10-MWT:
<0.6 = ?
0.6-0.8 = ?
>0.8 = ?
<1.0 = ?
0.6 = Household ambulation. Risk of adverse health outcomes
0.6-0.8 = Transitional ambulation; some limitations in community ambulation.
> 0.8 = Full community ambulation but still slower than all age norms
<1.0 = future falls, frailty, cognitive impairment, poor health, and disability
10-MWT: < x m/s is associated with future falls, frailty, cognitive impairment, poor health, and disability. Also may be the single best predictor of functional decline and disability, falls, and fear of falling.
1.0 m/s
Gait speed predictor of discharge disposition:
< x m/s is 95% probability of d/c to rehab for stroke populations
0.3 m/s
2-Minute Step Test Norms for healthy adult age 60-64 (Male and Female)
Male: 80-110
Female: 70-100
6-MWT: Mean for community-dwelling older adults age 60-69
~550m
30-second sit to stand test: unable to perform one rep is indicative of…
increased fall risk
6-MWT: Mean for community-dwelling aging adults age 80-89 (Male and Female)
~400 m
5xSTS: >15 seconds is indicative of what?
recurrent falls
5xSTS: what duration indicates recurrent falls risk
> 15 seconds
5xSTS: >17 seconds is indicative of what?
High risk for persistent functional limitation, mortality, and hospitalization
5xSTS: what duration would indicate a high risk for persistent functional limitation, mortality, and hospitalization?
> 17 seconds
SPPB: What cutoff score indicates a risk for falls?
<8
SPPB: What cutoff score indicates a risk of mobility disability?
<10
Berg Balance Scale: What cutoff score indicates a risk of falls?
<49
Modified CTSIB: what are the four conditions and what balance system is indicated if the patient has difficulty during that condition?
- Firm surface, NBOS, eyes open (all systems)
- Firm surface, NBOS, eyes closed (vestibular and somatosensory)
- Foam surface, NBOS, eyes open (vision, vestibular)
- Foam surface, NBOS, eyes closed (vestibular only)
Which objective measure is particularly useful for determining if a patient is ready for transition from 2-UE support device to 1-UE support device (ie walker to cane)?
One leg stance test
One leg stance test: what duration would be indicative of increased risk for falls?
<5 seconds
One leg stance test: Useful for predicting success with what 3 activities?
- Transition from walker to cane
- Negotiating stairs
- Stepping in/out of tub/shower
DGI: A score below “X” is associated with increased risk of falls in older adults
<19
What does the Norton scale measure?
Risk for pressure ulcers
Norton scale:
<___ = very high risk for pressure ulcers
>___ = low risk for pressure ulcers
<10= high risk
>18 = low risk
Norton Scale: What are the 5 key parameters used to determine risk of developing a pressure ulcer?
- Physical Condition
- Mental Condition
- Activity (level of function)
- Mobility (able to move body parts)
- Incontinence
Geriatric Depression Scale: what are the score cutoffs (4 ranges) and their indications
<4= normal
5-8= mild
9-11= moderate
12-15= severe
TUG:
- <10 seconds = ?
- >13.5 sec = ?
- >20 sec = ?
<10 = Normal mobility and balance
>13.5 = high fall risk
>20 = severe risk of falls and significant mobility challenge
