| hint | answer |
| Maximum Tinetti score for balance | |
| Functional outcome tool studied mostly in patients following CVA. Reliability/validity are better with more impaired pts. | |
| The ability of a tool to detect differences in functional performance | |
| Ability to maintain stability while performing tasks that are potentially destabilizing. | |
| Next step in HOAC II after analyzing the data | |
| What does HOAC stand for? | |
| A TUG score lower than this indicates the patient is freely mobile | |
| Unexpected backward release score: unable to maintain upright balance & restores balance independently with 1 step | |
| Next step in HOAC II after the examination has been conducted | |
| Problems identified by caregivers or observed by the PT, but may not be identified by the patient. | |
| Once existing and anticipated problems have been identified (& justified) what is the next step in HOAC II? | |
| Test performed on force plate that measures reaction time, movement velocity, distance, and directional control. Gives info about patient's ability & willingness to move COG | |
| 10 items of ADLs for which subjects rate their fear of falling on a scale from 1-10 | |
| Limit of lateral stability, in degrees, for a normal adult standing with feet 4 inches apart | |
| What do you do after you have refined the problem list in the HOAC II? | |
| Once you have established goals in the HOAC II model, what do you do? | |
| After you have a plan to reassess, what can you begin to plan (in the HOAC II model)? | |
| 16 items test where subjects rate their confidence (0-100%) when performing specific tasks | |
| Scores of this or lower on the DGI have been related to increased incidence of falls in the elderly | |
| Functional outcome tool developed because people with vestibular disorders c/o difficulty walking, but scored high on DGI. Added 2 items to DGI & timing piece to existing items. | |
| Advantageous quality of a tool in which you don't need a lot of time to administer the test | |
| Next step in HOAC II if you have refined the hypotheses | |
| This first step in the HOAC II involves a chart review/referral info, observation, and interviewing the pt | |
| Unexpected backward release score: unable to maintain upright balance, takes >2 steps & needs manual assist to restore balance | |
| | hint | answer |
| Unexpected backward release score: unable to maintain upright balance, takes >2 steps & restores balance independently | |
| This test has the patient lean maximally forward, backwards, & to the right/left. Distance is measured at acromion height from the fisted 3rd metacarpal head | |
| Results should correlate with results of another 'gold standard' test when performed on the same person | |
| Part of HOAC II before the exam that involves the process of planning the exam based on hypotheses generated during data collection | |
| Functional outcome tool with 10 items, scored 0-4 & involved tests such as forward reach, turn 360, tandem walk, backward release, SLS, etc. | |
| A Berg score lower than this demonstrates a need for assistive device | |
| Second trial of WWT in which the subject walks the same course while reciting the alphabet | |
| Test in which examiner places hand between scapula of pt, has pt lean into hand, and quickly flexes elbow until hand no longer contacts pt | |
| The ability to recover a stable position following an unexpected perturbation | |
| Tests involving movement of the entire body as required in sit to stand, walking & turning. AKA balance/mobility tests or gait scales. | |
| A WWT (40'/first trial) score greater than this indicates the pt is at risk for falls | |
| A WWT complex score greater than this indicates the pt is at risk for falls | |
| Functional outcome tool in which the pt walks 100 feet distances at their own pace, taking breaks if needed, during a 6 minute time period. | |
| 14 items functional outcome tool designed to assess fall risk that is graded on a 0-4 ordinal scale | |
| A tug score in this range indicates the patient is mostly independent | |
| Functional outcome tool developed for post TBI, but found to be valid/reliable for MS as well. | |
| Normal Berg score (out of 56) for a person between the ages of 65-95 | |
| A TUG score greater than this indicates the patient has impaired mobility | |
| Test's ability to provide an accurate measure of its stated purpose (and to predict) | |
| A Tinetti score lower than this indicates the patient is at high risk for falls | |
| WWT third trial in which the subject walks the same course while reciting every other letter of the alpahbet | |
| Tests that evaluate the functional use of vision, somatosensory, & vestibular input as it pertains to balance. | |
| Unexpected backward release score: unable to maintain upright balance, takes 1-2 steps, & restores balance independently | |
| A WWT simple score greater than this indicates the pt is at risk for falls | |
| | hint | answer |
| A TUG score between this range indicates the patient has variable mobility | |
| After the evaluation in the HOAC II the algorithm divides into what 2 branches? | |
| Updated version of the HOAC made in 2003, that addresses newer disablement models & reinforces the pt centered approach | |
| Functional outcome tool where the pt stands, walks 3m, turns, walks back, and sits (from a standard arm chair with 46 cm seat height). | |
| Functional outcome tool that has 2 sections (gait & balance), scored on 0-2 point ordinal scale, and has maximum score of 28. | |
| In addition to establishing a criteria for testing & predicting resolution of problems, what else should you establish? | |
| Part of HOAC II before the exam that involves generating the problem list | |
| Test's ability to provide similar results when performed on the same person & under the same conditions (both on different occasions & by different raters) | |
| Functional outcome tool with 8 item test (4 item modified), scored on 0-3 scale, & has good sensitivity to falls in the elderly | |
| Test in which pt walks for 20', turns, and returns; repeats while reciting alphabet; & repeats while reciting every other letter of alphabet | |
| A Berg score lower than this indicates a 100% risk for falls | |
| Limit of anterior-posterior stability, in degrees, for a normal adult | |
| A Tinetti score in this range indicates the patient is at risk for falls | |
| Category for balance adjustments made at the ankle/hip or made by stepping (establish new limits of stability) | |
| A Berg score less than this deems that a patient is at risk for falls | |
| Advantageous property of a tool in which you do not need specialized equipment or training | |
| Maximum Tinetti score for gait | |
| Unexpected backward release score: unable to maintain upright balance, no attempt to step, & requires manual assist to restore balance | |
| Test in which patient stands on 1 leg (without bracing leg or using UE support) | |
| Test where subject stands with feet in tandem (non-dominant foot in front) for up to 60 sec with eyes open and then eyes closed | |
| Part of pt exam that involves identifying the type of movement, the environment, and the temporal sequence | |
| Ability to maintain a safe, independent sitting or standing position. Exams include Romberg, Sharpened Romberg, and SLS | |
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