Outcome measures in neurological physical therapy practice: Part II. A patient-centered process

Jane E Sullivan, A. Williams Andrews, Desiree Lanzino, Aimee Peron, Kirsten A. Potter

Research output: Contribution to journalArticlepeer-review

20 Scopus citations

Abstract

Physical therapists working in neurological practice must make choices about which standardized outcome measures are most appropriate for each patient. Significant time constraints in the clinic limit the number of measures that one can reasonably administer. Therapists must choose measures that will provide results that guide the selection of appropriate interventions and are likely to show clinically meaningful change. Therefore, therapists must be able to compare the merits of available measures to identify those that are most relevant for each patient and setting. This article describes a process for selecting outcome measures and illustrates the use of that process with a patient who has had a stroke. The link between selecting objective outcome measures and tracking patient progress is emphasized. Comparisons are made between 2 motor function measures (the Fugl-Meyer Assessment [FMA] of Physical Performance vs the Stroke Rehabilitation Assessment of Movement), and 2 balance measures (Berg Balance Scale vs the Activities-specific Balance Confidence Scale). The use of objective outcome measures allows therapists to quantify information that previously had been described in subjective terms. This allows the tracking of progress, and the comparison of effectiveness and costs across interventions, settings, providers, and patient characteristics.

Original languageEnglish (US)
Pages (from-to)65-74
Number of pages10
JournalJournal of Neurologic Physical Therapy
Volume35
Issue number2
DOIs
StatePublished - Jun 1 2011

Keywords

  • examination
  • outcome measures therapy
  • stroke

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation
  • Clinical Neurology

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