As professionals, we need to establish if our clinical interventions are appropriate for the patient scenario in question. Therefore, a mechanism needs to be in place in order to guide us. There are two methods available to provide you with this guidance. The first method is to determine a key sign (or asterisk sign), such as lumbar flexion or step down from an 8-inch platform, which can be used as pretest. A post-test is then used to see if a measurable change in your patient has occurred. The second method is applying validated and standardized outcome tools that can be used to measure change. When using these tools, one has to consider at what point a change takes place and when a change is clinical significant. The research community has helped us in this effort by establishing validated MCID (minimal clinical important difference) values that we should use to evaluate our outcomes.
Below you will find a list of helpful outcome measures that you can use in the clinic. Click on the name of the tool and it will be presented in a PDF file.
|Berg Balance Scale||DASH||Fear Avoidance Beliefs Questionnaire|
|Headache Disability Index||LEFS||McGill Pain Questionnaire|
|Neck Disability Index||Oswestry Disability Index||Roland-Morris Disability Questionnaire|
|Sitting Assessment Scale||Upper Extremity Functional Scale||Visual Analogue Scale|
|WOMAC||Zung Self-Rating Depression Scale||Barthel ADL Scale|
|Katz Index of Independent Living||Patient Specific Functional Scale||Timed up and go test|
|Tinetti Balance assessment|