functional assessments FTP
Terms
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- interrater reliability
- two people able to get same result in same setting
- self assessments
- pt. provides information, function on a daily basis, do not ask leading questions
- physical therapy diagnosis
- impairments, functional problems
- fbg dynamic - fair
- accepts minimal challenge (turning head or body) while maintaining balance
- static test
- double limb stance, single limb stance, tandem limb stance, romberg, romberg sharpened
- reliability of test
- does the test measure the same thing every time
- concurrent validity
- the degree to which two seperate test agree on results
- descriptive instrument parameters
- all reading chart would have clear understanding, include qualifiers as necessary, include perceived rate of exertion or pain
- FIM level 7
- no helper - complete independence
- Nagi guidelines
- disease, impairment, functional limitation, disability
- performanced-based assessments
- PT observes, identify level of functioning, may not mimic functional setting
- dynamic test
- standing up, walking, turning, stopping and starting, functional reach, get up and go
- functional balance tests
- static, dynamic, standardized
- fbg static- normal
- maintain balance without hand hold support
- KATZ index of ADL
- evaluates degree of assistance needed in six catagories
- fbg dynamic - good
- accepts moderate challenge (pick up item off floor) without loosing balance
- FIM level 2
- helper - maximal assist (subject 25% or more)
- interpreting test results
- what do we need to do, should subcomponents of skill be taught, is only one aspect of skill limiting function
- fbg static- good
- maintain balance without hand hold support, limited sway
- SIP - sickness impact profile
- detects small impacts of sickness, evaluates ability vs inability to perform skills, perceived changes in function
- posture
- becomes faulty with age
- dynamic
- moving, challenge to stability
- fbg static- fair
- maintain balancxe with hand hold support and accasional minimal assistance
- FIM
- test physical, psychological, and social function. evaluates level of assistance needed, functional changes in different environments
- WHO health
- state of complete physical, mental and social well being, and not merely the absence of disease or infirmity
- construct validity
- can you combine all the different test items to make inferences about physical functioning
- fbg dynamic - normal
- accepts maximal challenge and easily weight shifts in all directions throughout the full range
- strength and flexibilty plus reaction time
- decrease with age
- FIM level 1
- helper - total assist or non-testable
- hip strategies
- shifting center of mass
- OASIS - outcome and assessment information set
- collects informatoin related to sociodemographic characteristics, environmental factors, social support, health status, functional status
- face validity
- does it measure what it promises
- FIM catagories assessed
- self care, sphincter control, transfers, locomotion, communication, social cognition
- quantitative parameters
- amount, timed skill completion, only one deminsion of assessment
- standardized test
- functional reach, berg balance, tinetti, get up and go, three minute walk
- predictive validity
- indicates the likelihood of something accuring based on the information gathered on the test
- test-retest reliability
- test must accurately measure change or lack of change that occurs between administrations
- often seen descriptors
- pain (perceived rate on scale), fluctuations between time of day, medication levels, environmental influences
- validity of test
- does test measure what it was designed to measure
- purposes for functional assessment
- baseline data for outlining function oriented goals, pt. initital skill level, progress toward complex skills, placement decisions, level of safety, effectiveness of treatment
- medical diagnosis
- name of disease
- types of assessment instruments
- performanced-based, self-assessment, descriptive instrument parameters
- fbg dynamic - poor
- unable to accept challenge or move without LOB
- FIM level 6
- no helper - modified independence (device)
- qualitative parameters
- how well they perform skill, sometimes quality better than quantity
- intrarater reliability
- same person able to get same result in same setting
- stepping strategies
- change base of support
- fbg static - poor
- requires hand hold support and mod - to - max assistance to maintain balance
- performanced-based tests
- six-minute walk, functional reach, get up and go/timed get up and go, physical performance battery
- static
- stable, non moving
- balance strategies
- ankle, hip, stepping
- FIM level 5
- helper - supervision (subject 100%)
- FIM level 3
- helper - moderate assist (subject 50% or more)
- Barthel index
- measures degree of assistance required on 10 items of mobility and self care, independence or assistance not degree
- FIM level 4
- helper - minimal assist (subject 75% or more)
- balance
- becomes impaired with age
- content validity
- does it measure all dimensions of functioning necessary to describe the skill