Outcome Measure in Neurological Physiotherapy

Disini saya senaraikan outcome measures yang boleh digunakan semasa clinical posting.

1. Standing Balance Tests
   - Timed Static Standing Tests
   - Clinical Test of Sensory Interaction of Balance
   - Functional Reach
   - Lateral Reach
   - Step Test
   - Pastor, Day and Marsden Test
2. Functional Performance Tests
   - Timed Up and Go
   - Timed 10 metre walk – calculation of gait parameters (velocity, stride length and cadence)
3. Composite Functional Performance Scales
   - The Modified Elderly Mobility Scale
   - Motor Assessment Scale
   - The Clinical Outcome Variables scale (COVS)
   - Berg Balance scale
   - Functional Independence Measure (FIM)
   - Disability Rating Scale (DRS)
   - Glasgow Outcome Scale

bergantung dimana anda praktikal, bukan semua outcome measures perlu diguna pakai untuk seorang pesakit. Bergantung kepada assessment of impairement (muscle tone, reflexes, movement, muscle strength). Sebagai contoh, if patient tu duduk pun tak boleh lagi, apa tah lagi berdiri so korang tak perlu susah susah nak pakai berg balance scale. cukup untuk menggunakan good, fair and poor.

Brachial plexus injury

A 25 year old female sustained lacerations to the right side of her neck when she fell from a table about 2m from the ground on to broken glass. She sustained lacerations to her subclavian, vertebral and internal jugular veins and ruptured C5 and C6
The injuries to the veins were successfully tied and treated. The nerve of C5 and C6 level were repaired by nerve grafts. Her arm was immobilized in a sling for 4 weeks. Active hand, wrist and finger movements were encouraged. After 4 weeks the patient was admitted for a week of rehabilitation

Main problems

-Reduced function and ROM in shoulder and elbow
-Adhered scar on right side of neck and volar side of elbow which restricted neck and elbow ROM
-Reduced grip strength in right hand and triceps grade 2 MRC
-Poor postural awareness of shoulder/arm alignment
-Reduced balance and core stability

QUESTIONS

1. Explain physiotherapy goals for this patient
2. Explain physiotherapy intervention for this patient

Wheelchair skill-paraplegia

Video ini diambil di HKL. Kat sana memang aktif dengan spinal cord injury rehabilitation. Ada kenalan email kat saya. So korang boleh tengok apa yang SCi patient patut achieve.