1.3 Standardized Tests and Analyses

1.3      Standardized Tests and Analyses

Definition: The use of standardized scales and tests to establish a quantifiable rating of the patient’s ability or presentation.  This data is initially used to formulate and justify prosthetic /orthotic treatment, and subsequently to measure change. Basic knowledge of all of these measures are assumed and used to justify treatment(s). However, it is not assumed that the Prosthetist/Orthotist is responsible for implementing all the procedures listed below.

Code Procedure Description
1 Range of motion

 

Evaluate passive/active range of motion (ROM) of anatomical joints. Compare with normal standards.
2 Manual muscle testing

 

Evaluate muscle strength using standardized manual muscle rating scale.
3 Anthropometric measurements

 

Obtain appropriate anthropometric data using simple measurements, digital photography, or laser imaging.  May include measurements such as length, diameter, circumference, weight, height, leg length discrepancy, and varus/valgus angulation.
4 Joint stability

 

Evaluate joint stability. Compare with normal standards.
5 Edema

 

Evaluate edema using preferred scale.
6 Wound evaluation and classification

 

Evaluate wound and classify using preferred scale e.g. Bates Jensen Wound Assessment Tool (BWAT) Pressure Ulcer Scale for Healing (PUSH) Wagner Scale, Carville scale.
7 Sensory testing

 

Evaluate patient for sensory perception using monofilament testing, vibration testing and dermatome levels.
8 Frailty Scale

 

Evaluate frailty using preferred scale e.g. FI-GCA frailty index
9 Balance Scale

 

Evaluate balance using preferred scale e.g. Berg balance scale
10 Cognition

 

Evaluate cognitive level using preferred scale e.g. Abbreviated Mental Test (AMT) and the Folstein Mini-Mental State Examination (MMSE).
11 Independence Scale

 

Evaluate level of independence using preferred scale.
12 Functional Scale

 

 

Evaluate level of function using preferred scale e.g. Timed-Up-and-Go Test, Two Minute Walk Test, Functional Independence Measure (FIM)
13 Myo/EMG testing

 

Locate and evaluate, using Electromyograph (EMG), the quality of residual limb electrical signal sites to determine potential for treatment using myoelectric prosthesis/orthosis.
14 Falls risk

 

Evaluate patient for risk of falling using preferred scale
15 Emotional stability

 

Evaluate patient for emotional stability
16 Pain

 

Evaluate patient for levels of pain using preferred scale e.g. Visual Analogue Scale, Wong-Baker Faces Pain Rating Scale for Children
17 Activities of Daily

Living (ADL)

 

Evaluate patient for level of function in Activities of Daily Level (ADL) using preferred scale.
18 Depression Evaluate patient for depression using preferred scale e.g. Yesavage Geriatric Depression Scale; Hamilton Rating Scale for Depression
19 Skin colour matching By visual inspection or digital photography, compare skin colour of patient with sample colour swatches for purposes of accurate anatomical matching.
20 Center of pressure Evaluate laser weight-line projection relative to anatomical and mechanical joints in sagittal and frontal plane
21 Force sensor assessment Evaluation of force sensor data to determine forces acting between the interface and the patient.
22 Mobility Scale FMS functional mobility scale: (5;50;500 m walking distance with noted mobility aid) Timed up and go results Functional Mobility Scale (FMS), Ambulatory Status classified as Volpicelli et al 1987
23 Diagnostic imaging Diagnostic imaging: interpreting the reports from x-rays, bone scan, MRI, CT with application to prosthetic and/or orthotic treatment. Identify underlying anomalies not clinically apparent.

 

24 Neuro testing Locate and evaluate, using neuro stimulators, the quality electrical signal sites on the limb to determine potential for treatment using neuro stimulation prostheses/ orthoses.
25 Reflexes Test specific reflex or trigger points
26 Proprioception Test patient’s perception of position of body segment in space.
27 Respiratory function Test oxygen saturation levels

Member Feedback

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out /  Change )

Google+ photo

You are commenting using your Google+ account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s