station #1 – mobility a) timed up & go (podsiadlo ... · fpta annual conference continuing...

FPTA Annual Conference Continuing Education Module PTA Business Meeting September 28, 2013

Prepared by: J Osborne PT, DPT, GCS, CEEAA

Station #1 – Mobility

A) Timed Up & Go (Podsiadlo & Richardson 1991)

Requirements/procedure for the test:

Standard height chair (seat height 46 cm/18.1 in; arm height 65 cm/25.6 in) - chair placed against a solid wall

Pre-measured 3 m (9.84 ft) walkway from feet of chair to cone placed at end of walkway

Participant is to start with back to chair and arms on armrests May allow a practice trial Instruct as follows, “On ‘go’, stand and walk 3 m, turn around the cone

and return to the chair and sit with your back against the chair.” Use assistive device if needed Record time to complete the test

Equipment needed for test:

Standard height chair 3 m walkway (rolling measure) Cone Gait belt Stopwatch

Notes: __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________



B) 10 Meter Walk Test (Gait Speed) (Perera 2006)


Pre-measured 10 m (33.38 ft) walkway Mark the first 2 m (6.5 ft) and last 2 m with masking tape to allow for

acceleration and deceleration Time starts and stops when participant crosses 1st and 2nd 2 m mark

respectively Allow for 2 trials for best reliability Instruct participant to walk at comfortable (preferred) pace for 2 trials

then at fast pace for 2 trials. Use assistive device if needed Record time to complete the test Divide the distance (10 m) by time to complete: 10 m / “x” seconds = m/s


14 m walkway (rolling measure) Masking tape Gait belt Stopwatch

Time (s) Speed (m/s) Trial 1 preferred Trial 2 preferred Trial 1 fast Trial 2 fast Notes: __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________



C) Functional Gait Assessment (Wrisley 2004)


Pre-measured 6 m (20 ft) walkway with a marked width (12 in)


6 m walkway that is 12 in wide Stopwatch Shoe boxes Flight of stairs

1. GAIT LEVEL SURFACE 2. CHANGE IN GAIT SPEED 3. GAIT WITH HORIZONTAL HEAD TURNS 4. GAIT WITH VERTICAL HEAD TURNS 5. GAIT AND PIVOT TURN 6. STEP OVER OBSTACLE 7. GAIT WITH NARROW BASE OF SUPPORT 8. GAIT WITH EYES CLOSED 9. AMBULATING BACKWARDS 10. STEPS Measure is available at http://www.rehabmeasures.org/Lists/RehabMeasures/DispForm.aspx?ID=893

NOTES:_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

http://www.rehabmeasures.org/Lists/RehabMeasures/DispForm.aspx?ID=893



Station #2 – Balance

A) Four Square Step Test (Dite & Temple 2002)


Square formed with 4 straight canes (tips contacting each other) Participant stands in square 1, facing square 2 Instruct the participant to move through test in following sequence: 1-2-3-

4-1-4-3-2-1 Instruct the participant to complete the sequence as fast as possible

without touching the canes Both feet must make contact with the floor in each square The participant should face forward during the entire sequence. Allow for a practice trial. May repeat if the participant loses balance, makes an error in the

sequence or contacts a cane. The time starts when the first foot contacts square 1 and stops when the

second foot contacts square 1


4 canes Stopwatch Gait belt

Time (s) Trial 1 Trial 2 NOTES:___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

4

1 2

3



B) Functional Reach Test (Duncan 1990)


Participant is to stand with dominant acromion process at wall (mark height with masking tape)

Affix yardstick to wall at height of acromion and ensure yardstick is level Participant raises arm to 90 deg of shoulder elevation while standing

facing forward and feet a comfortable width apart Participant makes a fist and places the distal end of the 3rd metacarpal at

the “0” mark on the yard stick Instruct the participant to reach as far forward as possible, without losing

balance, touching the wall or taking a step. Record the distance. Perform 3 trials.


Yardstick Stick tack or double sided Velcro Gait belt

Distance (in) Trial 1 Trial 2 Trial 3

NOTES:_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________



C) Berg Balance Test (Berg 1989)


Large enough space for a transfer and static standing activities.


Stopwatch Ruler Chairs (2) Step stool (average height – 4 to 6 in) Gait Belt

1. Sitting to standing 8. Reaching forward with outstretched arm 2. Standing unsupported 9. Retrieving object from floor 3. Sitting unsupported 10. Turning to look behind 4. Standing to sitting 11. Turning 360 degrees 5. Transfers 12. Placing alternate foot on stool 6. Standing with eyes closed 13. Standing with one foot in front 7. Standing with feet together 14. Standing on one foot Measure is available at http://www.uwo.ca/actage/conferences/conference2012/Berg%20Balance%20Scale.pdf

NOTES:_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

http://www.uwo.ca/actage/conferences/conference2012/Berg%20Balance%20Scale.pdf



Station #3 – Muscle Performance & Aerobic Capacity

A) Chair Rise Test (Muscle Performance) (30 s – Rikli & Jones 2001); FTSS – Bohannon 2006)


Use a standard height chair (46 cm; 18.1 in) placed against the wall Instruct participant to cross arms over chest On “go” instruct the participant to stand and sit again

o As many times as possible in 30 seconds – record # o Five times – record seconds


Standard height chair Stopwatch Gait belt

B) Heel Rise Test (Muscle Performance) (Hislop 1995)


Instruct the participant to stand on non-dominant leg (participant may place hands on palms of the tester for balance)

Instruct participant to rise up on the forefoot (rate = 1x per 2 seconds) Record # of times up to 25 the participant can move through entire

available ROM* (*assess PF ROM first) Stop the test if participant:

o Pushes on tester’s hands o Flexes knee o PF range decreases more than 50% of initial range

Could test each leg independently for comparison

NOTES:_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________



C) 2 Minute Walk Test (Aerobic Capacity) (Leung et al 2006)


30 m indoor corridor (98.5 ft); a practice trial is permitted the day before Pre and post test vital signs Instruct the participant to walk as far as possible in 2 minutes No encouragement or talking during the test Allow for slowing down, stopping and a standing rest if needed Immediately rest after the test to take vital signs In addition to vital signs, measure distance walked during test


Pre-measured 30 m corridor Watch with a second hand (HR) or stopwatch BP cuff and sphygmomanometer Pulse oximeter Borg Rate of Perceived Exertion Scale Chair Gait belt

Date: Heart Rate Blood Pressure

Respiratory Rate

O2 Saturation

RPE

Pre-Test Post-Test Distance (m) Use of Device

Notes: __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________



D) Two Minute Step Test (Aerobic Capacity) (Rikli & Jones 2001)


Measure resting vital signs (HR, BP, RR) Participant stands perpendicular (with R shoulder close) to a wall

o Measure height of iliac crest – mark on wall with masking tape o Measure height of patella – mark on wall with masking tape o Measure the ½ way point between the tape and mark large

enough with masking tape so the participant can see it. Instruct the participant to raise each knee to the height of the halfway

mark for 2 minutes Score: # of times the R knee reaches the required height Allow for slowing down, stopping and a standing rest if needed Allow for light upper extremity assistance for balance if needed May give the participant feedback regarding how high they need to lift Immediately rest after the test to take vital signs


Wall Watch with a second hand (HR) or stopwatch BP cuff and sphygmomanometer Chair Masking tape Pen Measuring tape Gait belt

Date: Heart Rate Blood Pressure

Respiratory Rate

O2 Saturation

RPE

Pre-Test Post-Test Distance (m) Use of Device Notes: __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

station #1 – mobility a) timed up & go (podsiadlo ... · fpta annual conference continuing...

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