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2. For each of the following components of postural control, describe a recommended test or
measure. Be able to describe how you could make each test/measure more challenging as
needed so as not to miss subtle balance problems in relatively healthier people.
a. Steady-state standing
b. Functional limits of stability in standing
c. Ankle, hip, stepping, and arm (reach/grasp) reactive strategies
d. Sensory re-weighting (ability to adapt senses to different environmental conditions)
e. Anticipatory postural control
f. Cognitive contributions to postural control
4. Distinguish between the categories of the following mobility function classification schemes
5. UE Tests:
NOTES:
Client Buy-in affects performance
Predictive validity?Is performance on this assessment reliable and valid to what the
function is that the pt. is needing to return to?
Tests that are shorter in complexity are less likely to provide you with a lot of knowledge into
the totality of performance/function.
Clinical Considerations:
o Diagnosis, Age, Clinical Setting, Function, Time, Cost, Frequency
b. Barthel Index
i. Purpose: Assess ability of pt. with neuro/msk disorders to take care of
themselves
ii. 10 ADL/mobility activities
1. Feeding, bathing, grooming, dressing, bowel, bladder, toileting, chair
transfer, ambulation, stair climbing
iii. Scoring: 0-5 scale, 0- dependent, 10= independent total out of 100
iv. Time: 2-5 minutes (self-report), 20 minutes (observation)
v. Populations: stroke, neurological disorders, TBI, geriatrics
c. OPTIMAL tool
i. Purpose: measures difficulty and self confidence in performing 22
movements that pt. needs to accomplish in order to do various functional
activities
1. Rated on both difficulty and confidence
2. From the items listed choose 3 activities most likely to do without
difficulty
3. From list of 3 activities choose primary activity to do without
difficulty
ii. Scoring: 1-5 scale
1. Subtract the discharge (final) from admission sum of scores (baseline)
the higher the change score the more improvement
iii. Time: 20-30 minutes
1. Discuss the benefits and risks associated with using physical performance measures to predict fall
risk in a given patient
Gait Analysis
1. Compare and contrast the gait analysis sections of the Performance Oriented Mobility
Assessment and the Gait Assessment Rating Scale
2. Be able to identify common causes of various gait deviations (OS Tables 7.5-7.7, pp. 264-8)