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Outcome Assessments

9/4/2013

1 Comment

 
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Outcome Assessments! In school we learned hundreds of different outcome measures: Measures for Fear Avoidance, Fall Risk, Disability, Quality of Life, and more. Everyone hears about them, but who actually uses them? According to a study by Jette et al, 48% of therapists used standard outcome measures. Personally, we thought this figure was slightly ambitious, but the even more unfortunate figure was that of the 52% of participants who did not use outcome measures, 49% stated they did not intend to incorporate them into their clinical practice in the future. Reasons for the lack of participation included the measures are too time consuming, too difficult for the patient to fill out individually, and too time consuming to analyze and calculate the results. 

While we do not agree with these excuses, we do understand the added workload in using certain Outcome Measures. Let's not focus on why we do not use them, but rather point our attention to why we should incorporate them more regularly. First, they can be an excellent tool to give the practitioner objective data that he/she can utilize in goal setting and prognosis. The assessment will paint a clinical picture of the patient's functional ability and open up communication between the PT and patient to discuss how the patient perceives his/her current status.
Second, payers want to see them! Even if you are not satisfied with using them, CMS for example is "recommending" that patients fill particular outcome measures that directly link to functional limitations. The guidelines with which we get reimbursed are becoming much more stringent. These assessments are an objective means of showing improvement. Whether you like it or not, our field is progressing to a pay-for-outcomes profession. Finally, if we ever expect to gain autonomy in clinical practice, we need to show consistent objective data that our treatments have a true impact on the patient's function. Currently there are several very sophisticated outcome measures, such as FOTO, that give you information about a patient's fear avoidance, expected number of visits, expected improvement, and more. We need to continue to use these measures to standardize practice! 

As we mentioned at the beginning, there are hundreds of different outcome assessment to choose from. Memorizing them would not be beneficial. Rather you should know where to find them and how to interpret them. The following are two great resources that give you access to a number of familiar (and some unfamiliar) assessments you are likely to encounter. 

Rehabmeasures.org

Physio-pedia.com

1 Comment
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7/18/2022 07:45:42 am

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  • Home
  • About Us
  • Insider Access
    • About Insider Access
  • Online Courses
    • Hooper's Knee
    • Physical Therapist Entrepreneur Course
    • Physical Therapist Consultant Course
    • Orthopedic Management of the Cervical Spine
    • Return to Sport Essentials Course
  • Resources
    • Newsletter
    • Business Minded Sports Physio Podcast
    • Day in the Life of a Sports PT
    • Residency Corner
    • Special Tests >
      • Cervical Spine >
        • Alar Ligament Test
        • Bakody's Sign
        • Cervical Distraction Test
        • Cervical Rotation Lateral Flexion Test
        • Craniocervical Flexion Test (CCFT)
        • Deep Neck Flexor Endurance Test
        • Posterior-Anterior Segmental Mobility
        • Segmental Mobility
        • Sharp-Purser Test
        • Spurling's Maneuver
        • Transverse Ligament Test
        • ULNT - Median
        • ULNT - Radial
        • ULNT - Ulnar
        • Vertebral Artery Test
      • Thoracic Spine >
        • Adam's Forward Bend Test
        • Passive Neck Flexion Test
        • Thoracic Compression Test
        • Thoracic Distraction Test
        • Thoracic Foraminal Closure Test
      • Lumbar Spine/Sacroiliac Joint >
        • Active Sit-Up Test
        • Alternate Gillet Test
        • Crossed Straight Leg Raise Test
        • Extensor Endurance Test
        • FABER Test
        • Fortin's Sign
        • Gaenslen Test
        • Gillet Test
        • Gower's Sign
        • Lumbar Quadrant Test
        • POSH Test
        • Posteroanterior Mobility
        • Prone Knee Bend Test
        • Prone Instability Test
        • Resisted Abduction Test
        • Sacral Clearing Test
        • Seated Forward Flexion Test
        • SIJ Compression/Distraction Test
        • Slump Test
        • Sphinx Test
        • Spine Rotators & Multifidus Test
        • Squish Test
        • Standing Forward Flexion Test
        • Straight Leg Raise Test
        • Supine to Long Sit Test
      • Shoulder >
        • Active Compression Test
        • Anterior Apprehension
        • Biceps Load Test II
        • Drop Arm Sign
        • External Rotation Lag Sign
        • Hawkins-Kennedy Impingement Sign
        • Horizontal Adduction Test
        • Internal Rotation Lag Sign
        • Jobe Test
        • Ludington's Test
        • Neer Test
        • Painful Arc Sign
        • Pronated Load Test
        • Resisted Supination External Rotation Test
        • Speed's Test
        • Posterior Apprehension
        • Sulcus Sign
        • Thoracic Outlet Tests >
          • Adson's Test
          • Costoclavicular Brace
          • Hyperabduction Test
          • Roos (EAST)
        • Yergason's Test
      • Elbow >
        • Biceps Squeeze Test
        • Chair Sign
        • Cozen's Test
        • Elbow Extension Test
        • Medial Epicondylalgia Test
        • Mill's Test
        • Moving Valgus Stress Test
        • Push-up Sign
        • Ulnar Nerve Compression Test
        • Valgus Stress Test
        • Varus Stress Test
      • Wrist/Hand >
        • Allen's Test
        • Carpal Compression Test
        • Finkelstein Test
        • Phalen's Test
        • Reverse Phalen's Test
      • Hip >
        • Craig's Test
        • Dial Test
        • FABER Test
        • FAIR Test
        • Fitzgerald's Test
        • Hip Quadrant Test
        • Hop Test
        • Labral Anterior Impingement Test
        • Labral Posterior Impingement Test
        • Long-Axis Femoral Distraction Test
        • Noble Compression Test
        • Percussion Test
        • Sign of the Buttock
        • Trendelenburg Test
      • Knee >
        • Anterior Drawer Test
        • Dial Test (Tibial Rotation Test)
        • Joint Line Tenderness
        • Lachman Test
        • McMurray Test
        • Noble Compression Test
        • Pivot-Shift Test
        • Posterior Drawer Test
        • Posterior Sag Sign
        • Quad Active Test
        • Thessaly Test
        • Valgus Stress Test
        • Varus Stress Test
      • Foot/Ankle >
        • Anterior Drawer
        • Calf Squeeze Test
        • External Rotation Test
        • Fracture Screening Tests
        • Impingement Sign
        • Navicular Drop Test
        • Squeeze Test
        • Talar Tilt
        • Tarsal Tunnel Syndrome Test
        • Test for Interdigital Neuroma
        • Windlass Test