The Lower Extremity Functional Scale

Measuring health status and treatment effects has become increasingly important for occupational therapists working with clients. To justify treatment methods utilized in therapy, it is crucial to collect outcome measures supported by evidence-based research (Berghmans, Lenssen, Can Rhijn, & De Bie, 2015). In working with Mr. Jones, who recently suffered a total hip replacement, I can assess his progress and health status by utilizing evidence-based assessment scales. As we progress through therapy together I want to assure Mr. Jones is regaining his independence and reaching his goals. Through the Patient-Specific Functional Scale (PSFS) and the Medical Outcome Study Short Form

Title: Application of the Physical Mobility Scale for a Patient with Multiple Traumas in the Acute Care Setting: a Case Report

In the article “The Pain Scale”, Biss is giving a proposal to definition of the pain scale. The author scaled the pain in a numeric values represented by a scale from zero to ten. First, is the zero scale. As Biss described herself as some one who generate question instead of answering them, she thinks that pain cannot be eliminated. Meaning, zero cannot explain a situation, just like its numerical value, we cannot apply some computational operations to it. Then, the author goes to explain how zero is interpreted in Celsius and Kelvin. To illustrate her point, she used the chicken as an example. The concept of the chicken example is that when we grab the chicken by its feet and the chicken is not complaining, that does not mean that the chicken is in no pain. The moral of zero pain is that either the pain cannot be expressed or it can not be felt. Second, the author started with the stories of how she was taught what is pain and who invented the scale of zero to ten pain scale. For example, Biss’s father told her that an itch is just a damaged tissue. Biss then asks a very complex question, she said “When does pain worth measuring? With poison ivy? With a hang nail?… A razor cut?” This shows how complex it is to judge where the pain begins. Even with a trained hospice nurses, not every pain can be identified. Biss conclude the scale one by assuming that zero and one are close to each other to the point where they might equal each other. Third, the scale number two starts

Purpose: The purpose of this study was to determine if the Functional Independence Measure (FIM) is as useful as the Morse Fall Scale in determining which patients

The agenda was quite clear that during their observations the recovery showed needs were decreased according to age and BMI. They stated older patients were in need of more assistance and longer stay in the hospital as opposed to younger adults. I found it interesting that they saw patients with bilateral knees had decreased needs and that unilateral were in need of more assistance before discharge. Managing pain was their first priority during research and rehabilitation, followed by instructing care of their own surgical wound. The aim of this study was to actively reinforce assessment and management after this procedure and giving guidance to those in health care.

In addition, regression analysis was used to determine independent variable among age, BMI, grip strength, sex and K/L grade for knee pain. The result indicated that the most significant variable was BMI correlated with the occurrence of knee pain. ORs of BMI (+5 kg/m2) was 1.54 and the risk was 0.60 which was significant. This implied that the ORs of K/L grade for knee pain can be overestimated due to the possibility of extremely low risk of K/L grade. In fact, the percentage of participants who suffered from knee pain with K/L (grade 2) and K/L (grade 3 and 4) was just 61.0% and 71.0% respectively. In other words, it will be about 40% of participants with K/L grade 2 and about a third of subjects with K/L grade 3 and 4 had no pain at the knee joint at follow-up.

As the client becomes able to participate in therapy the OT would assess functions relating to movement of the upper extremity, ADLs, cognition, vision and perception sensation, Joint ROM, motor control, Dysphagia and emotional and behavioral factors (Tipton-Burton, McLaughlin, Englander, 2013). The occupational therapist will use the information gathered to determine the best ways to perform daily living skills with the focus on the clients’ occupations (Tipton-Burton, McLaughlin, Englander, 2013). Some of the key assessment used during the rehabilitation phase are the Mayo-Portland Adaptability Inventory, Moss Attention Rating Scale, Neurobehavioral Rating Scale and the Participation Objective, Participation Subjective assessments (Powell,

Because the administration of the BESTest takes from 45 to 60 minutes, which may not be practical in all clinical settings, a condensed shorter version of the BESTest (Mini-BESTest) was created. Through the basis of rash analysis, unnecessary items and 2 sections of the BESTest, biomechanical constrains and stability limits/vertically, were removed to yield the assessment of dynamic balance. The Mini-BESTest contains 14 items of the original 36 items from the BESTest. The items on the Mini-BESTest are scored on a 3 point scale ranging from (0) to (2). A score of (0) indicates the lowest level of function and a score of (2) indicates the highest level of function, leading to a possible total score of 28 points (Yingyongyudha et al., 2015).

The participants then completed the functional evaluation by completing three one-leg hop tests on each limb. The longest distance was recorded and calculated as the percentage of the performance of the ACL reconstructed leg over the uninvolved leg, the scores were calculated as the limb symmetric index (LSI). The authors of this study defined the ceiling effect as the percent of participants who received the maximum score of 100 points. The Spearman correlation coefficient was used to examine the correlation between both scales and the limb symmetric index and was interpreted as r > 0.5 which indicated a strong association. The Kolmogorov-Smirnov test was then used to examine the distribution

The CPG recommends that outcome measures such as Foot Function Index (FFI), Foot Health Status Questionnaire (FHSQ), or the Foot and Ankle Ability Measure (FAAM) be used before and after interventions. There are no mentions in the case report that the aforementioned outcome measures were used. Measuring and keeping track of progresses is essential as it has been validated in the clinic3. Furthermore, it was not reported that the therapist tried any manual therapy interventions. As noted, joint manipulation to the talocrural joint and soft tissue

I was unable to figure sensitivity and specificity secondary to no raw data was given in the article. However the article did state, the inter-rater reliability intraclass correlation coefficient (ICCs) ranged from 0.93 to 1.000. The standard measurement error (SEMs) ranged from 0.00 to 2.15 and smallest real difference (SRDs) ranged from 0.39 to 5.96. For the test-retest reliability, after two weeks, the ICCs were .834 to .972. To assess concurrent validity, the relationship between the FMA upper body motor function and Jebson-Taylor hand function was 0.757, and the relationship between the lower body motor function of FMA and the MAS was 0.725. The responsiveness of the FMA three months following the baseline assessment was the effect size

The purpose of this experiment was to identify which flexibility measurement tests correlate with the sit-and-reach and modified sit-and-reach tests. In more recent studies, statistics have shown that both hip flexion test results and shoulder extension test results were directly correlated to modified sit-and-reach test results (Mayorga-Vega, Merino-Marban, and Viciana, 2014). The data gathered for the sample

Purpose: Occupational Therapy has become vital in altering the health care system. The expansion in services that occupational therapist provide, make it essential for them to use a universal instrument, in order to increase the validity, and optimize rehabilitation outcome. Methods: The rehabilitation measure database (RMD) was created as a tool to assist in identifying the appropriate assessment measures for the individual’s specific health condition. It ensures that the outcome measures are selected based on the psychometric properties and targets the specific goal that the client chooses to work on. Results: In a survey conducted on 480 occupational therapist both in inpatient and community-based setting, 34% of clinicians said they would

Beginning with university teaching, I have built on a great variety of skills across my placements which have been both specific to individual areas of physiotherapy but also applicable to use throughout all disciplines due to the overlapping nature of acute physiotherapy. As I have just completed Practice Placement two, I feel have developed my clinical skills in neurological physiotherapy through a range of ways. I have actively highlighted areas needing improvement through the use of both regular SWOT analysis and with feedback from educators. I then proceeded to set weekly goals and objectives which were met through attending in-service training, independent study, and joint treatment sessions with senior members of staff. (6.1, 6.2, 6.3, 6.4, 6.6, 5.1, 5.2, 5.4) One assessment technique I found initially challenging was assessing altered muscle tone. Although we learn the theory at university, interpretation of altered muscle tones in various muscle groups was difficult due to my limited experience of handling neurological patients. By

I consider patients' values and preferences are as important as implementation of treatment plan and that is why I support the idea that Evidence-based physical therapy practice is to incorporate most effective evidence-based treatment in the care plan by considering patients' inclinations and values, and based on that provide physical therapy services in a better social environment to improve patient's condition and quality of life (Jewell, 2014). Whereas according to Cormack (2002) "in addition to the evidence derived from research and patient preferences, clinical circumstances, and therapist's experience and judgment also play an important role in clinical decision making". I believe the incorporation of evidence-based practice in physical