626 Final- Outcome Measures

What are the ANPT core set of outcome measures?

10MeterWT, 6MWT, Berg, 5XSTS, ABC, FGA

If your patient wants to improve static and dynamic sitting and standing balance, what outcome measure is appropriate?

Berg

What is the max score on the Berg?

56

What score on the berg indicates increased fall risk in the elderly?

<45

Are assistive devices allowed on the Berg?

No

Are orthotics allowed on the Berg?

Yes

What is the MDC for acute stroke patients on the BERG?

6.9

What is the MCID for mixed neuro patients on the BERG?

7

Your patient scored a 14 on the BERG on eval day and scored a 19 at their first progress note. Will your patient report an improvement in perceived balance?

No, MCID not exceeded

Your adult patient wants to improve balance while walking. What outcome measure should you use?

FGA

What is the max score on the FGA?

30

What score on the FGA indicates increased fall risk in the community dwelling elderly?

< 22

How should your path be set up for the FGA? (LxW)

20ft x 1ft

True or False:

No item can be scored >2 with AD use on the FGA

True

What items on the FGA are scored a 0 if a device is used?

5, 6, 7, 10

What is the MCID for general neuro patients on the FGA?

≥ 4

What outcome measure is used to assess self-reported changes in balance confidence in adults with neurologic conditions?

ABC Scale

How many items are on the ABC?

16

What is the minimum number of items that can be completed on the ABC?

12

How is the overall percentage calculated on the ABC?

Each item is ranked 0-100, totaled, and divided by 16 to get an avg

What score on the ABC indicates increased fall risk in older adults?

<67%

Cognitive deficits and acuity of condition should be considered with administration of which outcome measure?

ABC scale

What is the MDC for stroke patients on the ABC scale?

14%

To assess someone's walking speed, which outcome measure should be used?

10 meter walk test

When is the stopwatch started on the 10mWT?

2 meters

When is the stopwatch stopped on the 10mWT?

8 meters

What score on the 10mWT is consistent with increased risk of hospitalization and adverse events?

<0.7 m/s

What score on the 10mWT is consistent with household ambulation?

<0.4 m/s

What score on the 10mWT is consistent with limited community ambulation?

0.4-0.8 m/s

What score on the 10mWT is consistent with unlimited community ambulation?

>0.8 m/s

What gait speed is required in most cities to safely navigate a crosswalk?

>1 m/s

How is gait speed calculated on the 10mWT?

6meters / time in seconds

What is the MCID for subacute stroke patients on the 10mWT?

0.16 m/s

Are ADs allowed on the 10mWT?

Yes

If a patient is max assist or 2 person assist on the 10mWT, how do you score them?

0 m/s

What outcome measure should be used to assess walking distance and endurance?

6MWT

Are ADs allowed on the 6MWT?

Yes

If a patient is max assist or 2 person assist on the 10MWT, how do you score them?

0 meters

How should the course be set up for thr 6MWT?

12 meter path (40 feet) looped course with cones on each end

When should vitals and RPE be assessed on the 6MWT?

before and after testing

True or False:

Standing rest breaks are allowed on the 6MWT but the timer keeps going

True

Your patient sits down 4 minutes into the 6MWT due to severe SOB. What should you do next?

Terminate the test and calculate the distance they walked in meters

What is the MDC for acute/subacute stroke patients on the 6MWT?

61

What outcome measure Sit <> stand transfer ability>

5xSTS

What score on the 5xSTS indicates increased fall risk in the elderly?

>15 sec

How high should the chair be on the 5xSTS?

17-18 in

If your patient cannot fully stand up and sit back down without the use of their arms on the 5xSTS, how do you score them?

0

Which outcome measure(s) should be used to document patient-stated goals and monitor changes in individuals with neurologic conditions?

GAS, PSFS, COPM

The ANPT core set of outcome measures should be administered with patients who -

have the goals and capacity to change in each construct area

Only _____% of patients report satisfaction with the information provided to them about outcome measure testing

37%

A patient is in outpatient rehab s/p stroke. They are independent with gait up to 200 ft w/o AD. They report 2 falls in the community and have no issues with transfers or ADLs. What outcome measures would you prioritize with this individual?

ABC, FGA, 6MWT w/ device

Which outcome measure is used as an assessment of stroke severity to predict discharge recommendation?

Orpington Prognostic Scale

What does the Orpington Prognostic Scale assess:?

UE motor function, balance, proprioception, cognition

OPS score <3.2

What is the stroke severity?

What is the d/c recommendation?

Mild-mod severity

likely to d/c home

2 multiple choice options

OPS score 3.2-5.2

What is the stroke severity?

What is the d/c recommendation?

Moderate to moderate severe

IPR or SNF

2 multiple choice options

OPS score >5.2

What is the stroke severity?

What is the d/c recommendation?

severe to major

high risk for institution; cannot tolerate a rehab setting

2 multiple choice options

What outcome measure is an assessment of functional status in acute care and commonly used by case management for d/c recommendations?

AMPAC 6 clicks

What test is commonly used by OTs to assess for neglect in stroke patients?

Star cancellation test

Which executive function test is commonly used by SLPs or OTs to predict the risk of unsafe driving in stroke patients?

Trailmaking A and B test

What is the cutoff point for unsafe driving in the Trail Making A test?

>32 sec

What is the cutoff point for unsafe driving in the Trail Making B test?

>79 seconds

Which algorithm is used to predict likely upper extremity motor outcomes 3 months post stroke?

Prep 2 algorithm

Which 3 things are assessed in the Prep 2 algorithm commonly used by OTs?

UE motor function, age, NIHSS score day 3 post stroke

The SAFE score on the prep 2 algorithm is a combined score of which 2 MMTs?

Shoulder abduction and finger extension

If a patient has a SAFE score ≥ 5 on day3 and is <80 years old, what is their predicted outcome according to the prep 2 algorithm?

Excellent

If a patient has a SAFE score ≥ 5 on day 3, is older than 80, and has a SAFE score ≥ 8 on day 3, what is their predicted outcome according to the prep 2 algorithm?

Excellent

If a patient has a SAFE score ≥5 on day 3, is older than 80, and has a SAFE score < 8 on day 3, what is their predicted outcome according to the prep 2 algorithm?

Good

If a patient has a SAFE score <5 on day 3 and and an NIHSS score < 9 on day 3, what is their predicted outcome according to the prep 2 algorithm?

Limited

If a patient has a SAFE score <5 on day 3 and an NIHSS score ≥ 9 on day 3, what is their predicted outcome according to the prep 2 algorithm?

Poor

What score on the MOCA indicates significant cognitive impairment?

<22

What score on the MMSE indicates cognitive dysfunction?

<24

A score of 0-30 on the DHI indicates

mild handicap

What condition is associated with lower scores on the DHI?

BPPV

A score of 31-60 on the DHI indicates

moderate handicap

A score of ≥ 61 on the DHI indicates

severe handicap

What is the MCID for the DHI?

18 points