Mobility and Functional Capacity Assessment
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Questions and Answers

What is the primary purpose of the Barthel index in functional assessment?

  • To establish the degree of independence from any help (correct)
  • To assess overall physical function
  • To evaluate pain and discomfort
  • To measure health-related quality of life for a specific pathology

    • What is a characteristic of generic health status questionnaires?

  • They are applicable to the general population and to groups of patients (correct)
  • They evaluate physical function alone
  • They are specific to a particular pathology
  • They are used to measure pain and discomfort

    • What type of measure is the EUROQo-5D?

  • Single item measure
  • Health status questionnaire
  • Health profile
  • Utility measure (correct)

    • What is the main limitation of generic health status questionnaires?

    <p>They are not sensitive to functional changes</p> Signup and view all the answers

    What is the primary focus of Activities of Daily Living (ADLs)?

    <p>Performing daily behaviors to live autonomously</p> Signup and view all the answers

    What type of assessment tools are specific to a particular pathology?

    <p>Specific health-related quality of life tools</p> Signup and view all the answers

    What is the primary reason for assessing dependency?

    <p>To provide a metric for a variety of services and programs related to caring for the elderly and those with disabilities</p> Signup and view all the answers

    Which of the following healthcare professionals is primarily concerned with evaluating the patient's health status for obtaining compensation and access to services?

    <p>Evaluating Medicine Specialist</p> Signup and view all the answers

    What is the primary goal of Social Work in the context of dependency assessment?

    <p>To focus on domestic aspects, the environment, and support for caregivers</p> Signup and view all the answers

    What is Grade III dependency characterized by?

    <p>Help to perform several ADLs several times a day, because of total loss of physical, mental, intellectual, or sensory autonomy</p> Signup and view all the answers

    Which of the following healthcare professionals is primarily concerned with symptom control and quality of life?

    <p>Family Medicine and Palliative Care Specialist</p> Signup and view all the answers

    What is the primary focus of Physiotherapy in the context of dependency assessment?

    <p>Motor-functional aspects of MSK problems</p> Signup and view all the answers

    What is the main purpose of the Functional Capacity Assessment in the Barthel index?

    <p>To detect the degree of deterioration</p> Signup and view all the answers

    What is the interpretation of a score of 60-79 in the Barthel index?

    <p>Minimally dependent</p> Signup and view all the answers

    What is the name of the European consensus tool used to measure health-related quality of life?

    <p>EUROXoL-5D</p> Signup and view all the answers

    What is the purpose of the Vertical VAS in the EUROXoL-5D?

    <p>To rate the patient's health status</p> Signup and view all the answers

    What is the number of health concepts measured in the SF-36 Health Survey?

    <p>8</p> Signup and view all the answers

    What is the time period used to assess health status in the standard version of the SF-36?

    <p>4</p> Signup and view all the answers

    What type of muscle testing targets the tensors, spine erectors, and lower limb muscles?

    <p>Manual Muscle Testing</p> Signup and view all the answers

    What is the purpose of Dynamometry?

    <p>To measure static F+R</p> Signup and view all the answers

    What is the primary function of Electromyography (EMG)?

    <p>To assess muscle electrical activity</p> Signup and view all the answers

    What is the main application of Tensomyography?

    <p>To detect and analyze superficial single muscle properties</p> Signup and view all the answers

    What is the purpose of Electrical Muscle Stimulation (EMS)?

    <p>To induce contraction and measure muscle properties</p> Signup and view all the answers

    What can influence the real muscle strength during manual muscle testing?

    <p>All of the above</p> Signup and view all the answers

    Why is it important to avoid touching or holding the muscle belly during manual muscle testing?

    <p>To avoid influencing the result</p> Signup and view all the answers

    What is an essential skill for an examiner to possess during manual muscle testing?

    <p>Palpation skills</p> Signup and view all the answers

    What can affect the accuracy of manual muscle testing?

    <p>Joint laxity or deformity</p> Signup and view all the answers

    What is an important aspect of manual muscle testing that an expert clinician should consider?

    <p>Patient's comments and feedback</p> Signup and view all the answers

    What is the purpose of decreasing the temperature during manual muscle testing?

    <p>To maintain muscle tone</p> Signup and view all the answers

    What type of contraction is used during manual muscle testing?

    <p>Isotonic</p> Signup and view all the answers

    What is the purpose of the break test during manual muscle testing?

    <p>To assess muscle strength</p> Signup and view all the answers

    What is the command given to the patient during the make test?

    <p>Hold as I'm pushing down</p> Signup and view all the answers

    What is the grading system used to assess muscle strength during manual muscle testing?

    <p>Manual Muscle Testing Grades</p> Signup and view all the answers

    What type of muscle is responsible for fixing the assessed segment while the agonist is being tested?

    <p>Stabilizer</p> Signup and view all the answers

    What is the purpose of isometric manual testing?

    <p>To assess muscle strength in a static position</p> Signup and view all the answers

    What is a limitation of isotonic manual testing?

    <p>Speed is uncontrolled and synergists participate</p> Signup and view all the answers

    What is the term for a muscle that complements the agonist?

    <p>Synergist</p> Signup and view all the answers

    What is the primary method used in Physiotherapy assessment?

    <p>Muscle Manual testing</p> Signup and view all the answers

    What is an important application of isokinetic dynamometry?

    <p>To reestablish muscle force after muscular injury</p> Signup and view all the answers

    What is a key variable in isokinetic dynamometry?

    <p>Muscle speed</p> Signup and view all the answers

    What is a benefit of isokinetic dynamometry over other muscle assessment methods?

    <p>It allows for both concentric and eccentric exercises</p> Signup and view all the answers

    What is the role of the clinical interview in the healthcare process?

    <p>To communicate with the patient and gather information</p> Signup and view all the answers

    What is the effectiveness of the clinical interview in reaching an accurate diagnosis?

    <p>75% of cases</p> Signup and view all the answers

    What is the primary function of Electromyography (EMG)?

    <p>To measure muscle activity and diagnose neurological disorders</p> Signup and view all the answers

    What is the purpose of Dynamometry?

    <p>To evaluate muscle strength</p> Signup and view all the answers

    What is the main application of Tensomyography?

    <p>To assess muscle elasticity</p> Signup and view all the answers

    Why is it important to avoid touching or holding the muscle belly during manual muscle testing?

    <p>To avoid influencing muscle contraction</p> Signup and view all the answers

    What is the purpose of Electrical Muscle Stimulation (EMS)?

    <p>To improve muscle function and strength</p> Signup and view all the answers

    What is the main purpose of goniometry?

    <p>To measure the corporal segment related to other through particular joint</p> Signup and view all the answers

    What is the importance of knowing the subject position in goniometry?

    <p>To ensure accurate measurement of the corporal segment</p> Signup and view all the answers

    What is the primary use of an inclinometer?

    <p>To measure the movement in the frontal and sagittal planes</p> Signup and view all the answers

    What is the precaution to take when using a compass with an inclinometer?

    <p>Ask for a pacemaker</p> Signup and view all the answers

    What is the primary difference between a static and dynamic measurement?

    <p>Static measures stationary angles, while dynamic measures movement</p> Signup and view all the answers

    What is the purpose of electronic goniometry?

    <p>Used in research, for dynamic measurements</p> Signup and view all the answers

    Why is visual inspection of the movement important?

    <p>To look at the quality of movement and how movement is performed</p> Signup and view all the answers

    What is necessary for accurate calibrations in electronic goniometry?

    <p>All of the above</p> Signup and view all the answers

    What is the importance of clear instructions for the patient during active ROM assessment?

    <p>To avoid any confusion or misinterpretation</p> Signup and view all the answers

    What is the primary purpose of a goniometer?

    <p>To measure the corporal segment related to other through particular joint</p> Signup and view all the answers

    Study Notes

    Activities of Daily Living (ADLs)

    • ADLs are essential behaviors performed daily for autonomy and social integration.
    • Dependency scales measure the capability to perform ADLs, often in rehabilitation and geriatric settings.
    • Key assessment scales include the Barthel Index, EUROQoL-5D, and SF-36.

    Dependency Assessment

    • Dependency grades classify levels of assistance needed:
      • Grade I: Moderate dependency, assistance at least once daily.
      • Grade II: Service dependency, multiple assistances without permanent caregiver.
      • Grade III: High dependency, continuous support required for most ADLs.
    • Importance of assessing dependency includes service metrics, goal setting, and health status evaluation.

    Measurement Tools

    • Generic vs. Specific tools:
      • Generic tools evaluate overall function without disease specificity.
      • Specific tools focus on health-related quality of life concerning specific pathologies.
    • Tools are divided into single item measures, health profiles, and utility measures.

    Barthel Index

    • Primarily used in assessing functional independence in rehabilitation and geriatrics.
    • Consists of 10 sections covering 11 activities related to self-care.
    • Scoring range indicates levels of independence, from fully independent (80-100) to total dependency (0-20).

    EUROQoL-5D

    • Health-related quality of life measurement tool with two parts:
      • Descriptive system evaluating mobility, personal care, daily activities, pain/discomfort, and anxiety/depression.
      • Visual Analog Scale (VAS) for subjective assessment of health states.

    SF-36 Health Survey

    • Comprehensive health assessment tool measuring eight health concepts over the last four weeks.
    • Concepts include physical function, role limitations, body pain, general health, vitality, social function, emotional role, and mental health.
    • Useful for evaluating overall health status and detecting changes over time.

    Musculoskeletal Assessment

    • Focus on both static and dynamic muscle evaluation using tools like dynamometers and electromyography.
    • Indicators of muscle strength and endurance are assessed through manual testing and dynamometry.
    • Psychosocial factors can influence muscular testing results.

    Clinical Interview

    • Essential communication process for gathering patient history and understanding needs.
    • Helps establish accurate diagnoses through detailed data collection.

    Muscle Strength Testing

    • Strength testing includes isometric (break test) and isotonic (make test) evaluations.
    • Understanding muscle function involves assessing agonist, synergist, and stabilizer muscles.
    • Clinical reliability and validity of strength tests are confirmed for consistent assessment.

    Goniometry

    • Measurement of joint angles and segments to evaluate musculoskeletal conditions.
    • Involves understanding anatomical landmarks and proper technique for accurate readings.
    • Different types of goniometers, including electronic versions, are used for precise measurements.

    Physiotherapy Goals

    • Comprehensive assessment considers physical function, cognitive abilities, and psychosocial factors.
    • Goals center on improving the patient's functional capacity and quality of life through tailored rehabilitation plans.
    • Continuous monitoring ensures adaptations to treatment plans as necessary based on functional changes.

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    Description

    Assess the patient's ability to perform daily activities, such as transferring, mobility, and stair climbing. Evaluate the level of independence and design care plans accordingly. This quiz covers the severity levels of mobility and functional capacity.

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