Functional Outcome Measures

Question 1

DGI

Answer 1

Dynamic Gait Index (DGI)
* Objectively measure a patient’s balance and postural control, specifically during gait activities.
* Includes 8 items that are scored on a 4-point scale (0-3), with lower scores indicating greater impairment.

• Gait with pivot turns. The patient is instructed to start walking at a normal pace and then turn and face the opposite direction as fast as possible when the examiner gives the command.

*Stepping over obstacles. The patient is instructed to walk at a normal pace towards an obstacle (e.g., shoebox) and to step over that obstacle once they reach it.

• Walking around multiple obstacles (i.e., weaving in and out).

*Navigating stairs. The patient is instructed to walk up and down a set of stairs as they normally would, using the railing if necessary.

• Does not involve an assessment of ambulating backwards. However, this is an item included on the more challenging Functional Gait Assessment.

Question 2

PAR-Q & You

Answer 2

(Physical Activity Readiness Questionnaire)

• 15-69 y/o that are planning on becoming physically active more than they ar.
• 7 Y/N questions related to current health and functional status.
• Yes to 1 or more question means the person should talk to their doctor prior to becoming more physically active.

Question 3

GMFM

Answer 3

Gross Motor Function Measure is a standardized observational instrument designed and validated to measure change in gross motor function over time in children with cerebral palsy

Question 4

Berg Balance Test

Answer 4

• Assess risk of falling
• scored on 0-4 rating scale (out of 52)
• 16 functional tasks

Question 5

When assessing balance, somatosensory input is most responsive to changes in:

Answer 5

surface contact

relative orientation and movement of the body in relation to a supporting surface.

Question 6

Cut off score for high risk of falling with TUG?

Answer 6

over 30 seconds to complete the test are considered a high fall risk.

Patients who require over 20 seconds are considered to have an increased fall risk and are at the limit for functional independence.

A patient is considered independent if they complete the test in 10 seconds or less

Question 7

Fugl-Meyer sensorimotor assessment of balance

Answer 7

• sensorimotor assessment of balance performance battery consists of
• 7 items assessed with a score ranging from 0-2 on each item.
• 0 = patient cannot perform a task
• 2 = patient can successfully perform the task.
• maximum score on the assessment is 14.