Balance and Mobility Screening - Ohio Public Health Association平衡和流动性筛选-俄亥俄州公共卫生协会.ppt

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2017-09-03 发布于江西
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Balance and Mobility Screening - Ohio Public Health Association平衡和流动性筛选-俄亥俄州公共卫生协会.ppt

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Balance and Mobility Screening - Ohio Public Health Association平衡和流动性筛选-俄亥俄州公共卫生协会

Possible solution A good many patients need ongoing and continued maintenance support following discharge from skilled PT. Mobility coaches? PT students, nursing students, exercise science students, etc. Paid at a fraction of that charged for a licensed therapist plus office overhead Trained and supervised by PT Communication to PT or PCP if problems or decline noted Questions Mechanism for payment? Liability issues? Outcomes? Balance and Mobility Screening Tri-County Rehabilitation Canfield’s Little Clinic with BIG Results Bruce Weston PT, DPT, OCS Purpose In accordance with American Geriatric Society recommendations: Provide an ongoing screening tool to monitor fall risk and level of mobility for older adults in our community. Determine those older adults in need of a more extensive multifactorial fall risk assessment. Recognize those older adults in need of specific interventions to decrease their fall risk and improve their ADL mobility and safety. Criteria for screening Individuals 65 and older, referred to Tri-County Rehabilitation for any condition will be offered a complimentary screen of their balance and mobility. A summary will be forwarded to their PCP, with their permission. Other individuals 65 and older may be screened at a $20.00 charge with results forwarded to their PCP. Components of the screen Short Physical Performance Battery (SPPB) Gait Speed Activity-Specific Balance Confidence (ABC) Scale 1. ) Short Physical Performance Battery (SPPB) A short screen of balance, gait speed, and lower extremity strength. The total possible score is 12. Scores 10 are predictive of fall risk in older adults. 2.) Gait Speed Computed over a 4 meter to 15 foot (4.57 meter) course. Shown to be a predictor of life expectancy and nursing home admission. Slower times are sensitive and specific for predicting falls in alder adults, with a cut off of 0.57 m/sec for recurrent falls Gait Speed and Life ExpectancyStudenski S, et al. Gait Speed and Sur