Outcome measures

PDQ-8/PDQ-39

-Participation level questionnaires for Parkinson's Disease

Movement Disorder Society-Unified Parkinson's Disease Rating Scale(MDS-UPDRS)

-Used in Parkinson's -assess impairment and disability in PD -4 parts: non-motor experiences of daily living, motor experiences of daily living, motor examination, motor complications -assesses ADL's, speech, sleep problems, gait, tremors, motor of all extremities, etc -Body structure/function through participation-depends on how you use it

Action research arm test

-Used in Stroke -Assesses upper limb functioning using observational methods- ADLs, coordination dexterity, UE function -Activity

Dizziness Handicap Inventory(DHI)

-Used in TBI's, MS, vestibular pt's, elderly pt's -25 item self-report questionnaire on how dizziness affects daily life self-perceived handicap -Body structure/function and Participation

Glasgow Coma Scale

-Used in TBI, Stroke, Cardiac dysfunction -Assesses a person's level of consciousness after injury -assess motor(1:no movement, 2: extension to painful stimuli, 3: abnormal flexion to painful stimuli, 4: Flexion/withdrawal to painful stimuli, 5: Localizes painful stimuli, 6:obeys commands), verbal(1:makes no sound, 2:incomprehensible sounds, 3:utters inapproptriate words, 4: Confused, disoriented, 5: Oriented, converses normally), and eye opening(1:does not open eyes, 2: opens eyes in response to pain, 3: opens eyes in response to voice, 4: opens eyes spontaneously) -Body function

Total Functional Capacity!!

-used in Huntington's -assess capacity to work, handle finances, and perform domestic chores and self-care tasks

9 hole peg test

-used in TBI, strokes, MS, Parkinson's -assesses dexterity and UE function -Body function and Activity

Global Fatigue Index

Measures fatigue Body structure/function Participation

National institute of health stroke scale (NIHSS)

-11 item scale looking at common impairments related to stroke and scored. -Allows for severity classification. -Helps determine appropriate treatment and predicts pt outcomes. Not typically done by PTs

Community Integration Questionnaire

-Assess the social role limitations and community interaction of people with acquired brain injury -Patient reported -Participation

Stopping Elderly Accidents, Deaths, and Injuries-STEADI

-CDC's initiative to prevent falls in elderly -assess fall risk factors

Ranchos Scale

-Identifies patterns of recovery for TBI -No response(level I) to purposeful and appropriate(level VIII) 1)No activity; total assist 2)Global activity; total assist 3)Local activity; total assist 4)Confused agitated; Max assist 5)Confused inappropriate; Max assist 6)Confused appropriate; mod assist 7)Automatic appropriate; Min assist 8)Purposeful; supervision -Cognition

Balance Error Scoring System

-Objective measure for assessing STATIC postural stability (designed for the mild head injury population, to assist in return to sports play decisions) Vestibular -Activity

Push and Release Test

-Parkinson's disease -used to assess postural instabilty and balance impairments by testing reactionary balance -Activity

Norton Scale

-Pressure sore risk -assess physical condition, mental condition, activity level, mobility, incontinence

Amyotropic Lateral Sclerosis Functionoal Rating Scale-ALSFRS-R

-Used in ALS -measures ADL's and global function for pt's with ALS: speech, salivation, swallowing, handwriting, cutting food, dressing, turning in bed, walking, climbing stairs, dyspnea, respiratory insufficiency, years since onset -Activity and Paricipation

United Huntington's Disease Rating Scale(UHDRS)

-Used in Huntington's -assesses motor function, cognitive function, behavioral abnormalities, and functional capacity to track changes -Activity and Participation

CHART: Craig Handicap Assessment and Reporting Technique

-Used in SCI, stroke, TBI, MS, Burn, Amputee -An interview tool/self-report used to measure how well handicapped pt's function in their community, looks at the following 6 categories: 1.Physical Independence 2.Cognitive Independ. 3.Mobility 4.Occupation 5.Social Integration 6.Economic self-sufficiency -ICF: Participation Activity

Motor Activity Log (MAL)

-Used in Stroke -A semi-structured interview to assess affected arm function -Individuals are asked to rate the quality of movement and amount of movement during daily functional tasks -Activity and Participation

Stroke Rehabilitation Assessment of Movement (STREAM)

-Used in Stroke -Quantitative measure of motor function: upper, lower, and basic mobility -20 points for each limb; 30 for mobility subscale -Easy and fast -Body Function and Activity

Trunk Control Test

-Used in Stroke and elderly -Measures four simple aspects of trunk Rolling to weak side Rolling to strong side Balance in sitting position Sit up from lying down -Body structure/function

MMSE-Mini mental status exam

-Used in Stroke, Parkinson's, TBI's, Alzeimer's/Dementia, and elderly pt's -brief screening tool for cognitive impairment and to record cognitive changes over time -Orientation to time and place, registration of 3 words, attention and calculation, recall of 3 words, language, visual construction -Body function

Coma Recovery Scale

-Used in TBI -Assists with differential diagnosis, prognostic assessment, and treatment planning in patients with disorders of consciousness -Assess auditory, visual, motor, oromotor, communication, and arousal functions -Body structure/function

Functional Status Examination

-Used in TBI -Evaluate change in the activities of everyday life. Compares outcomes from current functional status to pre-injury status -Assesses cognition, behavioral competency, personal care, ambulation, standard of living, home management, travel, financial independence, major activity involving school/work, leisure/recreation -Administered by interview -Body structure/function, Activity, and Participation

POPS (Participation Objective, Participation Subjective)

-Used in TBI -assesses perspectives of the respondent regarding his/her participation in home and community activities, and the societal/normative "outsider" valuations. ICF: Participation

Modified Rankin Handicap Scale

-Used in TBI and stroke -Categorizes level of functional independence with reference to pre-stoke activities on a 0(no symptoms) to 6(dead)-usually to 5 which is severe disabilty; somebody will need to be available during the day -Assess ADL's, mobility, mental performance, and speech combined into a single score -Activity

Modified Falls Efficacy Scale

-Used in elderly with balance or mobility dysfunction -questionnaire to assess fear of falling in community dwelling adults; modified includes outdoor activities -Activity and Participation

Hospital Anxiety and Depression Scale

-Used in stroke and SCI's -used to identify depression and anxiety among ill pt's -Body function

Beck's Depression Inventory

-Used in stroke, SCI's, Parkinson's and non-specific pt population -quantifies severity of depression -Body function

Fatigue-Severity Scale

-Used in stroke, SCI's, Parkinson's, MS, and non-specific pt populations -9 item questionnaire that assess how fatigue interferes with ADL's -Activity and Participation

Montreal Cognitive Assessment(MoCA)

-Used in strokes, Parkinson's, any neuro pathology(ie Alzheimers, dementia), and cardiac dysfunction -16 items assessing visuo-spatial, executive functions(trail drawing), naming(animals), memory(word list), attention, language, abstraction, and orientation -Body structure/function

FVC

-evaluate lung disease or ability to tolerate an exercise program

Giladia-FOG-Q

-freezing of gait questionnaire for Parkinson's

The Barthel Index

-used in Strokes, TBI, and elderly -assesses the ability of an individual with a neuromuscular or musculoskeletal disorder to care for him/herself; ie feeding, bathing, grooming, bowel , bladder, transfers, ambulation, stairs -ICF: Activity

Braden Scale

-used in spinal injuries, TBI's, elderly pt's -assess likelihood of developing pressure ulcers -subscales include sensory, moisture exposure, mobility to releive pressure, activity level, nutrition, friction/shear forces -Body structure

Walking While Talking

A dual-task measure of divided attention to examine cognitive-motor interactions, especially for identifying faller

Goal attainment scale (GAS)

An individualized outcome measure involving goal selection and goal scaling that is standardized in order to calculate the extent to which a patient's goals are met

Chedoke McMaster Stroke Assessment

Assesses physical impairment and disability in clients with stroke Composed of impairment inventory and activity inventory Looks at overall function Body function Activity Inpatient and day-hospital population

Mobility Scale for acute stroke

Discriminate between the lower levels of mobility found in acute stroke patients in the first two weeks post onset Rating scale 1) Unable to do the activity, patient makes no contribution to the activity or is unable to complete the activity. 2) Maximum assistance of 1 or 2 people, patient makes minimal contribution to the activity. 3) Moderate assistance of one person, hands on assistance for most of the activity. The patient is able to perform a part of the activity independently. 4) Minimal assistance, hands on for part of the activity. 5) Supervised (verbal input, no hands on assistance, physiotherapist prepared to give assistance). 6) Unassisted and safe, no verbal input

Fugl-Meyer (Motor Performance)

Evaluates and measures recovery in post-stroke hemiplegic patients Great at showing change but lengthy Body function Motor & sensory

Stroke Impact scale

Health status following stroke Patient reported outcome Assesses: ADLs, cognition, communication, depression, functional mobility, gait, general health, life participation, QOL, social relationships, social support, UE function Activity Participation

Agitated Behavior Scale (ABS)

Measures behavioral aspects of agitation during the acute phase of recovery from TBI including aspects of aggression, disinhibition, and lability

MARS (Moss Attention Rating Scale)

Observational tool used to measure attention-related behaviors after TBI 22 items rated on a 5-point likert scale Higher score reflects better attention Body structure Body function

QOL after BI

Subjective self report outcome measure - quality of life after a brain injury Participation

Disability Rating Scale

Tracks recovery of an individual from coma to community and to measure general functional changes over the course of recovery for individuals with moderate to severe TBI Body structure Body function Activity Participation

Postural assessment scale for stroke (PASS)

a 12-item performance-based scale used for assessing and monitoring postural control following stroke. Looks at transfers; does not look at gait Starts with sitting without support-> hardest picking up a pencil off the floor Low level ICF: Activity Population: -Stroke recovery (best within first 3 months of stroke) -highly recommended by Stroke Edge for all practice settings