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What is the ultimate goal of rehab programs?
to return the patient to their PLOF or maximize current potential. individual patient preferences must be considered.
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What is generalization?
extent to which practice on one task contributes to the performance of another, related skill.
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What are functional activities?
activities that are dependent on what the individual identifies as essential to support physical and psychological well-being.
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what does Maslow's theory of hierarchy of needs include?
- SURVIVAL;eating, sleeping, elimination, hygiene
- PERSONAL ENVIRONMENT: bipedal locomotion, complex hand activities
- SOCIAL CONTEXT: work and recreation
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Why are standardized tools used within the clinic?
- for ease within the clinic
- to provide validity to the findings
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How does the ICF define function?
an umbrella term related to body functions and structures, activities and participation.
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How does the ICF define disability?
impairments in body functions and structures, activity limitations and participation restrictions.
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What are activity limitations?
when an individual experiences difficulties in performing actions, tasks, or activities.
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How does the Nagi model define disease/pathology?
at the organ system level with physical signs and symptoms.
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How does the Nagi model define impairments?
dysfunction of system such as musculoskeletal or cardiovascular
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What are functional limitations in accordance to the Nagi model?
Altered ability to complete an action/ task/ activity in the way done by most people.
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how does the Nagi model define disability?
the inability to perform or meet a socially expected role.
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How can data collected through a Functional status examination be used?
- baseline info to set goals
- indicators of initial abilities and progression
- criteria for discharge
- identification of safety levels
- evidence for success of interventions
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What perspectives should be considered when asking a patient a question?
- Asking in a manner that represents:
- habitual vs. capacity
- (can they do it? vs. do they do it?)
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What are examples of performance based tests?
- Six Minute Walk test
- Functional Reach test
- Timed up and Go
- Physical Performance Battery
- Figure of 8 Walk Test
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What are Performance-Based tests looking at?
- what a patient can do under controlled circumstances
- they are quick and designed to correlate to other settings.
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What types of self reports are there?
- Interviewer Report
- Self-administered Report
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what should be considered with descriptive Parameters of Instruments?
- That the terms must be defined and clear
- should identify factors such as pain, fluctuations during the day, medication, environmental factors, internal/external motivations
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What do Quantitative Parameters take into considerations?
the speed of performance
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What are Nominal measures?
a checklist of functional tasks that are very quick and simple but not as descriptive
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What are ordinal measures?
A measure in rank-order scale in which utilize terms similar to (never, rarely, sometimes, always)
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What are Summary or additive Measures?
tests that give points for partial and complete performance of a task
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Examples of Summary or Additive Measures:
- Barthel Index
- Visual Analog scales
- Katz index of Activities of Daily living
- Functional Independence Measure
- Sickness Impact Profile
- SF
- Outcome and Assessment Information Set
- Minimum Data Set
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What does the Barthel Index measure?
degree of assistance required on 10 items of mobility and self-care
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What does the Katz Index of Activities of Daily Living measure?
- the pt's performance and degree of assistance required in 6 basic ADL's:
- bathing
- dressing
- toileting
- transferring
- continence
- feeding
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What does the FIM measure? how many items does it test?
- 18 item measure of:
- physical function
- psychological function
- social function
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What does the Sickness Impact Profile detect?
136 questions to detect meaningful changes in perceived function
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What does the SF-36 measure?
- 36 questions on:
- functional status of adults with chronic conditions
- well-being of pts experiencing depression
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What is the OASIS used for?
- primarily used for adults receiving home care
- very tedious
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What is the Minimum Data Set used for?
- In SNFs on admission and reviews
- multidisciplinary information
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Define Reliability in relation to test interpretation:
measurements are proven to be dependable with accurate and predictable results without variances
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Define Validity in relation to test interpretation:
- the instrument measures what it is supposed to
- the instrument is being used appropriately
- the data is not left up to interpretation
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