Trunk rehabilitation
Clinical outcome measures (OM)
Introduction
Outcome measures tell us:
1. Deficit.
2. Prediction.
3. Effectiveness → i.t.t. assessment = overview of deficit.
Why using OM:
Taking account of the patient’s problems, a published, standardized, valid,
reliable and responsive outcome measure is used to evaluate the change in
the patient’s problem.
Trunk control test
1. Inhoud:
Rolling to paretic/most affected side.
Rolling to non-paretic/less affected side.
Sitting for 30 sec with pushing.
From supine to sitting.
2. Scoring from 0 - 100.
Each item:
→ 0: not able to perform
→ 12: able with compensations
→ 25: normal
Trunk rehabilitation 1
, Measurements
Trunk impairment scale (Leuven).
❗ Includes trunk stability AND selective movements.
→ Pelvic girdle and shoulder girdle.
3 subscales:
1. Static sitting balance.
→ Sitting and with progression knee crossed.
→ Not important to hold, but to see compensations.
2. Dynamic sitting balance.
→ Shoulder girdle: elbow to the table.
→ Pelvic girdle: lift up one ass-cheek.
3. Coordination.
→ Rotation lower part and keeping higher part still.
→ Rotation higher part and keeping lower part still.
Score between 0 - 23.
→ The higher the better.
Trunk impairment scale (Fujiwara).
7 items:
1. Perception trunk verticality.
→ Saying when they think they are vertical.
2. Trunk rotation muscle strength on the affected side.
3. Idem but inaffected side.
4. Righting reflex on the affected side.
→ They need to come upright (not vertical).
5. Idem but unaffected side.
Trunk rehabilitation 2
Clinical outcome measures (OM)
Introduction
Outcome measures tell us:
1. Deficit.
2. Prediction.
3. Effectiveness → i.t.t. assessment = overview of deficit.
Why using OM:
Taking account of the patient’s problems, a published, standardized, valid,
reliable and responsive outcome measure is used to evaluate the change in
the patient’s problem.
Trunk control test
1. Inhoud:
Rolling to paretic/most affected side.
Rolling to non-paretic/less affected side.
Sitting for 30 sec with pushing.
From supine to sitting.
2. Scoring from 0 - 100.
Each item:
→ 0: not able to perform
→ 12: able with compensations
→ 25: normal
Trunk rehabilitation 1
, Measurements
Trunk impairment scale (Leuven).
❗ Includes trunk stability AND selective movements.
→ Pelvic girdle and shoulder girdle.
3 subscales:
1. Static sitting balance.
→ Sitting and with progression knee crossed.
→ Not important to hold, but to see compensations.
2. Dynamic sitting balance.
→ Shoulder girdle: elbow to the table.
→ Pelvic girdle: lift up one ass-cheek.
3. Coordination.
→ Rotation lower part and keeping higher part still.
→ Rotation higher part and keeping lower part still.
Score between 0 - 23.
→ The higher the better.
Trunk impairment scale (Fujiwara).
7 items:
1. Perception trunk verticality.
→ Saying when they think they are vertical.
2. Trunk rotation muscle strength on the affected side.
3. Idem but inaffected side.
4. Righting reflex on the affected side.
→ They need to come upright (not vertical).
5. Idem but unaffected side.
Trunk rehabilitation 2
