Let's make it FUNctional
55 year old male golfer presents to the clinic with complaints of neck and low back pain and you observe hyperkyphosis of his T/S. What Ther-act exercise would you want to incorporate to promote ROM gains and improve golf game?
What is 1/2 kneeling wall wash, or anti-rotation band thoracic strengthening
The acronym MCID stands for...
What is Minimal Clinically Important Difference
What is the state of being meaningful to the individual (patient or family), Patient centered
73 year old with orthostatic hypertension and hx of falls ambulates into the clinic with a single point cane and complaints of Left knee pain. You plan to assess patient using dynamic gait index in the clinic, but first you need to establish Morse fall scale based on what you know. Is a gait belt needed during assessment?
What is 40 (Moderate Fall Risk) gait belt required during higher level activities.
Subjective: 85 year old patient presents to the clinic with complaints of extreme nausea and reports "the room feels like it is spinning" getting in and out of bed in the morning and at night. What is the name of the patient reported outcome measure you might provide at the start of her initial eval?
What is the DHI (Dizziness Handicap Inventory)
43 year old female presents to the clinic after fracturing her scaphoid from a FOOSH doing high knees at Orange Theory. Patient complains of diminished grip strength and difficulty lifting heavy items what functional exercise would you use to strengthen to improve ADLs.
Examples: farmers carries, ulnar/radial deviation with a weighted dowel... etc
The MCID for LEFS to argue the effectiveness of PT intervention.
What is an increase of 9 points
Newly retired female presents to the clinic with elbow pain she notices getting worse crocheting. The front desk has provided her the QuickDash questionnaire to assess her pain and limitation. She reports difficulty answering the recreational activity question because she does not feel her hobbies require force or impact through her UEs. How would you give a salient comparison that she can answer?
Example:
gardening, swimming, etc.
Example: seated functional reach, romberg EU/EC, Sharpened romberg, etc
Subjective: 11 year old boy presents to the clinic with complaints of elbow pain that has gradually gotten worse during his travel baseball team season. What functional questionnaire would monitor therapeutic progress for his condition?
What is QuickDash
You are treating a patient with a posterior-lat annular tear in her L/S and radicular symptoms into her glute and posterior thigh. Patient centrailizes with repeated extension. What functional activity would you recommend to the patient to continue management of symptoms at home.
What is walking around the block
The MCID for QuickDash to argue the effectiveness of PT intervention.
What is a decrease of 9.0-11.3%
12 year old male patient is trying to fill out the NDI prior to his eval. He comes to you asking how he should fill out the driving questions on the questionnaire. How would you make a salient comparison to assess the same movement. Be creative!
Example:
"do you have increased neck pain checking over your shoulder while riding your bike?"
86 year old female presents to the clinic reporting difficulty walking outside to her raised gardens beds. 1. What PROM should be used to evaluate confidence ambulating? 2. Which performance based outcome measure would you use to assess risk of falls?
1. Activities-specific Balance Confidence (ABC) Scale
2. Dynamic Gait Index
Subjective: 17 year old female soccer player presents to the clinic with complaints of severe and persistent calf pain after a rough club game over the weekend. Patient reports pain with WBing, tenderness to light palpation, and cold feet with tingling in her toes. Should you continue with treatment and name the functional questionnaire applicable? (two parts)
1. EMERGENCY REFERRAL to rule out compartment syndrome
2. What is LEFS