NPTE Outcome Measures

APTA Neuro has the Core Outcome Measures includes:

Berg Balance Scale

Activities-specific Balance Confidence Scale (ABC scale)

Functional Gait Assessment (FGA)

10mWT and 6MWT

Berg Balance Scale

About

-14 items scored 0= worst and 4=best

-Max score= 56

Result Cut offs

<45/56 = high fall risk

ABC Scale

About

-16 activities that examine level of confidence on percentage base 0-100% confident

FGA

About

-10 item gait assessment

-Max score 30

Results/cut off:

<22/30 is fall risk

TUG

About

-STS with 3 m walk there and back

Results/cut offs

-Normal adults <10 sec

->20 sec increases risk of fall

->30 sec is high fall risk

Functional Reach

About:

-max reach in standing position

Results/cut offs (combined men and women)

20-40 y/o: 14.5-17in

41-69 y/o: 13.5 - 15 in

70-87 y/o: 10.5-13.5 in

A score of 6 or less is significant fall risk

A score btw 6-10 is mod fall risk

Mini-BESTest

About

-6 section

-assesses stability limits, transitions, reactions, sensory integration

-Assessment of posture, gait, transfers, and balance/falls

-Max= 28

Results/Cut off

<16/28 = high fall risk

Tinetti POMA

"Performance Oriented Mobility Assessment"

About

-Examines balance, transfers, turning, balance response, gait initiation, turning and stepping over

Results/Cut off

-Max Score 28

<19/28 is high fall risk

19-24 is mod risk

MCID for NPRS

1.3 - 2 points

MCID for NDI

10.2

MCID for ODI

6

MCID for WOMAC

6.7% for improving

12.9% for worsening

MICD for LEFS

9

MCID for DASH `

10.2

FIM (Functional Independence Measure)

About

7 point scale assessing 18 areas that capture functional across multiple areas

7= complete independence

5-6= modified or supervision

1-4= min, mod, max and total dep