TOPIC 7

71問 • 1年前

問題一覧

The construct of ______ encompasses all those tasks, activities and roles that identify a person as an independent adult or as a child progressing toward adult independence

function

Patient referenced concept and is dependent on what the individual self identifies as essential to support physical and psychological well being, as well as to create a personal sense of meaningful living

functional activity

Doing things with a purpose or movement with a purpose

function

Patient’s capacity to do an activity or task

activities and participation: capacity

Pertains to how the patient performs in his current context or situation

activities and participation: performance

Pertains to patient background

contextual factors

Everything about the patient

contextual factors

External factors such as transportation, support system, laws, government, etc.

environmental factors

Could either be facilitator or barrier

environmental factors

About the patient themselves such as age, gender, education, work or occupation

personal factors

Used to measure how a person does certain tasks or fulfills certain roles in the various dimensions described by the ICF

function exam

Function tests can utilize four highly divergent perspectives on what is to be tested or measured by the physical therapist

false

Directly affects what types of tests and measures should be chosen and what parameters of measurement are appropriate to yield data useful to making clinical judgements

function tests

Divergent perspective on what is to be tested or measure by PT

habitual level, capacity

Talks about “Does this pt perform this certain activity habitually? or “Does this pt even have the capacity or is the patient even able to perform this activity?

habitual level, capacity

Conducive to the type of testing and free of distractions

setting

Should be precise and unambiguous

instructions

Testing may be biased by fatigue

patient’s energy

Should occur at regular intervals during treatment to document progress and before discharge from the episode of care

retesting

2 types of instruments

performance based test, self reports

Involves the PT observing the pt performing an activity

performance based test

May be used either to describe the patient’s current level of function or to identify the maximum level of function possible

performance based test

Patient is the one answering or giving data to the instrument

self reports

Patient is asked directly either by the therapist or by an interviewer or even by a self administered report instrument

self reports

Outpatient PT improvement in movement assessment log (OPTIMAL)

self reports

Instrument parameters and formats

descriptive, quantitative

Therapist should use terms that are well defined and unambiguous

descriptive parameters

Helpful to qualify a person’s performance by linking observations with nonspecific indicators of impairments

descriptive parameters

Time scores alone do not always yield the complete functional picture because time is different from the quality of the movement

quantitative parameters

Time does not equate to quality of performance

true

Checklist, scored as able to do or not aboe to do, independent or dependent, completed or incomplete, etc

nominal

Described a range of performance or the degree to which the person can perform the task; no difficulty, some difficulty, unable to do or always, sometimes, rarely, never

ordinal

Visual analog scales attempt to present measurement quantities in terms of straight line placed horizontally or vertically on paper

Interval or ratio

Measure a phenomenon dependently, time after time, accurately, predictability, and without variation

reliability

Pertains to it being stable

reliability

Stable and will not indicate change when none has occurred

test retest

Tests should be performed by the same therapist of the same performance should be highly correlated

intrarater

Agreement among multiple observers of the same event

interrater

Determining the quality of instruments

reliability, validity, specificity, responsiveness

Multifaceted concept and established in many different ways

validity

Validity assess:

whether instrument designed to measure function truly does, appropriate applications of instruments, how data should be interpreted

Appear to measure what it purports to measure

face validity

Refers to the face value of the instrument

face validity

Measures all important or specified dimensions of function

content validity

Pertains to the content of the tool itself

content validity

Results compared to the gold standard

criterion related validity

Assessment tool compared to the best tool

criterion related validity

Degree to which two instruments agree

concurrent validity

Refers to the portion of individuals with a limitation in function who are correctly classified

sensitivity

Specificity: Those who have disease or limitation of function are correctly classified

true

Opposite of sensitivity

specificity

Individuals who do not have limitation in function who are correctly classified

specificity

Proportion of people who have a positive findung in a test who actually have a limitation in function as classified by the comparison test

positive predictive values

Proportion of people who have a negative finding on a test who do not have a limitation in function

negative predictive values

Both the predictive values pertains to comparative assessment tool or the assessment tool you are complaining to that of the gold standard

true

Pertains to meaningful change in a patient’s status

responsiveness

MDC

minimal detectable change

MCID

minimal clinical importance difference

Smallest amount of change in a measurement that exceeds the measurement error of the instrument

MDC

True change

MDC

Smallest difference in a measured variable that signifies an important rather than a trivial difference in the patient’s condition

MCID

Important change

MCID

Specific construct

single dimension

Combination of these constructs or may have items from different ICF domains

multidimension

Sample instruments to assess function

FIM, outcome and assessment information set, sf36, patient specific functional scale

Positive and negative predictive values

specificity

Impairments

body function and structure

Tasks

activities

Is the patient able to execute a certain activity

activities

More or less include working

participation

Work includes other sub activities that comprise the participation of work

participation

ROM

Kyla Rafols · 71問 · 2年前

ROM