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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.
What is generalization?
extent to which practice on one task contributes to the performance of another, related skill.
What are functional activities?
activities that are dependent on what the individual identifies as essential to support physical and psychological well-being.
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
Why are standardized tools used within the clinic?
- for ease within the clinic
- to provide validity to the findings
How does the ICF define function?
an umbrella term related to body functions and structures, activities and participation.
How does the ICF define disability?
impairments in body functions and structures, activity limitations and participation restrictions.
What are activity limitations?
when an individual experiences difficulties in performing actions, tasks, or activities.
How does the Nagi model define disease/pathology?
at the organ system level with physical signs and symptoms.
How does the Nagi model define impairments?
dysfunction of system such as musculoskeletal or cardiovascular
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.
how does the Nagi model define disability?
the inability to perform or meet a socially expected role.
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
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?)
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
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.
What types of self reports are there?
- Interviewer Report
- Self-administered Report
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
What do Quantitative Parameters take into considerations?
the speed of performance
What are Nominal measures?
a checklist of functional tasks that are very quick and simple but not as descriptive
What are ordinal measures?
A measure in rank-order scale in which utilize terms similar to (never, rarely, sometimes, always)
What are Summary or additive Measures?
tests that give points for partial and complete performance of a task
Examples of Summary or Additive Measures:
- Barthel Index
- Visual Analog scales
- Katz index of Activities of Daily living
- Functional Independence Measure
- Sickness Impact Profile
- Outcome and Assessment Information Set
- Minimum Data Set
What does the Barthel Index measure?
degree of assistance required on 10 items of mobility and self-care
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:
What does the FIM measure? how many items does it test?
- 18 item measure of:
- physical function
- psychological function
- social function
What does the Sickness Impact Profile detect?
136 questions to detect meaningful changes in perceived function
What does the SF-36 measure?
- 36 questions on:
- functional status of adults with chronic conditions
- well-being of pts experiencing depression
What is the OASIS used for?
- primarily used for adults receiving home care
- very tedious
What is the Minimum Data Set used for?
- In SNFs on admission and reviews
- multidisciplinary information
Define Reliability in relation to test interpretation:
measurements are proven to be dependable with accurate and predictable results without variances
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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