SOAP measurement

what is important to include in the interview portion?

medical history, family support, work/school function, premorbid function, goals for therapy

what are 3 big overarching things you will test in objective examination and what does it mean?

measure individual motor capacity-basic body structure function

quantify motor task performance-transfers, bed mobility,

describe participation restrictions- may not measure but for understanding

what are some ways you can quantify motor task performance?

bed mobility, transfers, walking, gait, balance, UE function

what are 3 things that make up postural control?

stability, controlled mobility, and segmental mobility

what are 2 skills that will increase the capability of the task?

transitional movements and manipulation

where do task and environment intersect?

life application of task performance- confidence, community integration

and environmental cues- regulatory (directly impacting PT) and non-regulatory (should not impact motor aspects but could cause them to be less reactive to regulatory cues

When would you refer to further medical assessment?

if there are symptoms suggesting an undiagnosed medical condition, if their condition is worsening, and if the symptoms are suggestive of occult disorder or medication side effects

how is a PT diagnosis different than a medical diagnosis?

determine the cause of the patients functional problems (rate limiting factors)

what do LTG and STG focus on?

LTG- outcome by discharge and focus more on activity/skill focused

STG-outcome by next report period and can be a mix of activity/skill and body function/movement component goals

what are the 4 basic statements that the assessment holds?

PT diagnosis

motor capacity impairments

activity limitations

participation restrictions

if you mention something in the assessment or plan where should it be mentioned first?

in the objective section! if its not documented there then you didnt do it

what do the different levels of complexity involve?

low-no personal factors, 1-2 functional impairments, stable

moderate- 1-2 personal factors, 3 functional impairments, evolving

high- greater than 3 personal factors, greater than 3 functional impairments, unstable

what do performance based measures focus on? what are the benefits and limitations?

therapist assessment of performance

benefits: used to establish baseline for goals

limitations: one instant in time, equipment/time, generalizability

what is a self-report measure and what are the benefits and limitations?

patient perceptions of performance

benefits: adjuct to PBM, gain information on performance when patient unable to participate, pt’s perspective

limitations: reliability of patient/test

communication/cognition

what are the uses and limitations of quantitative measures?

uses: provides objective data regarding the degree to which a person can perform a movement or task

limitations: does not explain how the patient performs the task, limited to one instant in time

what are the sues and limitations of qualitative measures?

uses: understand why a person is dependent, insight into adaptability of movement pattern

limitations: subjective: observations may vary

define: reliability vs. validity

relability: consistency of a mesure

validity: the extent to which an instrument measures what it intends to measure

define: responsiveness

the capacity of a measure to detect change

define: minimal detectable change

the smallest amount of change that reflects a “true” difference, beyond measurement error, considered reliable change

define: minimal clinically important difference

the smallest amount of change perceived as beneficial by the patient, anchored based, considered clinically relevant

what is the difference between norm-referenced and criterion referenced

norm referenced-people of the same age who are typically developing or healthy

criterion: assessment based on a cut-score which relates to expected behavior (criterion_

what will you do with norm-referenced?

determine % degree of disability or impairment, establish medical necessity for intervention, develop treatment goals, focus interventions

what will you do with criterion referenced?

predict behavior, determine % degree of disability or impairment, develop treatment goals, focus interventions

what will you do for ipsative referenced?

track changes over time, justify interventions, develop and modify treatment goals, focus interventions, motivate patients