TBI outcome measures
Terms in this set (20)
Coma Recovery Scale- revised (CRS-R); ICF, cut offs, low/high scores=better?
ICF: body structure/cognition
Cut offs: VS: 0-1 MCS 0-2
lowest score is worse (reflexive activity)
Moss Attention Rating Scale: ICF, predicts what? best for what populations/setting
ICF: body structure/function
predicts outcome (based on DRS) at 1 yr
*changes in MARS assoc with atten/cog scores on FIM
best for acute inpt rehab with mod-sev deficits
High Level Mobiliy Assessment; ICF, best for what setting/patients
*best for outpatient and higher level balance TBI
Disability Rating Scale: ICF, score range? admission scores predict what at dc benefits of this scale?
ICF body, activity, participation
Scores 0(normal)-29 (max vegetative)
Score predicts SWLS at discharge and return to work
*beneficial because it tracks patients from coma to community. (more sensitive than GOS in rehab)
Functional Assessment MEasure (FAM); ICF, cut off for employment? best if used with what other measure, best for what populations
ICF: body, activity, participation
RIsk for unemployment if <65
*best if used with FIM to track rehab changes
best for inpt, outpatient, home health
QOL after brain injury: : ICF, best for what populations?
best for inpatient, outpatient, home health
Agitated Behavior scale: ICF, scores with agitation level?
ICF: body, activity
<21 = WNL
22-28 = mild agitation
29-35 = moderate agitation
>35 - severe agitation
*must administer at same time of day
Community Balance and Mobility Scale: ICF, best for what populations? scores? adjunct to what other measure?
ICF: body, activity (high level mobility)
best for indep/mild ambulators, living in community
scores 0-96 (higher is best)
use if hit ceiling on Berg
Barthel Index: ICF, best for what populations, measures what?
best for inpatient rehab, non independent ambulators
Balance Error Scoring Scale (BESS): ICF best for what patients, MDC, norms
best for outpatient, mild TBI, concussions, can be used on sidelines
MDC: 7.3-9 (athletes)
norm for healthy adults: (lower score is better)
20-49yo - 10-12
50-60yo - 14.8-17.2
Disorders of Consciousness scale: ICF, best for what setting, higher score indicates?
best for inpatient rehab (vegetative state vs MC.. not MCS+)
(23 items) 0 -11 (normal)
Apathy Evaluation Scale: ICF, cut offs for apathy
ICF: activity, particiaption
>34 - apathy
Global Fatigue Index: ICF, best for what setting, cut offs for fatigue
ICF: participation, body
best for outpatient
>21 showed 75% of ppl with fatigue
Sydney Psychosocial Reintegration Scale: ICF, best for what population? scores?
best for outpatient/home health
Glasgow Coma Scale (GCS): ICF, cut offs for severity of brain injury
ICF: body (eye, motor, verbal)
>13 = minor BI
9-12 =moderate BI
<8 = severe BI, poor outcomes
GCS = 3 (65-100% mortality rate), 5=50% mortality rate
Glasgow Outcome Scale: ICF, best for what setting/populations, scores?
ICF: body, activity, participation
best for outpatient, LTACH, home health
2 = vegitative
3= low severe
4 = severe; intermitten supervision
5 = mod disability indep at home
6 = low disability, able to work
7,8= working, more indeps
* less ceiling effects than DRS
Functional Status Examiniation: ICF, best time to measure?
ICF: body, activity, participation (gait, home, leisure)
best when measured 1-6months post
*caregiver can perform it
Neurologica Outcome Scale -TBI: ICF, scores, best for what populations
ICF: body, activity (gait, cog, somatosens, mm strength, ataxia)
15 items, 0-58 (high disability)
* useful for patients with higher deficits in gait
Motivation for TBI rehab: ICF, best for what populations?
best for inpatient/outpatient
Patient Health Questionnaire: ICF, best for what settings, cut offs for depression, measures of what period?
ICF: body (depression)
>12 best screen for major depression
>20 severe depression
measures occurrences in past 2 weeks