Functional Test Normative Data

1 540 S. College Ave., Suite 160. University of Delaware Newark, Delaware 19713. Ph: (302) 831-8893. Fax: (302) 831-4468. Functional Test Normative data 6 minute walk test Berg balance scale Purpose: Purpose: Assess static balance and fall risk in adults Assesses distance walked over 6 minutes as a submaximal Age Matched norms (Age/ M/ F). test of aerobic capacity/endurance 60-69 years/ 55 / 55. Age matched Norms: 70-79 years/ 54 / 53. 60- 69 yrs: M= 572 m ( ft) , F= 538 m ( ) 80-89 years / 53/ 50. 70-79 yrs: M= 527m (1729 ft), F=471 m ( ft) Normative data : OA Mean BBS score one week 90-89 yrs: M= 417 m ( ft), F = 392 m ( ft) postoperative = 34 (8); 5-7 weeks postoperatively = 50 (6). MCID MCID: not established COPD: 54 meters ( ft) MDC: Geriatrics and Stroke: 50 meters ( ft) Community Dwelling Older Adults - Age (MDC).

2 SCI: Overall - .10 m/s. Slow - .11 m/s. Fast - N/A 0-24 ( )/ 25-34 ( )/35-44 ( )/45-56 ( ). Stroke: m ( ft) Institutionalized Older Adults: 8 points MDC Parkinson's: 5 points Alzeihmer's disease: m ( ft) Acute Stroke: COPD: MDC= 54 m (177ft) o Entire Group: o Individuals who ambulate with assistance: Geriatrics: m ( ft). o Individuals with stand-by-assistance: Osteoarthritis: m ( ft). o Individuals who ambulate independently: Parkinsonism: 82 m (269 ft). Chronic Stroke: SCI: m (150ft) or 22% change Cut-Offs: Stroke: Chronic - m (120 ft) or 13% change. <45 (greater risk of falls). Subacute - m ( ft). History of falls and BBS 51 or no history of falls and BBS. FGA 42 predictive of falls (91% sensitivity, 82% specificity). Purpose: score 40 associated with almost 100% fall risk Assesses postural stability during various walking tasks Age matched Norms 80-83 years I 53/ 50.

3 40-49 years= 50-59 years= Stroke: 45/56. 60-69 years= years= 80/89 years= 5 times sit to stand test MCID: Vestibular disorders: 8 points Purpose MDC: Parkinsons: , Stroke: points Cut-offs: A measure of Functional lower limb muscle strength Community dwelling older adults May be useful in quantifying Functional change of 22/30 : predict falls (Sensitivity 85%, Specificity 86%) transitional movements MCID: Vestibular disorders: > or equal to seconds 20/30 (unexplained falls in the next 6 months). MDC: (Sensitivity 100%, Specificity 76%) Healthy adults: seconds Parkinson's 15/30 (identify fallers in Parkinson's) Stroke: seconds Children w/ CP: .06 (Average of three trials). 9 hole peg test Cut-offs: Community dwelling older adult: > or equal to 12 seconds Purpose: requires further assessment for falls risk Measure finger dexterity Age matched Norms Parkinson's: > 16 seconds (fallers).

4 Healthy adults Stroke: 12 seconds o All males seconds Vestibular: To identify balance dysfunction o All females: seconds o Entire sample: 13 sec MS: (Dominant side) seconds o Younger(< 60 years): 10 sec (Non-dominant side) seconds o Older(> 60 years): sec MCID: Not established MDC: Stroke: seconds Parkinson's disease: seconds for dominant; seconds for non-dominant hand Property of Delaware PT Clinic May be reproduced, as is, for clinical, educational, and research purposes. This Clinical Guideline may need to be modified to meet the needs of a specific patient. The model should not replace clinical judgment. 540 S. College Ave., Suite 160. University of Delaware Newark, Delaware 19713. Ph: (302) 831-8893. Fax: (302) 831-4468. 4 square step test Single leg Stance (seconds).

5 Purpose . Purpose: Assess balance on one limb Test of dynamic balance that clinically assesses the person's Age-matched norms: ability to step over objects forward, sideways, and Age male female backwards EO/EC EO/EC. Age matched Norms: 18-39 Acute stroke: seconds- seconds 40-49 Older adults/geriatrics: seconds (multiple fallers)/. 50-59 seconds (non-fallers). 60-69 Parkinson's: On Drug time: secs/ Off Drug time: 11 .02 70-79 secs 80-99 MCID: Not established MCID: Not established MDC: Not established MDC: Not established Cut off scores (for falls risk). Older adults/Geriatric: > 15 seconds DGI. Vestibular: > 12 seconds Purpose: Assess ability to modify balance while walking Transtibial amputations: >24 seconds at risk for falls MCID: Community dwelling elderly points Acute stroke: failed attempt or > 15 seconds MDC: Community dwelling elderly points Parkinson's disease: < seconds Cut-Offs: Community dwelling elderly <19.

6 10 MWT (m/s) MS <12. Purpose: Assess gait speed over a short duration Parkinson's <19. Age-matched norms: Preferred Timed Up and Go (seconds). Age male female Purpose: Assess mobility, balance, falls risk 20s Age-matched norms: 30s Age Male Female 40s 60-69 8 8. 50s 70-79 9 9. 60s 80-89 10 11. 70s MCID: not established Maximal MDC: 20s Chronic CVA( ). 30s Parkinson's( ). 40s Alzheimers ( ). 50s SCI ( ). 60s Falls risk cut-off: 70s Community dwelling adults > MCID: Older stroke >14s Geriatrics .13m/s Frail elderly > Stroke .14m/s LE amputees >19. SCI .06 m/s Parkinson's > TBI: Change is reflected in .15 and .25 m/s increase in Hip OA >10s comfortable and fast-faced walking speed respectively Vestibular disorders > MDC: Hip Fractures.

7 17 m/s Parkinson's Disease: Comfortable Gait Speed: .18 m/s. Fastest Gait Speed: .25 m/s SCI: Change of .13 m/s Cut-off scores: <.4m/s likely household ambulator . limited community ambulator >.8m/s community ambulator Property of Delaware PT Clinic May be reproduced, as is, for clinical, educational, and research purposes. This Clinical Guideline may need to be modified to meet the needs of a specific patient. The model should not replace clinical judgment. 540 S. College Ave., Suite 160. University of Delaware Newark, Delaware 19713. Ph: (302) 831-8893. Fax: (302) 831-4468. Functional Reach (inches) 30 second sit to stand test (#stands). Purpose: Assess pts stability with maximal reaching outside Purpose: Measure of Functional lower extremity strength in BOS older adults Age Matched norms (Age/ M/ F) Age-matched norms (Community Dwelling Elderly).

8 Age Males Females 60-69 14. 20-40 + + 70-79 41-69 + + 80-89 70-87 + + Cut-off scores: MCID: not established Age Male Female MDC: Diagnosis(MDC) 60-64 17 15. Parkinson's(9cm) 65-69 16 15. Stroke( ) 70-74 15 14. Likelihood of falling: 75-79 14 13. If unable to reach, 8x more likely 80-84 13 12. If reaches< 6", is 4x more likely 85-89 11 11. If reaches 6--1 0", 2x more likely 90-94 9 9. If reaches> 10", unlikely to fall MCID: for pts with hip OA MDC: not established Montreal cognitive Assessment (MOCA). Purpose: to screen for mild cognitive impairment MCID: Not established 5x sit to stand test (seconds). MDC: Not established Purpose: Measure of Functional lower extremity strength in Cut-off scores: older adults Healthy adults >26 Cut-off scores (fall risk): Mild Cognitive Impairment <26 Community dwelling older adults > 12s Alzheimer's <26 Recurrent falls >15s Parkinson's < Parkinson's >16s Stroke >12s Balance Error Scoring System Vestibular Disorders in Elderly (>60) >15s (BESS test) (# errors) MCID: for vestibular disorders MDC: elderly , stroke Purpose: Assess static postural stability (designed for mild head injury population).

9 Age-matched norms: Age Male Female 20-29 30-39 40-49 50-54 55-59 60-64 65-69 MCID: Young Athletes: 3 points MDC: Athletes: Intrarrater ( ), Interrater ( ). Property of Delaware PT Clinic May be reproduced, as is, for clinical, educational, and research purposes. This Clinical Guideline may need to be modified to meet the needs of a specific patient. The model should not replace clinical judgment.