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).

3 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. 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.

4 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). 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.

5 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). 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.

6 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. 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.

7 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: .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.

8 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). 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.

9 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).

10 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.