Core set of outcome measures

objectives for how we should be using outcome measures

creating a timeline

picking based on specific diagnosis and pt’s personal goals

purpose of the core set

streamline assessments

What does the core set quantify

constructs of balance

walking speed

walking endurance/distance

transfer ability

who should perform the core set

all pts with neuro dx that have goals and the capacity to improve in these areas

Where/when is the core set useful

across all settings and timepoints

According to the Core set, what is the Berg used to track

sitting and standing balance

What is the cut off for the Berg

<45 c/w increased fall of risk in elderly

how many items are on the berg

14

What is the max amount of points awarded on the berg

56 (0-4)

What are common mistakes with the Berg

no assistive devices allowed

chair and step stool height

What is the height of the chair for a Berg

18-20 in

What is the height of a step stool for the Berg

7 ¾ - 9 in

MCID for the Berg

7

According to the Core set, what is the FGA used to track

balance while walking

cut off for FGA

<22 c/w increased fall risk in the community dwelling elderly

items in the FGA

10

max amount of points on FGA

30 (0-3)

What are some common mistakes with the FGA

no item can be scores >2 with use of AD

items 5-7, 10 are scored 0 if AD used

MCID for FGA

>/= 4

According to the Core set, what is the ABC used to track

balance confidence

cut offs for ABC

<67% c/w increased fall risk in older adults

How many items are on ABC

16

How many items do you need filled out to keep validity of ABC

12/16

MDC for ABC

14%

According to the Core set, what is the 10mWT used to track

walking speed

What is the gold standard test for finding walking speed

10mWT

When should the gait be timed

across the middle 6 m of the 10 m course

cut off scores for 10mWT indicating increased risk of hospitalization and adverse events

<0.7 m/s

cut off scores for 10mWT indicating household level ambulation

<0.4 m/s

cut off scores for 10mWT indicating limited community ambulation

0.4-0.8 m/s

cut off scores for 10mWT indicating unlimited community ambulation

>0.8 m/s

cut off scores for 10mWT indicating large city navigation

>1.0 m/s

What percentage of pts surveys that it was important to improve walking

88%

What percentage of pts reported difficulty with walking was a primary reason for seeking PT

83%

instructions for comfortable walking speed 10mWT

“Walk at your own comfortable walking pace and stop when you reach the far mark.”

instructions for fast walking speed 10mWT

“Walk as fast as you can safely walk and stop when you reach the far mark.”

How many trials are performed for the 10mWT

2 of each speed and take the average

things to remember for the 10mWT

devices are allowed

assist of 2/max = 0m/s

MCID for 10mWT for stroke

0.16

According to the Core set, what is the 6MWT used to track

walking distance

course length for 6MWT

12 m

things to remember for 6MWT

assess vitals and RPE before and after testing

devices allowed

assist of 2/max = 0 m/s

allowed standing rest breaks

MCID for 6MWT

61

According to the Core set, what is the 5 times STS used to track

transfers

According to the Core set, how should transfers be documented

type

level of assistance

equipment/context adaptation

time

cut off for 5TSTS

>15 sec are consistent with increased fall risk in the elderly

Chair height for 5TSTS

17-18”

things to remember when doing 5TSTS

no arms

chair not against wall

age based norms for 5TSTS

23-60: 10 seconds

60-69: 11.4 seconds

70-79: 12.6 seconds

80-89: 12.7 seconds

Who should be performing the core set

those who have goals and the capacity to change in each construct area

What are the last 2 mission statements

explaining results

making goals/outcomes based on pt interests/goals