?

• FGA

• MiniBESTtest

• ABC

• Berg

What transfer test is best for a pt who is ambulatory?

5TSTS

What gait test can you do w/ a pt who is ambulatory?

• 6MWT

• 10MWT

You are working w/ a pt who is ambulatory and wants to work on their ability to walk through the grocery store but is hesisitant in their abilities to do so. What outcome measures would be most appropriate for this pt?

• 6MWT (best for when goal is related to ambulating for a distance)

• FGA (best for walking balance)

• MiniBESTtest (best for walking balance and dynamic standing balance)

• ABC (best for measuring a pt’s confidence)

You are working with a pt who is ambulatory and their goals are to become independent while standing and cooking in the kitchen and they want to be able to navigate their house more quickly. What outcome measures would be most appropriate to use with this pt?

• 10 MWT (for gait speed)

• Berg (in this case, for standing balance)

  • Also can be used for static or dynamic sitting

You are doing the 5TSTS w/ a pt but they use their arms to help themselves stand up multiple times. What score would be appropriate for them?

0

What kind of assistance provided to a pt during the 6MWT would result in a scoring of 0 on the test?

Providing any assistnace that propels the pt forward

What measurement are you recording when a pt does the 6MWT?

How many meters they walk in the 6 minutes

If a pt requires an assistive device or a brace for the 6MWT, what lvl of physical assistance would you document?

6

How many items on the ABC need to be answered in order to calculate a score?

12 of 16

You are doing item 1 (STS) on the BBS w/ a pt and it takes them several attempts to try and stand and they also have to use their hands to help them stand up. What score would you give them?

2

You are doing item 1 (STS) on the BBS w/ a pt and they are able to stand on their first attempt on their own but, they use their hands in order to do so. What score would you give them?

3

You are doing item 1 (STS) on the BBS w/ a pt and they need minimal assistance in order for them to stand up or stabilize. What score would you give them?

1

You are performing item 2 (standing unsupported) on the BBS and the pt is able to stand the full 2 minutes but they sway more than you would like so you stay by them the entire test guarding. What score would you give them?

3

You are doing item 2 (standing unsupported) on the BBS and a pt is able to stand for 30 seconds unsuported. What score would you give them?

2

You are doing item 2 (standing unsupported) w/ a pt on the BBS and they are unable to stand for 30 seconds. What score would you give them?

0

You are doing item 3 (sitting w/ back unsupported) w/ a pt on the BBS and they are only able to sit for 30 seconds. What score would you give them?

2

You are doing item 3 (sitting w/ back unsupported) w/ a pt on the BBS and they are only able to sit for 10 seconds. What score would you give them?

1

You are performing item 4 (standing to sittting) w/ a pt and they control their descent w/ their legs against the back of the chair. What score would you give them?

2

You are performing item 4 (standing to sitting) on the BBS w/ a pt and they sit on their own but have no control on their descent. What score would you give them?

1

You are doing item 5 (transfer) on the BBS w/ a pt and they are able to transfer safely but definitely need their hands in order to do so. What score would you give them?

3

You are doing item 5 (transfers) w/ a pt on the BBS and they needs a one person assist. What score would you give them?

1

You are doing item 6 (standing unsupported w/ eyes closed) on the BBS w/ a pt and they are only able to stand for 3 seconds. What score would you give them?

3

You are doing item 6 (standing unsupported with eyes closed) on the BBS scale w/ a pt and they can’t stand for 3 seconds but they are able to stand safely. What score would you give them?

1

You are doing item 7 (standing unsupported w/ feet together) on the BBS w/ a pt and they are able to put their feet together indpendently but cannot hold the position for 30 seconds. What score would you give them?

2

You are doing item 7 (standing unsupported w/ feet together) on the BBS w/ a pt and they need help getting their feet together but they are able to stand for 15 sec. What score would you give them?

1

You are doing item 8 (reaching forward w/ oustretched arm) on the BBS and the pt is able to reach forward 12 cm but they need supervision. What score would you give them?

1

You are doing item 8 (reaching forward w/ outstretched arm) on the BBS w/ a pt and they are able to reach forward 12 cm/5 in safely. What score would you give them?

3

You are doing item 8 (reaching forward w/ outstretched arm) on the BBS w/ a pt and they are able to reach forward 25 cm/ 10 in safely. What score would you give them?

4

You are doing item 8 (reaching forward w/ outstretched arm) on the BBS w/ a pt and they are able to reach forward 5 cm/ 2 in safely. What score would you give them?

2

You are doing item 9 (pick up object from floor) on the BBS w/ a pt and they are unable to pick up the object but they get within 2-5 cm/1-2 in of it and are able to keep their balance indpendently. What score would you give them?

2

You are doing item 10 (turn to look back over you shoulders) w/ a pt and they are only able to turn sideways but they maintain their balance. What score would you give them?

2

You are doing item 10 (turning to look over shoulders) on the BBS w/ a pt and they are able to turn a good ways but they need supervision while doing so. What score would you give them?

1

You are doing item 11 (popping a 360) on the BBS w/ a pt and they are able to turn 360 safely and can get one side done in less than 4 seconds. What score would you give them?

3

You are performing item 12 (stepping on step stool) on the BBS w/ a pt and they complete >2 steps but also need minimal assistance. What score would you give them?

1

You are performing item 12 (stepping on step stool) on the BBS w/ a pt and they complete 8 steps in more than 20 seconds. What score would you give them?

3

You are performing item 12 (stepping on step stool) on the BBS w/ a pt and they can complete 4 steps w/o aid but w/ supervision. What score would you give them?

2

You are performing item 13 (standing unsupported one foot in front) on the BBS and they pt needs help to step but can hold the position for 15 seconds. What score would you give them?

1

You are performing item 14 (standing on one leg) on the BBS w/ a pt and they are able to stand for 5-10 seconds. What score would you give them?

3

You are performing item 14 (standing on one leg) on the BBS w/ a pt and they are able to stand for 10+ seconds. What score would you give them?

4

You are performing item 14 (standing on one leg) on the BBS w/ a pt and they are able to stand for 3 or less seconds. What score would you give them?

2

You are performing item 14 (standing on one leg) on the BBS w/ a pt and they can’t stay on one foot for more than 3 seconds but they stay standing independently. What score would you give them?

1

What height chairs do you need for the BBS?

18-20 inch

For item 5 (transfer) on the BBS, does the pt start in the chair with armrest or the one without?

Start in one w/o (could also be a bed)

What height step stool do ya need for the BBS?

7.75-9 inch

Can assistive devices be used in the BBS?

No

During the 6MWT and 10MWT, where should the clinician stand? Why is that?

Behind the patient so that you don’t pace them

How much room should a pt have to turn around at the turnaround point of the 6MWT?

The area should be 49 in/124 cm wide

Can a pt use an AD during the 6MWT or 10MWT?

You betcha

How high off the ground should a chair be that is being used for the 5TSTS?

17-18 in/ 43-45 cm

What should a pt be sitting on when performing the FIST?

Bed/mat

How much of a pt’s femur should be on the bed/mat when performing the FIST?

½ of their femur

You are performing the FIST w/ a pt when you give them an anterior nudge and they use their hands to help catch themself. What score would you give them?

2

What is considered a 4 for the FIST?

If the pt has a “normal” performance accounting for spped and safety

What is considered a 3 on the FIST?

“normal” performance but verbal cues are needed for completion or they take longer to complete the task than an average joe

What is considered a 2 on the FIST?

Pt gotta use their hands for successful completion of a task or to maintain balance during a task

What is considered a 1 on the FIST?

Pt can’t complete the task safely or completely w/o PA of the PT

What is considered a 0 on the FIST?

Pt can’t complete task even with physical assistance. They are dependent

When performing the FGA, how wide is the area the pt has to walk?

12 in

Is a pt allowed to use an orthotics during the FGA?

Yep

Are you allowed to give a pt assistance during the FGA?

Nope

Can a pt use an assistive device during the FGA?

If it says specifically, yes. Otherwise, no