Geriatric Examination Tool Kit

Examination - Tool Kit.

Summary of available Reference values and Predictive values for some of the instruments below.


Activities-specific Balance Confidence - ABC

Arthritis Impact Measurement Scales 2 - AIMS2

Balance tests ... (static and dynamic)

Berg Balance Scale

BESTest - Balance Evaluation Sytems Test (and 2 modified versions)

Cardiovascular & Pulmonary ...
DVT, vitals, Borg, 6MW, SpO2, PFT, etc.

Cognition ...
Pain thermometer, PAINAD, GDS, etc.

Depression

Diabetes Impact Measurement Scale (DIMS)
Hammond GS, Aoki TT. (1991). Measurement of Health Status in Diabetic Patients: Diabetes Impact Measurement Scales. Diabetes Care, 15(4), 469-477.

Driving and Vision

Dynamic Gait Index - DGI

DVT - Deep Vein Thrombosis

Fall Screening tool: STEADI (Stopping Elderly Accidents, Deaths & Injuries)

Fatigue

Figure of 8 Walk Test

Five Times Sit-to-Stand (FTSS)

Four Square Step Test
DiteW.2002-Stepping and ChangeDirection-APMR_83. 1566-1571

Fullerton Advanced Balance scale (FAB)

Functional Gait Assessment - FGA

Functional Reach & Multidirectional Reach

Functional Outcomes / ADLs ...
SF-36, FSQ, Katz, Barthel, etc.

G-codes (recommended tests are listed on pages 6-7)
Section on Geriatrics Recommended Outcome Measures for Medicare Functional Limitation/Severity Reporting

Gait outcome measures ...

Gait Abnormality Rating Scale - modified (GARS-M)

Gait Speed (self-selected)

Hand Grip dynamometry: norms
Bohannon, R.W. (2007). Average Grip Strength: A Meta-Analysis of Data Obtained with a Jamar Dynamometer from Individuals 75 Years or More of Ages

History ...

Ipswitch Touch Test (foot sensation testing)

Kyphosis: Flexicurve spinal measurement

Manual Muscle Test - grading

Osteoporosis

O Sullivan Functional Balance scales (not validated)
O Sullivan, S.B. and Schmitz T.J. (2007). Physical rehabilitation: assessment and treatment (5th ed.). Philadelphia: F. A. Davis Company. p.254

Pain ... Faces, drawing, VAS, etc.

Parkinson's Disease: Functional Assessment tools

Physical Performance Test - PPT- modified - 9 item
Brown M. (2005)

Physical Performance Test - PPT - original - 7 item

Romberg: EC on compliant surface (vestibular): norms
Agrawal Y, Carey JP, Hoffman HJ, Sklare DA, Schubert MC. (2011). The modified Romberg Balance Test: normative data in U.S. adults. Otol Neurotol. 32(8):1309-11.

Saint Louis University mental status examination (SLUMS)

Semmes Weinstein monofilaments - foot sensation

Sensation testing (feet)

Short Physical Performance Battery (SPPB)

Single Limb Stance: normative values by decade:

Springer BA, Marin R, Cyhan T, Roberts H, Gill NW. (2007). Normative Values for the Unipedal Stance Test with Eyes Open and Closed. Journal of Geriatric Physical Therapy. Vol. 30:1, 8-15.

Bohannon RW. (2006). Single Limb Stance Times: A Descriptive Meta-Analysis of Data From Individuals at Least 60 Years of Age. Topics in Geriatric Rehabilitation 22(1), 70-77.
.

Sit and Rise from the Floor test

Sit to Stand:
     Five Times Sit to Stand
     30 second Sit to Stand

STEADI - tool for Fall Screening (Stopping Elderly Accidents, Deaths & Injuries)

Stroke: "StrokEDGE" outcome measures and psychometric properties

Tandem Stance norms (Sharpened Romberg), eyes open, eyes closed
Briggs RC, Gossman MR, Birch R, Drews JE, Shaddeau SA. (1989). Balance Performance Among Noninstitutionalized Elderly Women. Physical Therapy. 69(9) 748-756.

Should we offer support to get into tandem position? (Hile, 2012)

Timed Up & Go - TUG

Tinetti: Performance Oriented Mobility Assessment --POMA

Toe Tap Test  (& transfer scales)

Transfer Scales  (& toe tap test)

30 second Chair Stand Test
Rikli RE, Jones CJ (1999). Functional fitness normative scores for community residing older adults ages 60-94. Journal of Aging and Physical Activity, 7, 160-179.

2 minute Step Test
Rikli RE, Jones CJ (1999). Functional fitness normative scores for community residing older adults ages 60-94. Journal of Aging and Physical Activity, 7, 160-179.

Urinary Incontinence

Vision and Driving

Vestibular ...
CTSIB, Fukuda, MSQ, DGI, ABC, DHI, MFES, etc.

Didn't find the test you were looking for? Try these other databases:


Goodman, C.G. Snyder, T.E. (2013). Differential Diagnosis for Physical Therapists:
Screening for Referral. (5th ed.). St. Louis, MO: Saunders Elsevier. -- Appendices


Diagnostic Imaging for the Physical Therapist
by Darryl Hosford & Ken Hurd


By request:


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Prost E. (2014). Geriatric Examination Tool Kit.
University of Missouri, School of Health Professions,
Department of Physical Therapy

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Updated: Aug, 11 2014