Rehabilitation Outcome Measures

Rehabilitation Outcome Measures

By Emma K Stokes, DipStat, BSc(Physio), MSc, PhD, Lecturer, Department of Physiotherapy, School of Medicine, Trinity College, Dublin


Dedication

Acknowledgements

Preface

SECTION 1 OUTCOME MEASUREMENT IN CONTEXT

1 Outcome measurement and practice

Introduction

Chapter outline

The outcomes movement

Evidence-based practice

The role of professional organizations in promoting the systematic use of SOMs

Summary

2 International classification of functioning, disability and health (ICF)

Introduction

Chapter outline

What is ICF?

3 How to choose an outcome measure

Introduction

Chapter outline

Project manage the process of choosing and using OMs

How do I choose a measure to use in my clinical practice?

Different types of measures

Assessing the quality of a measure

Summary

SECTION 2 MEASUREMENT PROPERTIES

4 Reliability: error in measurement

Introduction

Chapter outline

What is reliability?

How are studies of reliability analysed?

What not to use or to interpret with caution

Summary

5 Validity

Introduction

Chapter outline

The description and methodology of validity

Predicting the future - how can we use OMs to predict future events?

Can the outcome measure tell the difference between two groups?

Summary

6 Measuring change

Introduction

Chapter outline

Studying responsiveness

Summary

SECTION 3 OVERVIEW

7 Measuring mobility

Introduction

Table 7.1 Emory Functional Ambulation Category (E-FAP) and Modified Emory Functional Ambulation Category (mE-FAP)

Table 7.2 Hierarchic assessment of balance and mobility (HABAM)

Table 7.3 Elderly Mobility Scale (EMS) and Swedish Modified EMS (Swe mEMS)

Table 7.4 Rivermead Mobility Index (RMI) and Modified Rivermead Mobility Index (mRMI)

Table 7.5 High-level Mobility Assessment Tool (HiMAT)

Table 7.6 Physiotherapy Functional Mobility Profile (PFMP) and Physiotherapy Functional Mobility Profile Questionnaire (PFMP-Q)

Table 7.7 University of Alabama at Birmingham Study of Aging Life Space Assessment (UAB - LSA)

Table 7.8 Trinity Test of Functional Mobility (TTFM)

Table 7.9 The Activities-specific Balance Confidence Scale (ABC)

8 Measuring physical activity

Introduction

Table 8.1 StepWatch? Monitor - Step Activity Monitor (SAM)

Table 8.2 RT3 accelerometer

Table 8.3 Physical Activity and Disability Survey (PADS) and Revised Physical Activity and Disability Survey (R-PADS)

Table 8.4 Physical Activity Scale for the Elderly (PASE)

Table 8.5 Stanford 7-Day Physical Activity Recall Questionnaire (7D-PAR) (PAR)

9 Measuring fatigue

Introduction

Table 9.1 Barrow Neurological Institute (BNI) Fatigue Scale

Table 9.2 Brief Fatigue Inventory

Table 9.3 Revised Piper Fatigue Scale (R-PFI)

Table 9.4 Multi-dimensional Fatigue Inventory (MFI-20)

Table 9.5 Fatigue Severity Scale (FSS)

Table 9.6 Fatigue Impact Scale (FIS) & its derivatives - Daily Fatigue Impact Scale (D-FIS), Modified-Fatigue Impact Scale (M-FIS) and Fatigue Impact Scale for Chronic Obstructive Airways disease (COPD) (FIS-25)

10 Measuring neurological conditions and rehabilitation

Introduction

Table 10.1 Scales for Outcomes in Parkinson?s Disease (SCOPA) - Short Parkinson?s Evaluation Scale (SPES)

Table 10.2 Freezing of Gait Questionnaire (FOG-Q) and New Freezing of Gait Questionnaire (NFOG-Q)

Table 10.3 Postural Assessment Scale for Stroke (PASS)

Table 10.4 Trunk Impairment Scale (TIS)

Table 10.5 Multiple Sclerosis Impact Scale (MSIS-29)

Table 10.6 Stroke Impact Scale

Table 10.7 Motor Assessment Scale

11 Evaluating satisfaction

Patient satisfaction: why measuring it is important

Table 11.1 Patient Satisfaction Questionnaire (PSQ)

Table 11.2 Physical Therapy Outpatient Satisfaction Survey (PTOPS) and European version (EPTOPS)

Table 11.3 MedRisk, MRPS

Table 11.4 Patient Satisfaction with Physical Therapy (PSPT)

Table 11.5 Cystic Fibrosis Chest PT Satisfaction Survey

Table 11.6 Patient Satisfaction Questionnaire (PSQ)

APPENDICES

Appendix 1 Mobility

Introduction

Emory Functional Ambulation Profile Scale and Modified Emory Functional Ambulation Profile Scale

Hierarchic assessment of balance and mobility (HABAM)

Elderly Mobility Scale and Modified Elderly Mobility Scale

Rivermead Mobility Index and Modified Rivermead Mobility Index

University of Alabama at Birmingham Study of Aging Life Space Assessment

High Level Mobility Assessment Tool (HiMAT)

The Activities-specific Balance Confidence (ABC) Scale

Physiotherapy Functional Mobility Profile

Trinity Test of Mobility

Appendix 2 Physical activity

Introduction

The Physical Activity Disability Survey (PADS)

Appendix 3 Fatigue

Introduction

Fatigue Severity Scale

Fatigue Impact Scales

Barrow Neurological Institute (BNI) Fatigue Scale

Brief Fatigue Inventory (BFI)

Modified Piper Fatigue Scale

Multidimensional Fatigue Inventory (MFI-20)

Appendix 4 Neurological rehabilitation

Introduction

Trunk Impairment Scale (TIS)

Multiple Sclerosis Impact Scale (MSIS-29) Version 2

New Freezing of Gait Questionnaire

Postural Assessment Scale for Stroke (PASS)

Short Parkinson?s Evaluation Scale (SPES/SCOPA)

Motor Assessment Scale (MAS)

Appendix 5 Patient satisfaction

Introduction

Physical Therapy Outpatient Satisfaction Survey (PTOPS)

European POPTS

Chest Physiotherapy Satisfaction Survey

Physical Therapy Patient Satisfaction Questionnaire

MedRisk

Physiotherapy Outpatients Satisfaction Questionnaire

Patient Satisfaction Questionnaire

Index