Outcome measures- exam 1

A standardized test or measure used to objectively assess a patient's status and monitor change over time

Outcome measure

outcome measures in which ICF category tell us whether or not the interventions are translating into improvement in the patient's daily life

participation

degree to which a measure produces consistent results

reliability

degree to which a measure assesses what it is intended to measure

validity

ability of a measure to detect change over time

responsiveness

smallest change that exceeds measurement error

MDC (minimal detectable change)

smallest change that is meaningful to the pt or clinician

MCID (minimal clinically important difference)

score used to classify individuals into categories or identify risk

cut off score

What three components contribute to the selection of an outcome measure (3)

1. Patient population
2. Construct of interest
3. Clinical utility (what is feasible to implement)

what measure is strongly recommended for function mobility in the inpatient setting and can be used to help determine discharge location

AM-PAC

low risk AM-PAC score

20 (d/c home)

moderate risk AM-PAC score

15-19 (d/c home or facility)

high risk AM-PAC score

<14 (d/c to facility)

What is the role of outcome measures in clinical decision making?

Complement, not replace clinical reasoning

What kind of data is obtained from outcome measures

objective

What outcome measure tests gait speed

10 MWT

What outcome measure tests endurance

6 MWT

What outcome measure tests transfers and LE strength

5 x STS

What outcome measure tests LE endurance & strength

30 sec chair stand

What outcome measures tests functional mobility & dynamic balance (2)

TUG, FGA

What outcome measures tests if a pt is a fall risk (2)

TUG, FGA

What outcome measure tests deficits in closed chain kinetic chain UE functional performance

Closed kinetic chain UE stability test

What outcome measure tests global upper quarter control and is a dynamic stability test

UE Y balance test

What measure is the affected side/ unaffected side

Limb symmetry index

for what injury is LE hop testing most heavily studied/used in

ACL rehabilitation

What outcome measure is a reliable and valid performance based measure of LE function, but should not be used as standalone data

LE hop testing

What outcome measure tests the dynamic postural control during a single leg test and evaluates an individual's risk for LE injury

LE Y balance test

anterior reach asymmetry of 4+ cm during the LE Y balance test is related to what

increased risk of injury

what speed in the 10MWT for healthy older adults is indicative of increased risk of adverse events

< 0.7 m/s

what is the cutoff score for the 5xSTS (5 time sit to stand)

12 seconds (further assessment for fall risk necessray)

what score on the 5xSTS indicates a DEFINITE fall risk

15 seconds

what is the TUG cutoff score for community dwelling adults

13.5 seconds

Maximum score on the FGA

30

what is the FGA cutoff score FOR non-specific older adults

=< 22/30 (fall risk!!!!!)