10-Meter Walk Test (10MWT)
|
|
https://www.sralab.org/rehabilitation-measures/10-meter-walk-test |
adults, cerebal palsy (CP), hip fracture, stroke (CVA), acute stroke, subacute stroke, chronic stroke, multiple sclerosis (MS), traumatic brain injury (TBI), neuromuscular disorders, spinal cord injury (SCI), postural orthostatic tachycardia syndrome (POTS) |
Free |
No training |
5 minutes |
The 10 Meter Walk Test is a performance measure used to assess walking speed in meters per second over a short distance. It can be employed to determine functional mobility, gait, and vestibular function. |
acute care, inpatient rehab, skilled nursing facility (SNF), outpatient rehab, home health |
|
|
12-Short Form Health Survey
|
|
https://orthotoolkit.com/sf-12/ |
adult rehab, stroke |
Free |
Read instructions |
5-10 minutes |
The SF-12 is a self-reported outcome measure assessing the impact of health on an individual's everyday life. It is often used as a quality of life measure. |
outpatient, community |
|
|
30-Second Chair Stand
|
|
https://www.cdc.gov/steadi/pdf/STEADI-Assessment-30Sec-508.pdf |
adults, arthritis, joint conditions, geriatrics |
Free |
Read Instructions |
30 seconds |
The test leg strength and endurance |
home health, outpatient rehab, skilled nursing facility (SNF) |
|
36-Short Form Health Survey (SF-36)
|
|
https://www.rand.org/health-care/surveys_tools/mos/36-item-short-form/survey-instrument.html |
adults, brain injury (BI), cancer (CA), geriatrics, non-specific populations, Parkinson's disease (PD), spinal cord injury (SCI), stroke (CVA), acute stroke, subacute stroke |
Free |
Read instructions |
10+ minutes |
The SF-36 is a 36-item scale constructed to survey health status and quality of life (Ware & Sherbourne, 1992). The SF-36 assesses eight health concepts: limitations in physical activities because of health problems; limitations in social activities because of physical or emotional problems; limitations in usual role activities because of physical health problems); bodily pain; general mental health (psychological distress and well-being); limitations in usual role activities because of emotional problems; vitality (energy and fatigue); and general health perceptions. |
chronic care, subacute, skilled nursing facility (SNF), outpatient rehab |
|
|
6-Minute Walk Test (6MWT)
|
|
https://www.thoracic.org/statements/resources/pfet/sixminute.pdf |
adults, pediatrics (2+ years), pulomnary conditions, arthritis or joint conditions, multiple sclerosis (MS), chronic pain, postural orthostatic tachycardia syndrome (POTS), ehlers danlos syndrome (EDS) or neuro, stroke (CVA), acute stroke, subacute stroke, chronic stroke |
Free |
Reading guidelines |
less than 10 minutes |
This test measures the distance a person can walk in 6 minutes along a straight path in a hallway. It measures aerobic capacity. It can also look at oxygen desaturation when used with a pulsox, and is often used in conjuction with the Borg scale. |
Inpatient rehab, Outpatient rehab |
|
|
9-Hole Peg Test
|
|
https://www.amazon.com/Jamar-9-Hole-Wooden-Pegboard/dp/B07GL79W9Z |
adults, stroke (CVA), subacute stroke, chronic stroke, multiple sclerosis (MS), Parkinson's disease (PD), neuromuscular disorders |
$30 |
No training |
1-3 minutes |
The 9-HPT is a brief, standardized, quantitative test of upper extremity function. Both the dominant and non-dominant hands are tested twice. The patient is seated at a table with a shallow container holding nine pegs and a wood or plastic block containing nine empty holes. On a start command when a stopwatch is started, the patient picks up the nine pegs one at a time as quickly as possible, puts them in the nine holes, and, once they are in the holes, removes them again as quickly as possible one at a time, replacing them into the shallow container. The total time to complete the task is recorded. Two consecutive trials with the dominant hand are immediately followed by two consecutive trials with the non-dominant hand. |
acute care, inpatient rehab, skilled nursing facility (SNF), outpatient rehab, home health, hand therapy |
|
|
Aberrant Behavior Checklist- 2 (ABC-2)
|
|
https://www.stoeltingco.com/aberrant-behavior-checklist-second-ed-abc-2.html |
intellectual disabilities, autism spectrum disorder (ASD), fragile X syndrome (FXS), children, adolescents, adults |
$163 |
Read manual |
10-15 minutes |
Symptoms of various behavioral categories typically associated with intellectual disabilities, behavioral impacts of different environments |
mental health |
|
|
ABILHAND
|
|
https://www.sralab.org/rehabilitation-measures/abilhand |
stroke (CVA), chronic stroke, rheumatic disease, neuromuscular conditions, multiple sclerosis (MS), limb loss/amputation, limb deficiency, cerebral palsy (CP), arthritis |
Free |
No training |
10-30 minutes |
The measure consists of 23 items assessing common bimanual activities of daily living. Each item is scored from 0=impossible, 1=difficult, and 2=easy. |
chronic |
|
ABILHAND-Kids
|
|
https://www.rehab-scales.org/scale/abilhand-kids |
pediatrics, cerebral palsy (CP) |
Free |
Read manual |
10 minutes |
ABILHAND-Kids is a measure of manual ability for children with upper limb impairments. The scale measures a person's ability to manage daily activities that require the use of the upper limbs, whatever the strategies involved. It has been validated for use in children with cerebral palsy (ages 6-15). |
outpatient rehab |
|
|
Action Research Arm Test (ARAT)
|
|
https://www.aratkits.com/buy |
adults, brain injury (BI), multiple sclerosis (MS), stroke (CVA), acute stroke, subacute stroke, chronic stroke |
$875 |
No training |
5-15 minutes |
The ARAT consists of 19 items that are grouped into four subtests: grasp, grip, pinch, and gross movement. All items are rated on a 4-point ordinal scale ranging from 0 (no movement possible) to 3 (normal performance of the task). The subtest scores vary according to the number of items performed in each subtest. |
outpatient rehab, inpatient rehab, hand therapy |
|
|
Activity Card Sort (ACS)
|
|
https://myaota.aota.org/shop_aota/product/1247 |
adults, brain injury (BI), cancer rehab, multiple sclerosis (MS), parkinson's disease (PD), spinal cord injury (SCI), stroke (CVA), chronic stroke |
$112 |
Read manual |
60 minutes |
The ACS is the only assessment available that measures the full range of activities that adults do and includes 20 instrumental activities, 35 low-physical-demand leisure activities, 17 high-physical-demand leisure activities, and 17 social activities. It also reflects the client's level of engagement with each activity and whether or not that activity has been discontinued, guiding the clinician to find out why. |
geriatrics |
|
|
Activity Measure for Post-Acute Care
|
|
http://am-pac.com/ |
Post-acute care, cancer |
$208/year |
Read instructions |
5 minutes |
The AM-PAC® is a comprehensive and precise point-of-care assessment of patient-related functional outcomes for settings where acute and/or post acute care is being provided. |
acute, outpatient, inpatient, home health |
Addenbrooke’s Cognitive Examination (ACE-III or ACE-R) - (The Short Form)
|
|
https://www.sydney.edu.au/brain-mind/resources-for-clinicians/dementia-test.html |
adults, geriatrics, dementia, Alzheimer's disease, Parkinson's disease (PD), stroke (CVA), subacute stroke |
Free |
Read instructions |
15-20 minutes |
Level of cognitive impairment. Generally used to diagnose dementia symptoms. Should be administered by skilled medical professional |
outpatient rehab, skilled nursing facility (SNF) |
|
|
Adolescent/Adult Sensory Profile
|
|
https://www.pearsonassessments.com/store/usassessments/en/Store/Professional-Assessments/Motor-Sensory/Adolescent-Adult-Sensory-Profile/p/100000434.html |
adults, sensory differences, intellectual disability |
181 |
Read Manual |
10-20 minutes |
Adolescent/Adult Sensory Profile® helps measure sensory processing patterns and effects on functional performance. An individual answers questions regarding how he or she generally responds to sensations, as opposed to how he or she responds at any given time. |
outpatient, schools, community |
Agitated Behaviors Scale-Modified
|
|
https://www.tbims.org/combi/abs/index.html |
adults, brain injury, Alzheimer's, dementia |
Free |
Reading guidelines |
30 minutes |
This observational tool is used to assess agitation in the acute phase following brain injury, and is meant to be used in a serial fashion. |
Inpatient neuro rehab, Long term care or nursing homes |
|
|
AIR Self-Determination Assessment
|
|
https://www.ou.edu/education/zarrow/resources/assessments |
students |
Free |
Read manual |
10-20 minutes |
The AIR Self-Determination Scale measures two broad self-determination components: 1.) capacity refers to the student's knowledge, abilities, and perceptions that enable them to be self-determined and 2.) opportunity refers to the student's chances to use their knowledge and abilities. |
schools |
Alberta Infant Motor Scale (AIMS)
|
|
https://www.amazon.com/Motor-Assessment-Developing-Infant-Martha/dp/0323760570/ |
pediatrics, infants (0-18 mo.) with possible motor delay |
50 |
Read book |
Unknown |
Used to assess the maturation of gross motor skills of infants in the first 18 months post-term. |
early intervention, NICU |
|
Allen Cognitive Level Screen
|
|
https://www.therapro.com/Allen-Cognitive-Level-Screen-5_10.html |
cognitive impairments, stroke (CVA), subacute stroke, chronic stroke |
Approx $150 |
Read manual |
20 minutes |
The ACLS assesses an individual’s motor movements following basic instruction (3.0), as well as one’s performance in skill acquisition (up to 5.8). Test administrator instructs the participant to complete three basic stitching patterns using leather, lace, and a leather lacing tool. Participant must complete three tasks. |
subacute, chronic |
|
All occupational therapy clients, sleep difficulties
|
|
https://www.aota.org/~/media/Corporate/Files/Practice/Manage/Documentation/AOTA-Occupational-Profile-Template.pdf |
All occupational therapy clients |
Free |
Read Instructions |
30 minutes to 1 hour |
The AOTA occupational profile is a summary of the client’s occupational history and experiences, patterns of daily living, interests, values, needs, and relevant contexts. |
All settings |
|
AlphaFIM
|
|
https://www.corhealthontario.ca/03-OSN-Backgrounder-AlphaFIM-August-21-2014.pdf ; https://udsmrweb.udsmr.org/AlphaFIM2019 |
adults, geriatrics, multiple sclerosis (MS), orthopedics, spinal cord injury (SCI), stroke (CVA), acute stroke, traumatic brain injury (TBI), intellectual disability |
License required |
Read manual |
Approx 5 minutes |
6 items assessing of motor (eating, grooming, bowel management and toilet transfers) and cognitive (expression and memory) function, which can be reliably collected in acute care. For patients who are able to walk 150 feet or more, eating and grooming items are replaced by items evaluating walking and bed transfer. |
acute |
|
American Spinal Cord Injury Association (ASIA) Impairment Scale
|
|
https://www.physio-pedia.com/American_Spinal_Cord_Injury_Association_(ASIA)_Impairment_Scale |
adults, spinal cord injury (SCI) |
Free |
Read instructions |
10-60 min |
The International Standards for Neurological Classification of Spinal Cord Injury (ISNCSCI), commonly referred to as the ASIA Exam, was developed by the American Spinal Injury Association (ASIA) as a universal classification tool for spinal cord injuries based on a standardized sensory and motor assessment.
It involves both a Motor and Sensory examination to determine the Sensory Level and Motor Level for each side of the body (Right and Left), the single Neurological Level of Injury (NLI) and whether the injury is Complete or Incomplete. |
acute, inpatient |
|
|
ARC Self-Determination Scale
|
|
https://www.sralab.org/rehabilitation-measures/arcs-self-determination-scale |
school aged children, autism, intellectual disability |
Free |
None |
15-30 min |
The Arc’s Self-Determination Scale measures four unique characteristics of self-determination: autonomy, self-regulation, psychological empowerment, and self-realization. This measure is designed to identify students’ strengths and limitations related to self-determination and determine what factors either contribute to or inhibit self-determination outcomes. |
pediatrics, schools, outpatient |
Arm Motor Ability Test
|
|
https://www.aratkits.com |
stroke (CVA), subacute stroke, chronic stroke |
875 |
Read manual |
45 minutes |
Arm function evaluated by functional ability and quality of movement; test involves performance of 28 tasks (eating with a spoon, opening a jar, tying a shoelace, using the telephone) |
subacute, chronic |
|
Armstrong Neurodiversity Strengths Checklist
|
|
https://www2.montgomeryschoolsmd.org/siteassets/district/departments/special-education/events/neurodiversity-strengths-checklist.pdf |
school aged children, autism |
Free |
None |
5 min |
The following is a 165-item inventory. Go through this list and check any item that applies to your child/teen. You might even want to go through it with them (sometimes a child or teen will know their strengths better than the adults around them). |
pediatrics, schools, outpatient |
|
Arnadottir Occupational Therapy Neurobehavioral Evaluation
|
|
https://strokengine.ca/en/assessments/arnadottir-ot-adl-neurobehavioural-evaluation-a-one/ |
stroke (CVA), subacute stroke, chronic stroke, dementia, Alzheimer's disease, neurological disorder |
Available in textbook ($36.95) |
|
25 minutes |
Evaluates apraxias, neglect syndromes, body scheme disorders, organization or sequencing dysfunction, agnosias, and spatial dysfunction via basic activities of daily living and mobility tasks directly correlates impairment and disability levels of dysfunction. |
subacute |
|
Ask Suicide-Screening Questions (ASQ) Toolkit
|
|
https://www.nimh.nih.gov/research/research-conducted-at-nimh/asq-toolkit-materials |
Adults/Youth |
Free |
Read Instructions |
20 seconds |
The Ask Suicide-Screening Questions (ASQ) tool is a brief validated tool for use among both youth and adults. The Joint Commission approves the use of the ASQ for all ages. Additional materials to help with suicide risk screening implementation are available in The Ask Suicide-Screening Questions (ASQ) Toolkit, a free resource for use in medical settings (emergency department, inpatient medical/surgical units, outpatient clinics/primary care) that can help providers successfully identify individuals at risk for suicide . The ASQ toolkit consists of youth and adult versions as some of the materials take into account developmental considerations. |
Outpatient, Inpatient, Home Health, Community |
Assessment, Evaluation, and Programming System for Infants and Children
|
|
https://brookespublishing.com/product/aeps/ |
pediatrics (birth to 6 years) |
499 |
Read guide |
Varies |
Development of young children in eight major areas: fine motor, gross motor, adaptive, social-emotional, social-communication, cognitive, literacy, and math |
early intervention |
Assessment of Communication and Interaction Skill (ACIS)
|
|
https://moho-irm.uic.edu/productDetails.aspx?aid=1 |
adults, intellectual disability |
40 |
Read Manual |
Unknown |
By providing a structured way to view communication and interaction, occupational therapists can use the ACIS with clients to identity areas of strength and habits interfering with effective interaction. Specific communication and interaction skills, such as gesturing, focusing, and respecting, can be practiced to facilitate participation in meaningful occupations and valued social groups. |
outpatient, schools, community |
Assessment of Learning Powered Mobility
|
|
https://www.lisbethnilsson.se/en/alp-tool/ |
adults, intellectual disability, powered mobility |
Free |
Read Instructions |
5 minutes |
Collaboration by two grounded theory researchers, who each had developed a learning continuum instrument, led to the emergence of a new tool for assessment of learning powered mobility use. |
snf, community, outpatient |
Assessment of Life Habits (LIFE-H)
|
|
https://mhavie.ca/boutique/index.php?route=product/category&path=74 |
pediatrics, geriatrics, neuromuscular conditions, stroke (CVA), subacute stroke, chronic stroke, spinal cord injury (SCI) |
$23.50 |
Read manual |
30 minutes |
Patient-reported ADL performance |
pediatrics, outpatient rehab, schools, long-term care facility |
|
|
Assessment of Motor and Process Skills (AMPS)
|
|
https://www.sralab.org/rehabilitation-measures/assessment-motor-and-process-skills |
adults, stroke (CVA), subacute stroke, chronic stroke, geriatrics, Alzheimer's disease, dementia, mental health, intellectual disability |
$995 (for certification) |
Certification Course |
30-40 minutes |
The Assessment of Motor and Process Skills (AMPS) is an observational assessment that allows for the simultaneous evaluation of motor and process skills and their effect on the ability of an individual to perform complex or instrumental and personal activities of daily living (ADLs). The AMPS is comprised of 16 motor and 20 process skill items. |
unknown |
|
Assisting Hand Assessment (AHA)
|
|
https://www.ahanetwork.se/ |
pediatrics (ages 8 months - 18 years), cerebral palsy (CP), obstetric brachial plexus palsy (OBPP) |
$760 |
Training course |
10-15 minutes |
Performance on bimanual tasks for children with unilateral hand dysfunction and the specific ways they use their functioning hand in collaboration with the affected one. |
pediatrics, hand therapy |
|
Australian Pelvic Floor Questionnaire
|
|
https://www.completeskinsolutions.com.au/wp-content/uploads/2019/05/Australian-Pelvic-Floor-Questionnaire_V2015.10.pdf |
adults, pelvic floor dysfunction |
Free |
Read inscrutions |
5-10 minutes |
This assessement is interviewer-administered pelvic floor questionnaire that integrates bladder, bowel and sexual function, pelvic organ prolapse, severity, bothersomeness and condition-specific quality of life. |
Pelvic health |
|
Autism Diagnostic Observation Schedule™ (ADOS)
|
|
https://www.wpspublish.com/ados-2-autism-diagnostic-observation-schedule-second-edition |
pediatrics, autism spectrum disorder (ASD) |
$2,195 for the hand-scored kit, training manual costs $1,158 |
Purchase and Read Manual |
40–60 minutes |
The ADOS™-2 allows you to accurately assess and diagnose autism spectrum disorders across age, developmental level, and language skill. |
outpatient |
|
Barthel Index for Activities of Daily Living (BI)
|
|
https://eprovide.mapi-trust.org/instruments/barthel-index |
adults, brain injury (BI), muskuloskeletal disorders, neuromuscular disorders, stroke (CVA), acute stroke, subacute stroke, chronic stroke, multiple sclerosis (MS), intellectual disability |
Free (with permission) |
No training |
2-20 minutes |
The Barthel Index for Activities of Daily Living measures a person's daily functioning—specifically, the activities of daily living (ADLs) and mobility. |
adults, acute care, skilled nursing facility (SNF), inpatient, outpatient, home health |
|
|
Batten Observational Pain Scale (BOPS)
|
|
https://www.mdcalc.com/behavioral-observational-pain-scale-bops-post-op-pediatric-pain |
pediatrics, Batten disease, CLN2 |
Free |
Reading assessment |
Based on a 10 minute observation |
This pain scale is a 17 item scale based on 10 minutes of observations of a child. |
Home health, Long term health care |
|
|
Bayley Scales of Infant and Toddler Development | Fourth Edition (Bayley™-4)
|
|
https://www.pearsonassessments.com/store/usassessments/en/Store/Professional-Assessments/Cognition-%26-Neuro/Bayley-Scales-of-Infant-and-Toddler-Development-%7C-Fourth-Edition/p/100001996.html?tab=training |
pediatrics, infants and toddlers with suspected developmental delay |
$1,025 |
Read manual, online training |
30-70 minutes |
Bayley™-4 uses caregiver or parent involvement to optimize input from the child’s natural environment. Age range: 16 days to 42 months. Benefits include: 1.) Uses caregiver responses to support the scoring of certain items. 2.) Determines the need for further in-depth assessment. 3.) Administers one or more domain subtests individually. 4.) Saves significant time through shortened adaptive behavior content from Vineland-3. |
early intervention (EI) |
|
Beck Depression Inventory (BDI)
|
|
https://www.pearsonassessments.com/store/usassessments/en/Store/Professional-Assessments/Personality-%26-Biopsychosocial/Beck-Depression-Inventory-II/p/100000159.html |
geriatrics, adults, mental health, stroke (CVA), subacute stroke, chronic stroke, brain injury (BI), non-specific conditions |
$115 |
Read manual |
5-10 minutes |
Patient-reported behavioral characteristics of depression and level of severity |
inpatient rehab, outpatient rehab, skilled nursing facility (SNF) |
|
|
Beery-Buktenica Developmental Test of Visual-Motor Integration | Sixth Edition (BEERY™ VMI)
|
|
https://www.pearsonassessments.com/store/usassessments/en/Store/Professional-Assessments/Academic-Learning/Brief/Beery-Buktenica-Developmental-Test-of-Visual-Motor-Integration-%7C-Sixth-Edition/p/100000663.html |
pediatrics, brain injury (BI) |
$160 |
Read manual |
5-10 minutes |
The Beery-Buktenica Developmental Test of Visual-Motor Integration, Sixth Edition (BEERY™ VMI) helps assess the extent to which individuals can integrate their visual and motor abilities. This test is internationally respected and backed by decades of research and clinical use. |
schools, outpatient |
|
|
Behavioral and Emotional Rating Scale
|
|
https://www.parinc.com/Products/Pkey/18 |
pediatrics (ages 5-19) |
44 |
Read manual |
10 minutes |
Measures a child's strengths and competencies from the perspective of the student, parent and teacher. |
schools |
Behavioral Inattention Test
|
|
https://www.pearsonassessments.com/en-us/Store/Professional-Assessments/Cognition-6-Neuro/Behavioral-Inattention-Test/p/100000138 |
stroke (CVA), subacute stroke, chronic stroke |
499 |
No training |
40 minutes |
Comprised of 2 sections: BIT conventional (BITC) and BIT behavioral (BITB). BITC consists of tests such as line crossing, letter cancellation; the BITB consists of tests such as picture scanning and telephone dialing. |
subacute, chronic |
|
Behavioral Pediatrics Feeding Assessment Scale (BPFAS)
|
|
https://core-docs.s3.us-east-1.amazonaws.com/documents/asset/uploaded_file/4461/lcps/4331965/Behavioral_Pediatrics_Feeding_Assessment_Scale.pdf |
Pediatrics, children ages 2 - 7 |
Free |
No training required |
10 minutes |
The BPFAS is a widely used parent-report measure of child mealtime and feeding behavior. |
Pediatrics, outpatient, early intervention |
|
Behavior Problems Inventory
|
|
https://bpi.haoliang.me/ |
adults, intellectual disability |
Free/ $150 for Routine use |
Read Instructions |
5-10 minutes |
The Behavior Problems Inventory (BPI) is an informant-based behavior rating instrument to assess maladaptive behaviors in persons with intellectual and developmental disabilities (IDD), including autism spectrum disorder (ASD). The BPI measures in some detail the frequency of occurrence and the seriousness of three common types of troublesome behaviors: self-injurious behavior, stereotyped behavior, and aggressive/destructive behavior. |
schools, residential facilities, community |
Behavior Rating Inventory of Executive Function (BRIEF)
|
|
https://www.parinc.com/products/pkey/24 |
pediatrics (ages 5 years -18 years) |
$475 |
Read maual |
10 minutes |
These parent and teacher questionnaires assess children’s executive function in home and school environments. The BRIEF is useful in evaluating 5- through 18-year-olds with developmental and acquired neurological conditions such as learning disabilities, ADHD, traumatic brain injury, low birth weight, Tourette’s Disorder, and autism. |
schools, outpatient |
|
|
Berg Balance Scale (BBS)
|
|
https://www.sralab.org/sites/default/files/2024-03/core-measure-berg-balance-scale-%28bbs%29_final-2019.pdf |
adults with balance impairment, stroke (CVA), acute stroke, subacute stroke, chronic stroke, spinal cord injury (SCI) |
Free |
No training |
15-20 minutes |
The Berg balance scale is used to objectively determine a patient's ability (or inability) to safely balance during a series of predetermined tasks. It is a 14 item list with each item consisting of a five-point ordinal scale ranging from 0 to 4, with 0 indicating the lowest level of function and 4 the highest level of function and takes approximately 20 minutes to complete. It does not include the assessment of gait. |
adults, acute care, inpatient rehab, skilled nursing facility (SNF), outpatient rehab, home health |
|
|
Body Mass Index (BMI)
|
|
https://www.nhlbi.nih.gov/health/educational/lose_wt/BMI/bmicalc.htm |
adults concerned with weight |
Free |
None |
1 minute |
Body mass index (BMI) is a measure of body fat based on height and weight that applies to adult men and women. |
outpatient rehab |
|
|
Borg Dyspnea Scale
|
|
https://pulmonaryrehab.com.au/~resources/02_Patient_assessment/04_modified_borg_dyspnoea_scale.pdf |
adults, COVID-19, dyspnea |
Free |
None |
Less than 5 minutes |
The Borg Dyspnea Scale is a 0 to 10 rated numerical score used to measure dyspnea as reported by the patient during submaximal exercise. There may be a fee for large organizations to use this scale, please see the e-provide link below. |
adults, acute care, inpatient rehab, skilled nursing facility (SNF), outpatient rehab, home health |
|
|
Boston Carpal Tunnel Outcomes Questionnaire (BCTQ)
|
|
https://journals.plos.org/plosone/article/file?id=info:doi/10.1371/journal.pone.0129918.s002&type=supplementary |
adults, carpal tunnel syndrome (CTS) |
Free (?) |
Unknown |
5-10 minutes |
The Boston Carpal Tunnel Questionnaire (BCTQ) is a scale that has been developed specifically for carpal tunnel syndrome (CTS). It consists of the functional status scale (FSS) and the symptom severity scale (SSS). It is the most widely used patient reported outcome measure in CTS, and has been validated in many languages. |
outpatient rehab, hand therapy |
|
|
Box and Block Test (BBT)
|
|
https://www.performancehealth.com/box-and-blocks-test |
adults, stroke (CVA), acute stroke, subacute stroke, chronic stroke, multiple sclerosis (MS), traumatic brain injury (TBI), neuromuscular disorders, spinal cord injury (SCI), fibromyalgia |
$296 |
No training |
2-5 minutes |
The Box and Block Test (BBT) measures unilateral gross manual dexterity. It is a quick, simple and inexpensive test. It can be used with a wide range of populations, including clients with stroke. |
outpatient rehab, hand therapy |
|
|
Brief Autism Mealtime Behavior Inventory (BAMBI)
|
|
https://etd.ohiolink.edu/apexprod/rws_etd/send_file/send?accession=osu1127133704&disposition=inline |
pediatrics, autism spectrum disorder (ASD) |
Free (?) |
Unknown |
Unknown |
This assessment consists of 4 factors: 1) Food selectivity 2) Disruptive mealtime behaviors 3) Food refusals 4) Mealtime rigidity |
outpatient, pediatrics |
|
|
Brief Confusion Assessment Method (bCAM)
|
|
https://www.icudelirium.org/medical-professionals/adult-non-icu-care-monitoring-delirium |
adults, confusion, delirium |
Free |
Read manual |
2 minutes |
The Brief Confusion Assessment Method (bCAM) is a delirium assessment that takes less than 2 minutes to perform. The bCAM is a modified CAM-ICU designed to improve sensitivity in non-critically ill patients and uses objective testing to determine the presence of inattention and disorganized thinking. |
Acute care, ICU |
|
Brief Pain Inventory (BPI)
|
|
https://www.mdanderson.org/research/departments-labs-institutes/departments-divisions/symptom-research/symptom-assessment-tools/brief-pain-inventory.html |
adults, cancer rehab, cerebral palsy (CP), osteoarthritis (OA), pain management, spinal cord injury (SCI), ehlers danlos syndrome (EDS) |
Free for some; licensing fees for others |
No training |
10 minutes |
The Brief Pain Inventory (BPI) rapidly assesses the severity of pain and its impact on functioning. The BPI has been translated into dozens of languages, and it is widely used in both research and clinical settings. |
adults, acute care, inpatient rehab, skilled nursing facility (SNF), outpatient rehab, home health |
|
|
Bruininks-Oseretsky Test of Motor Proficiency | Second Edition (BOT™-2)
|
|
https://www.pearsonassessments.com/store/usassessments/en/Store/Professional-Assessments/Motor-Sensory/Bruininks-Oseretsky-Test-of-Motor-Proficiency-%7C-Second-Edition/p/100000648.html |
pediatrics |
$962 |
Read manual |
15-60 minutes |
The (BOT™-2) is an individually administered measure of fine- and gross-motor skills in children and youth, 4 through 21 years of age. It is intended for use by practitioners and researchers as a discriminative and evaluative measure to characterize motor performance, specifically in the areas of fine manual control, manual coordination, body coordination, and strength and agility. |
pediatrics, school, outpatient rehab |
|
|
Canadian Neurological Scale
|
|
https://strokengine.ca/wp-content/uploads/2020/07/canadian-neurological-scale_strokecenter.pdf |
stroke (CVA), acute stroke |
Free |
Read manual |
5-10 minutes |
Stroke deficit scale that scores 8 items: include an assessment of mental activity (level of consciousness, orientation and speech) and motor activity (face, arms and legs) for patients with or without comprehension deficits in the acute stage. Score Interpretation: Maximum score is 11.5; lower scores indicate higher severity. |
acute |
|
Canadian Occupational Performance Measure (COPM)
|
|
http://www.thecopm.ca/ |
adults, arthritis, brian injury (BI), cerebral palsy (CP), chronic pain, stroke (CVA), subacute stroke, chronic stroke, pediatrics, spinal cord, intellectual disability, ehlers danlos syndrome (EDS), postural orthostatic tachycardia syndrome (POTS), Postpartum Anxiety, sleep difficulties |
Varies from $30/year (individual) to $399/year (organizations) |
Read manual |
10-20 minutes |
The COPM was developed as a client-centered tool to enable individuals to identify and prioritize everyday issues that restrict or impact their performance in everyday living. One of the strengths of the measure is its broad focus on occupational performance in all areas of life, including self-care, leisure, and productivity, taking into account development throughout the lifespan and the personal life circumstances. |
skilled nursing facility (SNF), outpatient rehab, home health, schools, hand therapy |
|
|
Caregiver Strain Scale (CSI)
|
|
https://www.sralab.org/rehabilitation-measures/caregiver-strain-index |
adults, multiple sclerosis (MS), caregivers, |
Free |
None |
5 minutes |
13-item questionnaire to measure caregiver strain. |
home health, outpatient |
|
Casey Life Skills
|
|
https://www.casey.org/casey-life-skills/ |
pediatrics, young adults (ages 14-21) |
Free |
Read Insructions |
|
CLS is designed to be used in a collaborative conversation between an educator, mentor, case worker or other service provider and any youth between the ages of 14 and 21. |
pediatrics, schools, outpatient |
Center for Epidemiologic Studies Depression Scale (CES-D)
|
|
https://www.midss.org/content/center-epidemiologic-studies-depression-scale-ces-d |
adults, depression |
Free |
Read instructions |
5 minutes |
The CES-D scale is a brief self-report scale designed to measure self-reported symptoms associated with depression experienced in the past week. The items of the scale are symptoms associated with depression which have been used in previously validated longer scales. |
Outpatient, Home-health, SNF |
|
Center for epidemiologic studies depression scale for children
|
|
https://psychopharmacology.uic.edu/images/stories/physicians/rating%20scales/CES-DC.pdf |
postural orthostatic tachycardia syndrome (POTS), children and adolescents between the ages of 6 to 17 |
Free |
Read Instructions |
3 minutes |
The Center for Epidemiological Studies Depression Scale for Children (CES-DC) is a 20-item self-report scale that measures the severity of depression symptoms over the past week. It can be used as a screening tool for depression in children and adolescents and is demonstrated to be a reliable measure to monitor depressive symptoms. |
Pediatrics, outpatient, mental health, behavioral health |
|
Cerebral Palsy Quality of Life Questionnaire (CPQOL)
|
|
https://www.ausacpdm.org.au/research/cpqol/ |
pediatrics, cerebral palsy |
Free |
Read Manual |
5-10 minutes |
The Cerebral Palsy Quality of Life Questionnaire for Children (CP QOL-Child) and Cerebral Palsy Quality of Life Questionnaire for Adolescents (CP QOL-Teen) are condition specific quality of life instruments. These instruments are useful for evaluating interventions designed to improve the lives of children and adolescents. The CP QOL-Child was first designed to assess the quality of life of children with cerebral palsy aged 4-12 years and an adolescent version, the CP QOL-Teen, has recently been developed for adolescents aged 13-18 years. |
|
Chedoke Arm and Hand Activity Inventory
|
|
https://cahai.ca/manual.html |
stroke (CVA), subacute stroke, chronic stroke |
Free |
Read manual |
15-30 minutes |
13 bilateral functional tasks. |
subacute, chronic |
|
Chedoke-McMaster Stroke Assessment Scale
|
|
https://www.sralab.org/sites/default/files/2017-07/CMSA%20Manual%20and%20Score%20Form.pdf |
stroke (CVA), subacute stroke, chronic stroke, TBI |
Free |
Read instructions |
up to 60 minutes |
The CMSA consists of two inventories: the physical impairment inventory assesses 6 domains (should pain, postrual control, and arm/hand/leg/foot movement), the disability inventory assesses gross motor and walking function. |
subacute, chronic |
|
Child Feeding Questionnaire (CFQ)
|
|
https://www.apa.org/obesity-guideline/child-feeding-questionaire.pdf |
Pediatrics (2 to 11 years) |
Free |
No training required |
Less than 10 minutes |
The Child Feeding Questionnaire (CFQ) is a self-report measure to assess parental beliefs, attitudes, and practices
regarding child feeding, with a focus on obesity proneness in children. |
Pediatrics, outpatient, early intervention |
|
Childhood Sleep Habits Questionnaire (CHSQ)
|
|
https://njaap.org/wp-content/uploads/2016/04/Childrens-Sleep-Habits-Questionnaire.pdf |
Pediatrics (Pre-school and elementary aged children with sleep difficulties) |
Available for free, contact owner for wide use. |
None |
5-10 minutes |
Parent-reported screening survey designed to assess behaviorial and medically based sleep problems in school children, aged 4-10 years. This tool is intended to be utlized as a screening tool and is not diagnositic. I'm linking to an abbreviated version. But, for expanded us in your practice, please contact Owens@lifespan.org. |
|
|
|
Child Occupational Self Assessment (COSA)
|
|
https://moho-irm.uic.edu/productDetails.aspx?aid=3 |
pediatrics |
40 |
Read Manual |
25 minutes |
The Child Occupational Self-Assessment (COSA) is a client directed assessment tool and an outcome measure designed to capture children's and youth's perceptions regarding their own sense of occupational competence and the importance of everyday activities. Using the instrument in therapy provides a young client with an opportunity to identify and address their participation in important and meaningful occupations.
The COSA consists of a series of statements pertaining to everyday occupational participation, and includes tasks related to school, home, and in the community. Its self-rating design allows the client to document his/her understanding of occupational competence and values using familiar visual symbols and simple language. |
outpatient |
|
Children Hospital of Philadelphia Infant Test of Neuromuscular Disorders (CHOP INTEND)
|
|
http://columbiasma.org/docs/cme-2010/CHOP%20INTEND%20for%20SMA%20Type%20I%20-%20Score%20Sheet.pdf |
pediatrics, spinal muscular atrophy (SMA) |
Free |
Read instrucitons |
Unknown |
The CHOP INTEND is a reliable measure of motor skills in patients with SMA-I and neuromuscular disorders presenting in infancy. |
pediatrics |
|
|
Children's Assessment of Participation and Enjoyment (CAPE) and Preferences for Activities of Children (PAC)
|
|
https://www.pearsonassessments.com/store/usassessments/en/Store/Professional-Assessments/Behavior/Adaptive/Children%27s-Assessment-of-Participation-and-Enjoyment-and-Preferences-for-Activities-of-Children/p/100000481.html |
pediatrics (ages 6 years - 21 years), intellectual disability |
$157.90 for complete kit |
Reading manual |
15-45 minutes |
The CAPE and PAC are companion measures. The PAC is considered to be an extension of the CAPE, but can be used independently. Both tools can be done as self-report or interviewer assisted. The CAPE looks at different activities types (recreational, physical, social, skill-based, and self improvement), diversity (number of activities participated in), intensity (frequency of participation), and enjoyment of those activities. The PAC looks more at children's preferences for participation. |
Outpatient rehab, Community programming |
|
|
Children's Depression Inventory, Second Edition (CDI 2)
|
|
https://www.wpspublish.com/cdi-2-childrens-depression-inventory-second-edition |
pediatrics |
$319 |
Read Manual |
5-15 minutes |
This popular scale measures cognitive, affective, and behavioral symptoms of depression in school-aged children and adolescents. |
outpatient rehab |
|
Children’s Eating Attitude Test (chEAT)
|
|
https://novopsych.com.au/wp-content/uploads/2024/07/Childrens-Eating-Attitudes-Test-ChEAT.pdf |
Pediatrics (children ages 8 to 15) |
Free |
Read instructions |
3 minutes |
The Children’s Eating Attitudes Test (ChEAT) is a 26 item questionnaire used to assess eating attitudes and disordered eating behaviours in children aged 8 to 15. |
Pediatrics, outpatient |
|
Children’s Eating Behavior Inventory
|
|
https://www.rchsd.org/documents/2020/08/childrens-eating-behavior-inventory.pdf/ |
pediatric (2-13 years) |
Free |
None |
15 minutes |
This assessment is a 40 item parent report instrument. 28 of the items are in the child domain, looking at food preferences, motor skills, and behavioral compliance, while the remaining 12 items are in the parent domain, looking at parent/child behavioral controls, cognitions and feelings about feeding one's child, and interactions between family members. There are skip patterns available to include both single parent homes and families with only one child. |
Primary care, Feeding clinic, Outpatient, Home Health, Early Intervention |
|
|
Children’s Eating Behavior Questionnaire (CEBQ)
|
|
https://www.researchgate.net/profile/Rachel-Bachner-Melman/post/How_to_use_a_Childrens_Eating_Behaviour_Questionnaire_CEBQ/attachment/5a05a0d0b53d2fed8ad4ae8b/AS%3A559129581113344%401510318288130/download/cebqwithscores.doc |
Pediatrics (4-12 years) |
Free |
No training required |
10 minutes |
The Child Eating Behavior Questionnaire (CEBQ) is a 35-item parent-report questionnaire assessing eating style in children. |
Pediatrics, outpatient, early intervention |
|
Children’s Hand use Experience Questionnaire (CHEQ)
|
|
https://www.cheq.se/ |
pediatrics, cerebral palsy, hemipeligia |
Free |
Read Instructions |
10 minutes |
CHEQ is a questionnaire that captures children’s experience of using the affected hand in activities where usually two hands are needed. In CHEQ you or your child answer questions about 27 activities that are presented in random order. You describe how independently the activities are performed, and if one or two hands are used in the activities. In addition there are three sub-questions about: 1) hand use; 2) time use in comparison to peers; 3) experience of feeling bothered while doing the activity. |
pediatrics, hand therapy |
Children's Sleep Habits Questionnaire (CSHQ)
|
|
https://njaap.org/wp-content/uploads/2016/04/Childrens-Sleep-Habits-Questionnaire.pdf |
pediatrics (pre-school and elementary aged children with sleep difficulties) |
Available for free, contact owner for wide use. |
None |
5-10 minutes |
Parent-reported screening survey designed to assess behaviorial and medically based sleep problems in school children, aged 4-10 years. This tool is intended to be utlized as a screening tool and is not diagnositic. I'm linking to an abbreviated version. But, for expanded us in your practice, please contact Owens@lifespan.org. |
pediatircs |
|
|
Clinical Assessment of Modes
|
|
https://irm.ahs.uic.edu/irm-assessments-and-products/ |
adults, therapist-client relationships |
Free |
Read instructions |
10 minutes |
The Clinical Assessment of Modes (CAM) assessments were designed to estimate the communication styles used between the client and therapist, and to provide an opinion of a third-party observer. The CAM-C1, CAM-C2, and CAM-T assessments are self-report questionnaires, with 30 items, using a 5-point Likert scale. |
Outpatient |
|
Clinical Disease Activity Index (CDAI)
|
|
https://www.rheumatology.org/Portals/0/Files/CDAI%20Form.pdf |
adults, rheumatiod arthritis |
Free |
Read instructions |
5-10 minutes |
The CDAI is a useful clinical composite score for following patients with rheumatoid arthritis. The CDAI is the sum of 4 outcome parameters: tender and swollen joint counts (28 joints assessed) and patient’s and physician’s global assessments of disease activity (on a 0–10-cm visual analog scale). Range of possible scores is 0–17. The CDAI is the same as the Simplified Disease Activity Index (SDAI), except that the SDAI includes the C-reactive protein level. |
Outpatient |
|
|
Clinical Global Impression - Improvement Scale (CGI-I)
|
|
https://www.psywellness.com.sg/docs/CGI.pdf |
adults, mental health |
Free |
No training |
Less than 5 minutes |
The CGI-I is 7-point scale that requires the clinician to assess how much the patient's illness has improved or worsened relative to a baseline state at the beginning of the intervention. Primarily utilized with patients with psychiatric conditions. See the link below for access to translations. |
outpatient rehab |
|
|
Clinical Outcome Variables
|
|
https://irrd.ca/covs/ |
stroke (CVA), acute stroke, TBI |
$85 (package), $30 (guidelines booklet) |
Read instructions |
15-45 minutes |
13 items assessing mobility with respect to transfers, rolling, lying to sitting, sitting balance, ambulation, wheelchair mobility, and arm function. |
acute |
|
Clock Drawing Test
|
|
https://www.cgakit.com/m-1-clock-test |
stroke (CVA), acute stroke, subacute stroke, chronic stroke, cognitive deficits, TBI, dementia |
Free |
No Training |
1-2 minutes |
Involves a command to draw a clock or copy a clock. |
acute, subacute, chronic |
|
Cognistat Cognitive Assessment
|
|
https://www.cognistat.com/purchase-cognistat |
brain injury, Parkinson's disease (PD), movement disorders, stroke (CVA) |
$575+ |
Training course |
15-20 minutes |
Mental status screening test that includes the domains of orientation, attention, comprehension, naming, construction, memory, calculation, similarities, judgment, and repetition. |
subacute |
|
Cognitive Failures Questionnaire (CFQ64)
|
|
https://www.ocf.berkeley.edu/~jfkihlstrom/ConsciousnessWeb/Meditation/CFQ.htm |
adults, mental health, dementia, geriatrics, non-specific population |
Free |
Read instructions |
5 minutes |
Patient reported, perception, memory, and motor lapses in daily life. |
outpatient rehab, work rehab |
|
Cognitive Log
|
|
https://www.sralab.org/sites/default/files/2017-06/Cog-Log.pdf |
stroke (CVA), acute stroke, subacute stroke, brain injury (BI) |
Free |
Read instructions |
5-10 minutes |
The Cog-Log includes the 3 most difficult orientation items from the O-Log, and 7 additional items that test other cognitive abililty: 1) (O-Log) Name of facility; 2) (O-Log) Date; 3) (O-Log) Time of day; 4) Repeat an address; 5) Counting backwards from 20 to 1; 6) Reciting the months of the year in reverse order; 7) Estimating the passage of 30 seconds; 8) Repeat a motor sequence (fist-edge-palm); 9) Raising finger to “red” and do nothing to “green”; 10) Address recall. Each item is scored from 0 to 3 based on specific criteria per item with score of 3 if the spontaneous response is correct; 2 if a correct response requires cueing; 1 if a correct response requires multiple choice; 0 if a correct response is not obtained. Total score ranges from 0 to 30. |
acute, subacute |
|
Cognitive Performance Test
|
|
https://www.ncmedical.com/products/cognitive-performance-test-cpt_1478.html?srsltid=AfmBOorsgkHNHSumMq3fqQ9dEx5DaMXiYmzOaSRabojQKElH1ZNC5Vjj |
stroke (CVA), subacute stroke, chronic stroke, cognitive deficits |
993 |
Read manual |
45 minutes |
The CPT is used to explain and predict capacity to function in various contexts and guide intervention plans, it measures and tracks the severity of a cognitive-functional disability by means of baseline and serial assessment. |
subacute, chronic |
|
Cognitive self-efficacy questionnaire
|
|
https://static1.squarespace.com/static/596d1d73e58c62ed965e22d5/t/5a0361104192022ab5246e3c/1510170898173/Toglia_CSEQRevised.pdf |
POTS, traumatic brain injury (TBI), concussion, cancer related cognitive impairment (CRCI), stroke (CVA), brain tumor, mild cognitive impairment (MCI), Multiple Sclerosis (MS), Parkinson’s disease (PD), PTSD, mental health conditions |
Free |
Read Instructions |
5-15 minutes per part |
The CSEQ was designed to assess a person’s beliefs regarding their ability to recognize, monitor and
manage cognitive symptoms (e.g. cognitive fatigue, slow processing speed, and difficulty organizing
information) and everyday challenging cognitive activities (e.g. coordinating schedules, or following a
group conversation). In addition, it examines the ability to identify and apply strategies to everyday
problem situations that involve cognitive skills. |
Geriatrics, mental health, older adults, outpatient rehab |
|
COMPASS-31 (autonomic)
|
|
https://www.hattrevaluationtools.eu/compass-31/ |
autonomic disorders, functional neurological disorder (FND) |
Free |
No training required |
Less than 10 minutes |
The Composite Autonomic Symptom Scale (COMPASS-31) is an improved, shortened self-assessment of autonomic symptoms, based on the Autonomic Symptom Profile. |
Outpatient, Neuro rehab, neurology |
|
Comprehensive Assessment of Interoception Awareness
|
|
https://www.kelly-mahler.com/product/the-comprehensive-assessment-of-interoceptive-awareness-3rd-edition/ |
Inteoceptive differences |
129 |
Read manual |
30 min |
The assessment is designed to be used as a method for gathering insights as well as a baseline starting point regarding a learner’s current interoception relationship. The information gained in the assessment can be used to inform meaningful use of The Interoception Curriculum, including any specific areas of focus or potential adaptations that the learner may benefit from using. The assessment may also be helpful in establishing a baseline, or where a learner is at in their interoception understanding prior to interoception-based supports and then can be used again as a follow-up, after the use of the curriculum to measure a learner’s inner growth. |
School, outpatient, mental health |
Comprehensive Trail-Making Test
|
|
https://dev01www.parinc.com/products/CTMT2 |
postural orthostatic tachycardia syndrome (POTS), traumatic brain injury (TBI), concussion, stroke (CVA), brain tumor, mild cognitive impairment (MCI) |
170 |
Read manual |
5–15 minutes |
Detects frontal lobe deficits and problems with pyschomotor speed, visual search and sequencing, and attention |
Neuro rehab, neurology, inpatient rehab, outpatient rehab |
|
Confusion Assessment Method for the ICU (CAM-ICU)
|
|
https://www.mdcalc.com/confusion-assessment-method-icu-cam-icu |
adults, ICU patients |
Free |
Read manual |
Less than 5 minutes |
The CAM-ICU establishes the ability to detect delirium in high-risk settings. |
ICU |
|
|
Connection to Nature Index (CNI)
|
|
https://cdn.naaee.org/system/files/harmony/files/cheng_monroe_connection_to_nature_index_for_eepro.pdf |
pediatrics (8 to 12 years) |
Free |
Read instructions |
5 minutes |
The CNI is a ‘trait’ measure4 which means it has been designed and tested for use in determining changes over a relatively long period of time rather than as the result of a single intervention or session. For example it could be used to see if children’s connection to nature had increased or decreased after taking part in a programme for 6 months but not to see if connection had changed after an afternoon session at a field centre or nature reserve. |
outpatient, nature-based ot |
|
Consultation and Relational Empathy (CARE) Measure
|
|
http://www.caremeasure.org/ |
adults, therapist-client relationships |
Free |
Read instructions |
2 minutes |
The CARE Measure is a quick (only 10 questions), clear and easy to complete patient-completed questionnaire. It measures empathy in the context of the therapeutic relationship during a one-on-one consultation between a clinician and a patient. |
Outpatient |
|
Dallas Pain Questionnaire
|
|
https://oarsi.org/sites/default/files/docs/2019/dallas_pain_questionnaire_complete.pdf |
adults, back pain, chronic pain |
Free |
Read instructions |
5 minutes |
The Dallas Pain Questionnaire (DPQ), which is a 16-item visual analog tool was developed
by Lawlis, McCoy, and Selby (appendix) for the purpose of evaluating subject’s cognitions
about the percentage that chronic pain affects four aspects of the patients’ lives: 1) daily
activities including pain and intensity, personal care, lifting, walking, sitting, standing, and
sleeping; 2) work and leisure activities including social life, travelling, and vocational; 3)
anxiety-depression and 4) social interest that includes interpersonal relationship, social
support, and punishing responses. |
Outpatient, Home-health, hand therapy |
|
Dartmouth COOP Charts
|
|
http://www.fvfiles.com/521475.pdf |
adults, older adults, non-specific patient population |
unknown |
Read instructions |
10 minutes |
Client-reported. Overall functional health |
outpatient rehab, primary care |
|
DeCoste Writing Protocol (DWP)
|
|
https://learningtools.donjohnston.com/product/decoste-writing-protocol/ |
pediatrics, dysgraphia, writing challenges |
99 |
Read manual |
? |
The DeCoste Writing Protocol (DWP) is an informal diagnostic tool that helps educators identify factors affecting an individual student’s ability to produce writing. The Writing Protocol compares a child’s individual performance across handwriting and keyboarding tasks. It examines spelling performance and writing skills so educators make more informed decisions about instructional strategies and the appropriate use of technology to meet classroom demands. |
Schools |
Dementia Screening Questionnaire for Individuals with Intellectual Disabilities
|
|
https://www.birmingham.ac.uk/documents/college-les/psych/ld/lddementiascreeningquestionnaire.pdf |
adults, intellectual disability, dementia |
Free |
Read Instructions |
5-10 minutes |
The DSQIID is a valid, reliable and user-friendly observer-rated questionnaire for screening for dementia among adults with Down's syndrome. |
residential facilities, community |
Depression Anxiety Stress Scale (DASS)
|
|
https://www.sralab.org/rehabilitation-measures/depression-anxiety-stress-scale |
adults, anxiety, depression, stress |
$55 for manual |
Read manual |
5-10 minutes |
This Questionnaire is a short version (21 item) of a 42-item self report instrument designed to measure three related negative emotional states: depression, anxiety and tension/stress. The DASS questionnaire is in the public domain, and may be downloaded from the link below. |
Outpatient, mental health, home-health |
|
Developmental Assessment of Young Children | Second Edition (DAYC-2)
|
|
https://www.pearsonassessments.com/store/usassessments/en/Store/Professional-Assessments/Developmental-Early-Childhood/Developmental-Assessment-of-Young-Children-%7C-Second-Edition/p/100000730.html |
pediatrics, developmental delay (birth-5) |
$388.9 (kit) |
Read manual |
10- 20 min/5 domains |
Each of the five DAYC-2 domains — Cognition, Communication, Social-Emotional Development, Physical Development, and Adaptive Behavior — reflects an area mandated for assessment and intervention for young children in IDEA. |
schools, early intervention |
Developmental Behavior Checklist for Adults
|
|
https://www.wpspublish.com/dbc2-developmental-behavior-checklist-2.html |
adults, intellectual disability |
136 |
Read Manual |
Less than 20 minutes |
Describes emotional and behavioral problems; designed specifically for children and adults with intellectual and/or developmental disability |
residential facilities, community |
Developmental Coordination Disorder - Questionnaire (DCDQ)
|
|
https://www.dcdq.ca/ |
pediatrics (5-15 years) |
Free |
Reading of Manual |
10-15 minutes |
This is a parent report, 15 item screening tool for challenges with coordination. Scoring is divided into three categories: control during movement, fine motor and handwriting, and general coordination. |
Outpatient, Home Health, Schools |
|
Developmental Test of Visual Perception (DTVP-3)
|
|
https://www.pearsonassessments.com/store/usassessments/en/Store/Professional-Assessments/Motor-Sensory/Developmental-Test-of-Visual-Perception-%7C-Third-Edition/p/100000779.html |
pediatrics, visual perception deficits |
$289 (kit) |
Read Manual |
30 min |
The results of the five DTVP-3 subtests combine to form three composites: Motor-reduced Visual Perception, Visual-Motor Integration, and General Visual Perception (combination of motor-reduced and motor-enhanced subtests). Subtests are assigned to a particular composite on the basis of the amount of motor ability required by their formats. |
schools, pediatrics, outpateint |
Devereux Behavior Rating Scale
|
|
https://www.pearsonassessments.com/store/usassessments/en/Store/Professional-Assessments/Behavior/Devereux-Behavior-Rating-Scale-%7C-School-Form/p/100000187.html?tab=product-details |
pediatrics (Ages 5 years - 18 years) |
$296 |
Read maual |
5 minutes |
The Devereux Behavior Rating Scale (DBRS™) School Form is used to detect severe emotional disturbances in students. It is based on federal criteria and can be used by educators, psychologists, guidance counselors, and other assessment professionals. |
schools |
|
Disabilities of the Arm, Shoulder and Hand (DASH)
|
|
https://www.sralab.org/rehabilitation-measures/disabilities-arm-shoulder-and-hand-questionnaire |
adults, upper extremity disability, rheumatoid arthritis (RA) |
Free |
Read instructions |
5-30 minutes |
The Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire is a 30-item questionnaire that looks at the ability of a patient to perform certain upper extremity activities. This questionnaire is a self-report questionnaire that patients can rate difficulty and interference with daily life on a 5 point Likert scale. |
Outpatient, hand therapy |
|
|
Disability Assessment Scale
|
|
https://strokengine.ca/en/assessments/disability-assessment-scale-das/ |
stroke (CVA), chronic stroke, spasticity |
|
No training |
|
Items assess spasticity in 4 functional domains: hand hygiene, dressing, limb position, and pain. |
acute, subacute, chronic |
|
Distress Thermometer
|
|
https://www.nccn.org/guidelines/submissions-licensing-and-permissions/permissions-distress-tool |
adults, cancer |
Free for individual use |
Read instrucitons |
5-10 minutes |
In 1999, the National Comprehensive Cancer Network (NCCN), recommended routine screening for distress in all cancer patients. The Distress Thermometer (DT) was developed as a simple tool to effectively screen for symptoms of distress. The instrument is a self-reported tool using a 0-to-10 rating scale. Additionally, the patient is prompted to identify sources of distress using a Problem List. |
Out-patient, home-health |
|
|
Dynamic Assessment of Social Emotional Learning (DASEL)
|
|
https://chris-wenger.mykajabi.com/dasel-masterclass-offer-1 |
pediatrics, neurodivergent students |
149 |
Read instructions |
Under 30 minutes |
Strengths-based assessment to support examining a student’s self-advocacy skills, problem-solving, making inferences, and relationship skills. |
schools |
Early Learning Accomplishment Profile - E-LAP
|
|
https://www.kaplanco.com/product/13649/early-learning-accomplishment-profile-e-lap-kit?c=17%7CEA1035 |
pediatrics (birth to 36-month age range) |
349 |
Read Manual |
Varies |
Assists teachers, clinicians, and parents in assessing individual skill development in 6 domains: gross motor, fine motor, cognitive, language, self-help, and social emotional. |
early intervention |
Edinburgh Postnatal Depression Scale (EPDS)
|
|
https://www.fresno.ucsf.edu/pediatrics/downloads/edinburghscale.pdf |
adults, pediatrics, mother-infant dyad, Postpartum Anxiety |
Free |
Read Instructions |
5 minutes |
The Edinburgh Postnatal Depression Scale (EPDS) is a set of 10 screening questions that can indicate whether a parent has symptoms that are common in women with depression and anxiety during pregnancy and in the year following the birth of a child. This is not intended to provide a diagnosis – only trained health professionals should do this. |
outpatient, postpartum, maternal wellness |
|
|
Edmonton Symptom Assessment Scale (ESAS)
|
|
http://www.npcrc.org/files/news/edmonton_symptom_assessment_scale.pdf |
adults, cancer |
Free |
Read instructions |
5-10 minutes |
This tool is designed to assist in the assessment of nine symptoms common in cancer patients: pain,
tiredness, nausea, depression, anxiety, drowsiness, appetite, wellbeing and shortness of breath, (there is also
a line labelled “Other Problem”). The severity at the time of assessment of each symptom is rated from 0 to
10 on a numerical scale, 0 meaning that the symptom is absent and 10 that it is of the worst possible severity. |
Palliative care, hospice |
|
|
European Organisation for Research and Treatment Quality of Life (EORTC QLQ C-30)
|
|
https://qol.eortc.org/questionnaires/ |
Cancer, older adults |
Free |
No training required |
5 - 10 minutes |
The EORTC QLG Core Questionnaire (EORTC QLQ-C30) is a 30-item self-report measure designed to measure quality of life in all cancer patients. |
oncology, adult rehab, acute, subacute |
|
European Quality of Life - 5 Domains (EQ-5D)
|
|
https://euroqol.org/eq-5d-registration-form/ |
adults, brain injury (BI), stroke (CVA), non-specific patient populations |
Ranges from free or up to around $83,000 for commercial use. |
No training |
Less than 5 minutes |
This assessment is a standardized measure of health for clinical and economic appraisal. The five domains measured are: 1.) Mobility 2.) Self-care 3.) Usual activities 4.) Pain/discomfort 5.) Anxiety/depression. We found this assessment in an article about Spinocerebellar ataxia (SCA), but it for broad use in the adult population. |
inpatient rehab, skilled nursing facility (SNF), outpatient rehab, home health |
|
|
Evaluation Tool of Children’s Handwriting (ETCH)
|
|
https://www.therapro.com/Browse-Category/Handwriting-Evaluations/Evaluation-Tool-of-Childrens-Handwriting-ETCH.html |
pediatrics, school age (elementary), handwriting |
$200 (kit) |
Read manual |
15-25 min |
Evaluate manuscript and cursive handwriting skills of children in Grades 1 through 6. Its focus is to assess a student's legibility and speed of handwriting tasks similar to those required of students in the classroom. ETCH tasks include alphabet and numerical writing, near-point and far-point copying, dictation, and sentence generation. It assesses legibility components, pencil grasp, hand preference, pencil pressure, manipulative skills with the writing tool, and classroom observations. |
schools |
Everyday Technology Use Questionnaire
|
|
https://www.arbetsterapeuterna.se/foerbundet/english/ot-instruments/everyday-technology-use-questionnaire-etuq/ |
adults, intellectual disability |
SEK 600 |
Online Course |
40-60 minutes |
The ETUQ questionnaire contains questions on more than 100 everyday technologies (items) that most people encounter in their daily lives. |
residential facilities, community |
Executive Function Performance Test
|
|
http://www.ot.wustl.edu/about/resources/executive-function-performance-test-efpt-308 |
stroke (CVA), subacute stroke, chronic stroke |
Free (with permission) |
Read manual |
30-45 minutes |
The EFPT is a top-down performance assessment designed to examine cognitive integration and functioning. The EFPT's purpose is to: 1) determine which executive functions are impacting function; 2) determine an individual’s capacity for independent functioning; and 3) determine the amount of assistance necessary for task completion.
The assessments requires participants to complete the following tasks (in order):
1) Hand Washing - only use this task if the person has severe cognitive impairment and you want to see if they can follow directions. If they cannot, do not proceed.; 2) Oatmeal Preparation; 3) Telephone; 4) Taking Medication; 5) Paying Bills |
subacute, chronic |
|
Expanded Disability Status Scale (EDSS)
|
|
https://www.mdcalc.com/expanded-disability-status-scale-edss-functional-systems-score-fss |
adults, multiple sclerosis (MS) |
Free |
Read instrucitons |
5-10 minutes |
The Expanded Disability Status Scale (EDSS) is a method of quantifying disability in multiple sclerosis and monitoring changes in the level of disability over time. It is widely used in clinical trials and in the assessment of people with MS. |
home health, outpatient |
|
|
Falls Efficacy Scale - International (FES-I)
|
|
https://sites.manchester.ac.uk/fes-i/ |
adults, risk of falls |
Free |
Read instructions |
Less than 5 minutes |
The Falls Efficacy Scale International (FES-I) and the Short Falls Efficacy Scale International (Short FES-I) are measures of “fear of falling” or, more properly, “concerns about falling”, which are suitable for use in research and clinical practice. |
assisted livivng facilities, home health, outpatient rehab |
|
Family Resource Scale
|
|
https://fipp.ncdhhs.gov/wp-content/uploads/casetools_vol6_no5.pdf |
adults, intellectual disability |
Free |
Read instructions |
Less than 5 minutes |
Family Resource Scale (FRS) assesses specific aspects of perceived family resources |
community |
Family Support Scale
|
|
https://www.puckett.org/FSS.pdf |
adults, intellectual disability |
Free |
Read instructions |
Less than 5 minutes |
Family support was categorized into good (higher than the mean data) and poor (less than the mean data). |
community |
Fatigue severity scale
|
|
https://www.sralab.org/sites/default/files/2017-06/sleep-Fatigue-Severity-Scale.pdf |
postural orthostatic tachycardia syndrome (POTS), Multiple Sclerosis (MS), Parkinson's Disease (PD), Cancer, Stroke (CVA), chronic pain |
Free |
No training |
5 minutes |
This 9-item scale measures the severity of fatigue and its effect on a person's activities and lifestyle in patients with a variety of disorders. |
Neuro rehab, neurology |
|
Female Sexual Function Index (FSFI)
|
|
https://www.nva.org/wp-content/uploads/2015/01/FSFI-questionnaire2000.pdf |
adults, sexual dysfunction, pelvic health |
Free |
Read instructions |
5 minutes |
The FSFI is a brief questionnaire measure of sexual functioning in women. It was developed for the specific purpose of assessing domains of sexual functioning (e.g. sexual arousal, orgasm, satisfaction, pain) in clinical trials. |
Outpatient |
Food Frequency Questionnaire (FFQ)
|
|
https://biolincc.nhlbi.nih.gov/media/studies/framoffspring/Forms/Exam%203%20Food%20Frequency%20Questionnaire.pdf?link_time=2018-08-11_23:58:42.966309 |
Pediatrics, oncology, diabetes |
Free |
No training required |
30 to 60 minutes |
A food frequency questionnaire (FFQ) consists of a list of foods and beverages with response categories to indicate usual frequency of consumption over a period of time. To assess the total diet, the total number of foods and beverages asked about ranges from 80 to 120. |
Pediatrics, outpatient, oncology |
|
Food Preference Inventory (FPI)
|
|
https://files-backend.assets.thrillshare.com/documents/asset/uploaded_file/4461/Lcps/00c24192-bd39-47bc-ae85-1b7c102d4de9/Food_Preference_Inventory.pdf?disposition=inline |
Pediatrics |
Free |
No training required |
10-15 minutes |
A food preference inventory collects detailed information about a child's eating habits, likes, and dislikes. |
Pediatrics, outpatient, early intervention |
|
Four Square Step Test (FSST)
|
|
https://www.sralab.org/rehabilitation-measures/four-step-square-test |
adults, geriatrics, Parkinson's disease (PD), stroke (CVA), vestibular disorders |
Free |
No training |
Less than 5 minutes |
The Four Square Step Test (FSST) is used to assess dynamic stability and the ability of the subject to step over low objects forward, sideways, and backward. |
inpatient rehab, outpatient rehab |
Frenchay Activities Index (FAI)
|
|
https://www.sralab.org/rehabilitation-measures/frenchay-activities-index |
adults, stroke (CVA), acute stroke, subacute stroke, chronic stroke, intellectual disability |
Free |
No trainng |
5 minutes |
The Frenchay Activities Index (FAI) is a measure of instrumental activities of daily living (IADL) for use with patients recovering from stroke. The FAI assesses a broad range of activities associated with everyday life. The benefit of the FAI is that while activities of daily living scales tend to focus on issues related to self-care and mobility (Holbrook & Skilbeck, 1983), the FAI provides a broader measurement of actual activities patients have undertaken in the recent past (Wade, Legh-Smith, & Langton, 1985). |
outpatient rehab |
|
Fugl-Meyer Assessment (FMA)
|
|
https://neurophys.gu.se/english/departments/clinical_neuroscience_and_rehabilitation/rehabilitation-medicine/fugl-meyer |
adults, stroke (CVA), acute stroke, subacute stroke, chronic stroke |
Free |
Recommended reading below |
30 minutes |
Fugl-Meyer Assessment (FMA) scale is an index to assess the sensorimotor impairment in individuals who have had strokes. |
acute care, inpatient rehab, skilled nursing facility (SNF), outpatient rehab, home health |
|
|
Functional Ambulation Categories
|
|
https://www.sralab.org/sites/default/files/2018-04/3785-62959-2-SP.pdf |
stroke (CVA), acute stroke, Multiple Sclerosis (MS) |
free |
none |
5 minutes |
Individuals are assigned a subjective grade based on 5 broad categories of walking ability, with scores ranging from 0 (cannot walk or needs help from more than 1 person) to 5 (can walk independently anywhere). |
acute |
|
Functional Assessment and Curriculum for Teaching Everyday Routines (FACTER)
|
|
https://www.proedinc.com/Products/11386/facter-functional-assessment-and-curriculum-for-teaching-everyday-routines-secondary-kit.aspx |
adolescents, intellectul disability |
100 |
Read Manual |
Unknown |
The primary purpose of FACTER is to assess and teach students with moderate to severe developmental disabilities. |
school |
Functional Assessment of Cancer Therapy - Breast (FACT-B)
|
|
https://www.facit.org/measures/FACT-B |
Breast Cancer |
No fee for clinical use |
Read instructions |
10-15 min |
The Functional Assessment of Cancer Therapy - Breast (FACT-B) is a 37-item instrument designed to measure five domains of HRQOL in breast cancer patients: Physical, social, emotional, functional well-being as well as a breast-cancer subscale. The assessment is a self-report. |
outpatient |
Functional Assessment of Cancer Therapy - Cognitive Function (FACT-Cog)
|
|
https://www.facit.org/measures/FACT-Cog |
adults, cancer, cognitive deficits |
Free with liscencing options |
Read instructions |
5-10 minutes |
The scales measures perceived cognitive impairments and mpact of thes perceived cognitive impairments on quality of life. |
home health, outpatient, oncology |
|
Functional Assessment of Cancer Therapy: General (FACT-G)
|
|
https://www.facit.org/measures/FACT-G |
adults, cancer |
Free w/ liscenicing options |
Read instuctions |
5-10 minutes |
The Functional Assessment of Cancer Therapy - General (FACT-G) is a 27-item questionnaire designed to measure four domains of HRQOL in cancer patients: Physical, social, emotional, and functional well-being. |
Outpatient |
|
Functional Assessment of Chronic Illness Therapy – Fatigue (FACIT-F)
|
|
https://www.facit.org/measures/FACIT-F |
adults, cancer, rheumatoid arthritis (RA) |
Free, application availabe to licesce |
Read instructions |
10-15 minutes |
The Functional Assessment of Chronic Illness Therapy – Fatigue (FACIT-F) is a 40-item measure that assesses self-reported fatigue and its impact upon daily activities and function. It was developed in the mid-1990’s to meet a growing demand for more precise evaluation of fatigue associated with anemia in cancer patients. |
Outpatient, home health |
Functional Autonomy Measurement System
|
|
http://msssa4.msss.gouv.qc.ca/intra/formres.nsf/c6dfb077f4130b4985256e38006a9ef0/c9061ec0c6f0b52185256ec900684e45/$FILE/AS-751A_DT9144%20(2005-01).pdf |
stroke (CVA), geriatric |
available for purchase |
required |
40 minutes |
The measure consists of 29 items relating to: instrumental activities of daily living (7 items), mobility (6 items), communication (3 items), cognitive function (5 items), and home living activities (8 items). |
|
|
Functional Emotional Assessment Scale (FEAS)
|
|
https://www.icdl.com/research/functional-emotional-assessment-scale |
pediatrics (4 months- 7 years) |
free |
Read instructions |
10 minutes |
It was designed to measure emotional functioning in children with constitutional- and maturation-based problems (e.g., regulatory disorders), children with interactional problems leading to a variety of symptoms such as anxiety, impulsivity, depression, etc., and children with pervasive developmental difficulties. |
early intervention, outpatient |
Functional Independence Measure (FIM)
|
|
https://www.sralab.org/rehabilitation-measures/fimr-instrument-fim-fimr-trademark-uniform-data-system-fro-medical |
adults, geriatrics, multiple sclerosis (MS), orthopedics, spinal cord injury (SCI), stroke (CVA), traumatic brain injury (TBI), intellectual disability |
License required |
Read manual |
30-40 minutes |
The FIM instrument is designed to measure the “burden of care” for patients. "Burden of care" refers to an approximation of the number of minutes or hours another person must spend providing personal care assistance to a patient in a home setting in order to accomplish the common daily tasks of personal care: 1.) Mobility 2.) Self-care 3.) Sphincter management 4.) Communication 5.) Social cognition |
adults, inpatient, skilled nursing facility (SNF), inpatient rehab facility (IRF), long term care hospital (LTCH) |
|
|
Functional Reach Test
|
|
https://www.sralab.org/sites/default/files/2017-06/5Hgjkv-Functional%20Reach%20Test.pdf |
Parkinson's disease (PD), movement disorders, spinal cord injury (SCI), stroke (CVA), acute stroke, subacute stroke, chronic stroke, vestibular disorders |
Free |
No training |
5 minutes |
Balance evaluation; objectively measures length of forward reach in the standing posture. |
acute, subacute, chronic |
|
Functional Simulated Technology Task
|
|
http://www.otiadl.net/?fbclid |
adults, intellectual disabiilty |
Free |
Read Instrucitons |
Unknown |
The Functional Simulated Technology Tasks (FSTT) was created to offer OTs a new way to assess cognition, specifically, the executive functions needed to complete more complex tasks. These tasks allow clients to participate in simulated, novel, tasks related to real-life demands. |
community |
General Anxiety Disorder Assessment - 7 item (GAD-7)
|
|
https://adaa.org/sites/default/files/GAD-7_Anxiety-updated_0.pdf |
General population, mental health conditions, Postpartum Anxiety |
Free |
None |
Less than 5 minutes |
The GAD-7 (Generalized Anxiety Disorder-7) is a self-report questionnaire used to assess anxiety symptoms in the general population. It is designed to screen for, diagnose, and measure the severity of generalized anxiety disorder (GAD). |
Primary care, acute, outpatient |
|
General Health Questionnaire (GHQ)
|
|
https://www.gl-assessment.co.uk/products/general-health-questionnaire-ghq/#:~:text=The%20General%20Health%20Questionnaire%20(GHQ,or%20general%20medical%20out%2Dpatients. |
geriatrics, adults, mental health, stroke (CVA), acute stroke, subacute stroke, brain injury, non-specific conditions |
$280.07 (depends on US/UK xr) |
Read manual |
5 minutes |
The client’s ability to carry out "normal" functions and the appearance of any new disturbing phenomena. |
acute care, inpatient rehab, outpatient rehab, skilled nursing facility (SNF) |
|
|
General Self-Efficacy Scale (GSE)
|
|
https://www.drugsandalcohol.ie/26768/1/General_Self-Efficacy_Scale%20(GSE).pdf |
mental health, adults, non-specific patient population |
Free |
|
5 minutes |
Client-reported. General self-efficacy |
|
|
Geriatric Depression Scale (GDS)
|
|
https://hign.org/consultgeri/try-this-series/geriatric-depression-scale-gds |
adults, depression, stroke (CVA), acute stroke, subacute stroke |
Free |
Read instructions |
5 minutes |
The GDS may be used with healthy, medically ill and mild to moderately cognitively impaired older adults. It has been extensively used in community, acute care, and long-term care settings. The GDS is not a substitute for a diagnostic interview by mental health professionals. It is a useful screening tool in the clinical setting to facilitate assessment of depression in older adults especially when baseline measurements are compared to subsequent scores. It does not assess for suicidality. |
acute care, SNF, long-term care, outpatient |
|
Glasgow Coma Scale
|
|
https://www.glasgowcomascale.org/downloads/GCS-Assessment-Aid-English.pdf?v=3 |
stroke (CVA), acute stroke, subacute stroke, brain injury |
Free |
Read instructions |
<5 minutes |
Level of consciousness scale that includes 3 sections scoring eye opening, motor, and verbal responses to voice commands or pain. |
acute, subacute |
|
Goal Attainment Scale (GAS)
|
|
https://www.sralab.org/sites/default/files/2017-06/Tools-GAS-Practical-Guide.pdf |
geriatrics, adults, pediatrics, mental health, limb loss and amputation, chronic pain, neuromuscular conditions, intellectual disability |
Free |
Training course |
5-60 minutes |
Patient-reported performance on goals which are identified by the patient and developed with guidance from the care provider. |
adults, inpatient rehab, pediatrics, skilled nursing facility (SNF), outpatient rehab, home health |
|
|
Goal Oriented Assessment of Life Skills (GOAL)
|
|
https://www.wpspublish.com/goal-goal-oriented-assessment-of-lifeskills.html |
pediatrics (7 to 17 years) |
483 |
Read manual |
45-60 minutes |
The GOAL can help determine eligibility for special services and inform planning of occupational and/or physical therapy and adaptive physical education. |
|
Grip Strength
|
|
https://www.sralab.org/rehabilitation-measures/hand-held-dynamometergrip-strength |
stroke (CVA), subacute stroke, adults, geriatrics, joint conditions |
$221.89 |
Read manual |
5 minutes |
Grip strength, Jamar Dynamometer |
inpatient rehab, outpatient rehab, hand therapy |
|
|
Gross Motor Function Measure
|
|
https://canchild.ca/en/resources/44-gross-motor-function-measure-gmfm |
pediatric motor impairment (5 months to 16 years of age) |
74 |
Read manual |
Unknown |
The Gross Motor Function Measure (GMFM) is an assessment tool designed and evaluated to measure changes in gross motor function over time or with intervention in children with cerebral palsy. The items are appropriate for those with motor skills at or below those of a 5-year-old child without any motor disability. |
early intervention, outpatient |
|
|
Guy’s Neurological Disability Scale (GNDS)
|
|
https://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.1028.1043&rep=rep1&type=pdf |
adults, multiple sclerosis (MS) |
Free |
None |
10-15 minutes |
The GNDS is a comprehensive multidimensional questionnaire capable of embracing the whole range of disabilities that could be encountered in MS. It is simple and user-friendly. |
outpatient |
|
|
Hamilton Rating Scale for Depression (HAM-D)
|
|
https://www.mdcalc.com/calc/10043/hamilton-depression-rating-scale-ham-d |
Depression |
Free |
Read Instructions |
5 min |
The questionnaire is designed for adults and is used to rate the severity of their depression by probing mood, feelings of guilt, suicide ideation, insomnia, agitation or retardation, anxiety, weight loss, and somatic symptoms. |
outpatient, inpatient, acute, mental health, home health |
|
|
Hammersmith Functional Motor Scale Expanded (HFMSE)
|
|
http://columbiasma.org/docs/HFMSE_2019_Manual.pdf |
pediatrics, spinal muscular atrophy (SMA) |
Free |
Read manual |
Unknown |
HFMSE is a scale used to investigate a child’s ability to perform various activities and is used in later-onset (Type 2 or Type 3) SMA. The scale has 33 items, each scored from 0 to 2. For each function, increased levels of ability are depicted from left to right. The maximum score is 66. HFMSE is intended for individuals older than 24 months of age |
pediatrics |
|
|
Hammersmith Infant Neurological Examination (HINE)
|
|
https://hammersmith-neuro-exam.com/wp-content/uploads/2019/08/HNNE-term-proforma-front-sheet-2008-with-instructions.pdf |
spinal muscular atrophy (SMA), neurological conditions in infants |
Free |
Read instructions |
Unknown |
The Hammersmith Infant Neurological Examination (HINE) is based on the same principles as the neonatal exam and consists of 26 items that assess different aspects of neurological function: cranial nerve function, movements, reflexes and protective reactions and behaviour, as well as some age-dependent items that reflect the development of gross and fine motor function. The HINE is aimed to be used for infants between 3 and 24 months of age. |
pediatrics |
|
|
Hammersmith Neonatal Neurological Examination (HNNE)
|
|
https://hammersmith-neuro-exam.com/wp-content/uploads/2019/08/HNNE-term-proforma-front-sheet-2008-with-instructions.pdf |
pediatrics, spinal muscular atrophy (SMA), neurological conditions in infants |
Free |
Read instructions |
Unknown |
The Hammersmith Infant Neurological Examination (HINE) is based on the same principles as the neonatal exam and consists of 26 items that assess different aspects of neurological function: cranial nerve function, movements, reflexes and protective reactions and behaviour, as well as some age-dependent items that reflect the development of gross and fine motor function. The HINE is aimed to be used for infants between 3 and 24 months of age. |
pediatrics |
|
|
Hawaii Early Learning Profile (HELP)
|
|
https://www.vort.com/home.php?cat=1 |
pediatrics (birth-3) |
64 |
Read manual |
Varies |
Comprehensive, on-going, family centered curriculum based assessment process for infants and toddlers and their families |
early intervention |
Health Assessment Questionnaire- Disability Index
|
|
https://www.andersonmg.com/images/pdf/HAQ-DI_0.pdf |
adults, chornic conditions |
Free |
Read instructions |
5-10 minutes |
There are 8 sections: dressing, arising, eating, walking, hygiene, reach, grip, and activities. There are 2 or 3 questions for each section. Scoring within each section is from 0 (without any difficulty) to 3 (unable to do). For each section the score given to that section is the worst score within the section, i.e. if one question is scored 1 and another 2, then the score for the section is 2. In addition, if an aide or device is used or if help is required from another individual, then the minimum score for that section is 2. If the section score is already 2 or more then no modification is made. |
Outpatient, Home-health |
|
|
Heart Drawing Tool
|
|
https://pdfs.semanticscholar.org/b4f7/b19da1677b8f6714f45b742d9a7a2bb2dbc4.pdf |
pediatrics |
Free |
Read instructions |
10-15 minutes |
The Heart Drawing is a new, easy to use, and efficient tool that allows the clinician to assess a child’s affect regulation functioning, affective range, and experience in a non-threatening manner. It can also be used to assess a child’s insightfulness and capacity to identify internal affective experiences. |
pediatrics, outpatient |
Hospital Anxiety and Depression Scale (HADS)
|
|
https://eprovide.mapi-trust.org/instruments/hospital-anxiety-and-depression-scale |
geriatrics, adults, mental health, adolescents, cardiovascular disease, stroke (CVA), acute stroke, subacute stroke, spinal cord injury (SCI) |
$167.55 (depends on US/UK xr) |
Read manual |
2-6 minutes |
Patient-reported anxiety and depression secondary to physical illnesses |
inpatient rehab, outpatient rehab, skilled nursing facility (SNF) |
|
|
Independent Living Scales (ILS)
|
|
https://www.pearsonassessments.com/store/usassessments/en/Store/Professional-Assessments/Cognition-%26-Neuro/Independent-Living-Scales/p/100000181.html |
adults, geriatrics, cognitive decline |
$405 |
Read manual |
45 minutes; Scoring: 10 minutes |
ILS is a reliable and valid standardized approach for identifying areas of competence in forensic cases, and for determining the most appropriate living setting for adults who are experiencing a decline in cognitive functioning. The performance-based results from the 68 ILS items are more objective and reliable than third-party observations or examinees' self-reports. The ILS is composed of five scales: Memory/Orientation, Managing Money, Managing Home and Transportation, Health and Safety, Social Adjustment. |
adults, inpatient rehab, skilled nursing facility (SNF), inpatient rehab, long term care hospital (LTCH), outpatient rehab |
Infant-Toddler Social and Emotional Assessment (ITSEA)
|
|
https://eprovide.mapi-trust.org/instruments/infant-toddler-social-emotional-assessment |
pediatrics (ages 1 year - 3 years), developmental delay |
contact eProvide |
Read manual |
20-40 minutes |
Social-emotional problems and competencies in 1 to 3 year old children. Proxy reported. |
pediatrics |
|
|
Jebsen Taylor Test of Hand Function (JTTHF)
|
|
https://www.opentip.com/search.php?cPath=18363&products_id=11474696 |
adults, arthritis, joint conditions, brain injury (BI), spinal cord injury (SCI), stroke (CVA) |
$390 |
Read manual |
15 minutes |
The Jebsen Hand Function Test (JHFT) is a standardized evaluative measure of functional hand motor skills (Hummel et al., 2005). |
inpatient rehab, skilled nursing facility (SNF), outpatient rehab, home health, hand therapy |
|
|
Jordan Left-Right Reversal Test
|
|
https://www.wpspublish.com/jordan-3-jordan-left-right-reversal-test-third-edition |
Dyslexia, Pediatric (ages 5-18) |
144 |
Read Manual |
20 min |
This norm-referenced test assesses visual reversals of letters, numbers, and words in students 5 through 18 years of age. It is an excellent screening instrument for the early detection of learning disabilities. |
Outpatient, schools, pediatrics |
Karnofsky Performance Scale
|
|
https://www.compassus.com/sparkle-assets/documents/karnofsky_performance_status_scale.pdf |
adults, cancer |
Free |
Read instructions |
3 minutes |
A standard way of measuring the ability of cancer patients to perform ordinary tasks. The Karnofsky Performance Status scores range from 0 to 100. A higher score means the patient is better able to carry out daily activities. Karnofsky Performance Status may be used to determine a patient's prognosis, to measure changes in a patient’s ability to function, or to decide if a patient could be included in a clinical trial. Also called KPS. |
hospice |
|
|
Katz Index of Independence in Activities of Daily Living (Katz ADL)
|
|
https://www.alz.org/careplanning/downloads/katz-adl.pdf |
adults, geriatrics |
Free |
No training |
5 minutes or more |
The Katz Index of Independence in Activities of Daily Living, commonly referred to as the Katz ADL, is the most appropriate instrument to assess functional status as a measurement of the client’s ability to perform activities of daily living (ADLs) independently. Clinicians typically use the tool to detect problems in performing ADLs and to plan care accordingly. The Katz ADL ranks adequacy of performance in the six functions of: 1.) Bathing 2.) Dressing 3.) Toileting 4.) Transferring 5.) Continence 6.) Feeding |
adults, acute care, inpatient, skilled nursing facility SNF, inpatient rehab, long term care hospital (LTCH), home health |
|
|
Kessler Foundation for Neglect Assessment Process
|
|
https://kesslerfoundation.org/guide-spatial-neglect-healthcare-professionals-assessment-tools |
stroke (CVA), TBI, surgical procedure, brain tumor, acute stroke, subacute stroke, chronic stroke |
Free manual download available |
Take free manual course |
15-45 minutes |
KF‐NAP is a scoring method and assessment procedure that helps clinicians detect and measure spatial neglect in daily situations. KF-NAP includes 10 categories: gaze orientation, limb awareness, auditory attention, personal belongings, dressing, grooming, navigation, collisions, meals, and cleaning after meals. |
|
|
Kettle Test
|
|
https://www.sralab.org/sites/default/files/2017-07/Kettle%20Test%20final%20manual.pdf |
stroke (CVA), subacute stroke, chronic stroke |
Free |
Read manual |
10-30 minutes |
A performance test designed to indicate one’s ability to perform daily tasks. The clinician observes while the patient completes the task. The clinician and patient then make the decisions about the details of the task to be completed. The patient’s task is to prepare two hot drinks, one for the clinician and one for the patient. If the client wants to prepare a beverage, allow them to determine what they want, and then ask for a drink that uses two different ingredients.
Assessing Performance. Scores are based on 13 indices of performance: 1) Opening the water faucet; 2) Filling the kettle with about 2 cups of water; 3) Turning off the faucet; 4) Assembling the kettle; 5) Attaching the electric cord to the kettle; 6) Plugging the electric cord in an electric socket; 7) Turning on the kettle; 8) Assembling the ingredients; 9) Putting the ingredients into the cups; 10) Picking up the kettle when water boils; 11) Pouring the water into the cup; 12) Adding milk; 13) Indication of task completion (e.g. verbal, gesture, serving) |
subacute, chronic |
|
Kohlman Evaluation of Living Skills (KELS)
|
|
https://myaota.aota.org/shop_aota/product/900374 |
adults, cognitive impairment, mental health, stroke (CVA), subacute stroke, chronic stroke |
$112 (AOTA member), $161 (non-member) |
Reading manual |
30-40 minutes |
This AOTA published evaluation provides information in five domains: self-care, safety and health, money management, transportation and telephone, and work and leisure. |
Short-term rehab, both neuro and mental health |
|
Late-Life Function & Disability Instrument
|
|
https://geriatrictoolkit.missouri.edu/funct/LLFDI_function.pdf |
Cancer, Older adults |
Free |
No training required |
5-10 minutes |
The Late-Life Function & Disability Instrument assess activity concepts related to upper and lower extremity functioning and disability in older adults. |
Subacute, Outpatient |
|
Lawton Instrumental ADL Scale (IADL)
|
|
https://geriatrictoolkit.missouri.edu/funct/Lawton_IADL.pdf |
geriatrics, adults, mental health, stroke (CVA), subacute stroke, chronic stroke, dementia, intellectual disability |
Free |
Read instructions |
10-15 minutes |
Patient-reported IADL performance |
outpatient rehab, acute care |
|
|
Line Bisection Test
|
|
https://strokengine.ca/wp-content/uploads/2020/06/lbt.pdf |
stroke (CVA), acute stroke, subacute stroke, chronic stroke |
Free |
Read instructions |
5 minutes |
Consists of a series of 18 lines for which patients are asked to mark the midpoint on each line. It is part of the BIT but can be used as a stand-alone tool. |
acute, subacute, chronic |
|
Little Developmental Coordination Disorder Questionnaire
|
|
https://www.dcdq.ca/ |
pediatric (3-4 years old) |
Purchase from website ($50 CAD) |
Reading of Manual |
10-15 minutes |
The Little DCD-Q is a parent report screening tool. The results are divided into two domains: gross motor and fine motor. |
Outpatient, Home Health, Preschool |
London Handicap Scale (LHS)
|
|
https://www.sralab.org/sites/default/files/2017-06/London_Handicap_Scale.pdf |
stroke (CVA), multiple sclerosis (MS), dementia, chronic pain, geriatrics, pediatric disorders |
free |
Read article |
5 minutes |
Client-reported. Health status in clients with chronic, multiple, or progressive diseases |
acute care, inpatient rehab, skilled nursing facility (SNF), outpatient rehab, pediatrics |
|
|
Lower extremity functional scale
|
|
https://www.sralab.org/sites/default/files/2017-06/LEFS.pdf |
Adults, orthopedics, arthritis, osteoarthritis, chronic pain, stroke (CVA), functional neurological disorder (FND) |
Free |
No training required |
5 minutes |
The test can be used to evaluate the impairment of a patient with lower extremity musculoskeletal condition or disorders. Can be used clinically to measure the patients’ initial function, ongoing progress, and outcome. |
Outpatient, orthopedics, neuro rehab, neurology |
|
MacArthur-Bates Communicative Development Inventories (MB-CDIs)
|
|
https://brookespublishing.com/product/cdi/ |
pediatrics (ages 8 months - 3 years), developmental delay |
$124 |
Read manual |
20-40 minutes |
Language development from early signs of comprehension, to first nonverbal gestural signals, to the expansion of early vocabulary and the beginnings of grammar. Proxy reported. |
schools, pediatrics |
|
|
MALMO POTS Score
|
|
https://www.standinguptopots.org/MalmoPOTSscore |
postural orthostatic tachycardia syndrome (POTS) |
Free |
Read Instructions |
5 minutes |
This survey aims to assess symptom burden and help to track symptom load as POTS progresses and as medications or dosages are changed to better understand the impact of new treatments on quality of life. |
outpatient rehab, home health, pediatrics, adults, neuro rehab |
Manual Ability Measure (MAM-36)
|
|
https://www.eurims.org/E-education/manual-ability-measurement.html |
adults, neuologic conditons, multiple sclerosis, muskuloskletal condtions, Parkinson's diesease, |
Free with liscencing options |
Read instructions |
5-10 minutes |
The Manual Ability Measurement (MAM-36) is a questionnaire on perceived ease or difficulty that a persons may experience when performing unilateral and bilateral ADL tasks. During a semi-structured interview, the persons are asked to rate 36 unilateral and bilateral ADL tasks using a 4-point scale. The score of the different tasks are summed up and transformed using a Rasch-derived conversion table. |
outpatient |
|
Manual Muscle Testing (MMT)
|
|
https://www.niehs.nih.gov/sites/default/files/research/resources/assets/docs/muscle_grading_and_testing_procedures_508.pdf |
Spinal Cord Injury (SCI), stroke (CVA), acute stroke, subacute stroke, chronic stroke, functional neurological disorder (FND) |
Free |
No training required |
1 minute |
MMT is a standardized set of assessments that measure muscle strength and function. |
Inpatient, outpatient, acute rehab |
|
Maternal Self-Efficacy Scale (MSES)
|
|
https://www2.acopeds.org/forms/site/ejacop/2009october/Abstract%2013%20-%20Mary%20Solomon%20MD.pdf |
pediatrics (ages 0 years - 2 years), adults, mental health |
Free |
Read article |
2-5 minutes |
A mother's perception of her ability to perform typical maternal responsibilities such as her management of the baby's feeding or emotional health. Mother reported. |
pediatrics, outpatient rehab |
|
McMaster Family Assessment Device
|
|
https://arc.psych.wisc.edu/self-report/mcmaster-family-assessment-device-fad/ |
adults, intellectual disability |
Free |
Read instructions |
Less than 5 minutes |
The McMaster Family Assessment Device (FAD) is a 60-item questionnaire that measures an individual’s perceptions of his/her family. |
residential facilities, community |
|
McMaster Handwriting Assessment Protocol (MHAP)
|
|
https://www.canchild.ca/en/shop/32-handwriting-assessment-protocol-3rd-edition |
pedatircs (school-aged to grade 6) |
$75 CAD |
Read manual |
Unknown |
The McMaster Handwriting Assessment Protocol (3rd Edition) provides a structured framework for assessing the handwriting of school-aged children in kindergarten to Grade 6. This protocol was designed to identify the specific areas in which a child is having difficulty with handwriting and to help occupational therapists determine whether and where to intervene. |
schools, outpatient |
Mealtime Behavior Questionnaire (MBQ)
|
|
https://www.researchgate.net/publication/230596610_Assessing_Children's_Mealtime_Problems_With_the_Mealtime_Behavior_Questionnaire |
pediatric (2-6 years old) |
Free |
None |
Less than 15 minutes |
This parent report questionnaire uses 4 subscales: food refusal/avoidance, food manipulation, mealtime aggression/distress, choking/gagging/vomitting. |
Feeding clinics, Outpatient, Home Health, Early Intervention |
|
Medical Outcomes Study Short Form-36 (SF-36)
|
|
https://www.rand.org/health-care/surveys_tools/mos/36-item-short-form/survey-instrument.html |
adults, brain injury (BI), cancer (CA), geriatrics, non-specific populations, Parkinson's disease (PD), spinal cord injury (SCI), stroke (CVA), acute stroke, subacute stroke |
Free |
Read instructions |
10+ minutes |
The SF-36 is a 36-item scale constructed to survey health status and quality of life (Ware & Sherbourne, 1992). The SF-36 assesses eight health concepts: limitations in physical activities because of health problems; limitations in social activities because of physical or emotional problems; limitations in usual role activities because of physical health problems); bodily pain; general mental health (psychological distress and well-being); limitations in usual role activities because of emotional problems; vitality (energy and fatigue); and general health perceptions. |
chronic care, subacute, skilled nursing facility (SNF), outpatient rehab |
|
|
Medical Outcomes Survey Social Support
|
|
https://www.rand.org/health-care/surveys_tools/mos/social-support/survey-instrument.html |
Cancer, older adults, chronic conditions |
Free |
No training required |
Less than 5 minutes |
The MOS Social Support Survey is a 19-item self-report measure of the availability of social support, if needed, in several
domains. |
Outpatient, home health, oncology, community health, adult rehab |
|
Melbourne Assessment of Unilateral Upper Limb Function (MUUL)
|
|
https://www.rch.org.au/melbourneassessment/how-to-order/ |
cerebral palsy (CP), pediatric neuromuscular conditions |
$1,092 |
Read manual |
30 minutes |
Quality of upper limb/upper extremity (UE) movement and function. |
pediatrics, outpatient rehab |
|
|
Mental Health Screening Form III
|
|
http://www.forensiccounselor.org/images/file/MHSF%20III.pdf |
adults, mother-infant dyad |
Free |
Read isntructions |
5 minutes |
The mental health screening form is a brief screening tool that can alert clinicians or clinical staff to the possibility of the existence of mental health problems. It was originally designed for use in substance abuse treatment programs to screen for mental health problems that might coexist with mental health problems. It is not intended as a diagnostic instrument. |
outpatient, postpartum, maternal wellness |
|
|
Menu Task
|
|
https://kinesiology.education.wisc.edu/research/dorothy-edwards-research/the-menu-task/ |
stroke (CVA), subacute stroke, chronic stroke, adults, geriatrics |
Free |
Read manual |
5-15 minutes |
Examiner provides the participant with a written list of rules about making meal selections on a sample menu for breakfast, lunch and dinner. The participant must make their selections while adhering to the set of rules. The participant must also follow a set of behavioral rules as indicated on the instructions as well (e.g. not speaking to the examiner during the test). The instrument is timed, however time to complete the task does not affect scoring.
While not scored, the participant is asked to rate how they anticipate and to rate their performance before and after the task. They are also asked if they made any errors and, if so, to identify what errors they made. |
subacute, chronic |
|
Menu Task
|
|
https://kinesiology.education.wisc.edu/research/dorothy-edwards-research/the-menu-task/ |
stroke (CVA), subacute stroke, chronic stroke, adults, geriatrics |
Free |
Read manual |
5-15 minutes |
Examiner provides the participant with a written list of rules about making meal selections on a sample menu for breakfast, lunch and dinner. The participant must make their selections while adhering to the set of rules. The participant must also follow a set of behavioral rules as indicated on the instructions as well (e.g. not speaking to the examiner during the test). The instrument is timed, however time to complete the task does not affect scoring.
While not scored, the participant is asked to rate how they anticipate and to rate their performance before and after the task. They are also asked if they made any errors and, if so, to identify what errors they made. |
subacute, chronic |
|
Miller Behavioral Style Scale (MBSS)
|
|
http://www.integrativehealthpartners.org/downloads/ACTmeasures.pdf |
mental health, adults, non-specific patient population |
Free |
Read article |
10 minutes |
Client-reported. Behavior associated with seeking or avoiding information when faced with threatening uncontrollable events. See pg. 33-35 |
outpatient rehab, mental health, primary care |
|
|
Miller Function and Participation Scales (M-FUN)
|
|
https://www.pearsonassessments.com/store/usassessments/en/Store/Professional-Assessments/Developmental-Early-Childhood/Miller-Function-and-Participation-Scales/p/100000557.html |
pediatrics, school age (2-7 y/o) |
$547.90 (kit) |
Read manual |
60 min (20-30 min subtests) |
Miller Function and Participation Scales (M-FUN) assesses a child’s functional performance related to school participation.. The M-FUN can be used to assess children with lower motor-function skills and those with mild, moderate or severe motor impairment. |
schools |
Mini BESTest
|
|
https://www.sralab.org/rehabilitation-measures/mini-balance-evaluation-systems-test; https://bestest.us/files/7413/6380/7277/MiniBEST_revised_final_3_8_13.pdf |
TBI, Multiple Sclerosis (MS), Parkinson's disease (PD), movement disorders, stroke (CVA), chronic stroke, vestibular disorders |
Free |
Read instructions |
10-15 minutes |
Assesses balance control and dynamic balance through 14 items by the following domains: anticipatory postural adjustment, reactive postural control, sensory orientation, dynamic gait. |
chronic |
|
Mini-Cog
|
|
http://mini-cog.com/wp-content/uploads/2022/04/Standardized-English-Mini-Cog-1-19-16-EN_v1-low-1-2.pdf |
adults, suspected cognitive impairement, cancer, older adults |
Free |
Read instructions |
3 minutes |
The Mini-Cog©; is a 3-minute instrument that can increase detection of cognitive impairment in older adults. It can be used effectively after brief training in both healthcare and community settings. It consists of two components, a 3-item recall test for memory and a simply scored clock drawing test. As a screening test, however, it does not substitute for a complete diagnostic workup. |
acute care, inpatient rehab, skilled nursing facility (SNF), outpatient rehab, home health |
|
|
Mini Mental State Examination (MMSE)
|
|
https://www.parinc.com/Products/Pkey/238 |
adults, geriatrics, suspected cognitive impairment, spinal cord, stroke (CVA), acute stroke, subacute stroke |
$184 |
None |
Read manual |
The Mini-Mental State Examination (MMSE) is a widely used test of cognitive function among the elderly; it includes tests of orientation, attention, memory, language. |
adults, acute care, inpatient rehab, skilled nursing facility (SNF), outpatient rehab, home health |
|
Modified Ashworth Scale (MAS)
|
|
https://www.sralab.org/sites/default/files/2017-06/Modified%20Ashworth%20Scale%20Instructions.pdf |
adults, brain injury (BI), cerebral palsy (CP), Parkinson's disease (PD), spinal cord injury (SCI), stroke (CVA), acute stroke, subacute stroke, chronic stroke, multiple sclerosis (MS) |
Free |
No training |
Less than 5 minutes |
The MAS measures resistance during passive soft-tissue stretching and is used as a simple measure of spasticity.[1] Scoring (taken from Bohannon and Smith, 1987). |
acute care, inpatient rehab, skilled nursing facility (SNF), outpatient rehab, home health, hand therapy |
|
|
Modified Checklist for Autism in Toddlers (M-CHAT)
|
|
https://www.autismspeaks.org/screen-your-child |
pediatrics, autism spectrum disorder (ASD) |
Free |
No training |
5-10 minutes |
The Modified Checklist for Autism in Toddlers (M-CHAT) is a validated developmental screening tool for toddlers between 16 and 30 months of age. It is designed to identify children who may benefit from a more thorough developmental and autism evaluation. |
early intervention (EI), outpatient rehab, pediatrics, primary care |
|
|
Modified fatigue impact scale
|
|
https://www.sralab.org/sites/default/files/2017-06/mfis.pdf |
postural orthostatic tachycardia syndrome (POTS), multiple sclerosis (MS), traumatic brain injury (TBI) |
Free |
Read Instructions |
2-10 minutes |
The MFIS is a modified form of the Fatigue Impact Scale (Fisk et al., 1994) based on items derived from interviews with MS patients concerning how fatigue impacts their lives. This instrument provides an assessment of the effects of fatigue in terms of physical, cognitive, and psychosocial functioning. |
Neuro rehab, neurology |
|
Modified Rankin Scale (MRS)
|
|
https://manual.jointcommission.org/releases/TJC2018A/DataElem0569.html |
adults, brain injury (BI), stroke (CVA), chronic stroke |
Free |
None |
5-15 minutes |
The mRS measures the degree of disability or dependence in the daily activities of people who have suffered a stroke (or other illnesses or injuries leading to of neurological disability). |
acute care, inpatient rehab, skilled nursing facility (SNF), outpatient rehab, home health |
|
|
Modified Tardieu Scale
|
|
https://www.physio-pedia.com/Tardieu_Scale |
stroke (CVA), subacute stroke, TBI, Cerebral Palsy (CP) |
Free (goniometer) |
Experience with spastic muscles |
5-10 minutes |
Assesses spasticity by quantifying a spastic muscle's response to stretch applied at given velocities. |
subacute |
|
Montgomery Asberg Depression Rating Scale (MADRS)
|
|
https://www.mdcalc.com/montgomery-asberg-depression-rating-scale-madrs |
adults, depression |
Free |
None |
5+ minutes |
The Montgomery–Åsberg Depression Rating Scale (MADRS) is a ten-item[1] diagnostic questionnaire which psychiatrists use to measure the severity of depressive episodes in patients with mood disorders. |
mental health |
|
|
Montreal Cognitive Assessment (MoCA)
|
|
https://www.parkinsons.va.gov/resources/MOCA-Test-English.pdf |
adults, dementia, Parkinson's disease (PD), Alzheimer's disease, stroke (CVA), acute stroke, subacute stroke, multiple schlerosis (MS), geriatrics, mental health |
Free ($125 for training) |
Training course |
10 minutes |
Short screening tool for mild cognitive dysfunction. No cost for administration materials after completing certification. |
inpatient rehab, skilled nursing facility (SNF), outpatient rehab |
|
|
Morning-Eveningness Questionnaire (MEQ)
|
|
https://reference.medscape.com/calculator/829/morningness-eveningness-questionnaire-meq |
Sleep difficulties, Insomnia |
Free |
None |
5 minutes |
This 19-item self-assessment questionnaire assesses individual preferences for sleeping, waking, and completing activities across different times of day. |
Outpatient, adult rehab |
|
MOS Sleep Problems Index
|
|
https://heal.nih.gov/files/CDEs/2023-09/mos-sleep-scale-crf.docx |
postural orthostatic tachycardia syndrome (POTS), Adults aged 18 and older, sleep difficulties, insomnia |
Free |
Read Instructions |
1-3 minutes |
The MOS Sleep Problems Index is a a global summary of sleep quality. |
Outpatient rehab, neuro rehab, mental health, behavioral health |
|
Motion Sensitivity Quotient/Test (MSQ/MST)
|
|
https://www.sralab.org/rehabilitation-measures/motion-sensitivity-quotient-test |
older adults with dizziness, vestibular disorders |
Free |
Read instructions |
20-30 minutes |
The Motion Sensitivity Quotient/Test (MSQ/MST) is a clinical protocol designed to measure motion-provoked dizziness during a series of 16 quick changes to head or body positions. The MST has been used as a guide for developing an exercise program for patients with motion-provoked dizziness and as a treatment outcome measure to monitor the effectiveness of vestibular rehabilitation therapy. |
outpatient rehab, home health, skilled nursing facility (SNF) |
|
Motor Activity Log (MAL)
|
|
https://www.uab.edu/citherapy/images/pdf_files/CIT_Training_MAL_manual.pdf |
adults, stroke (CVA), subacute stroke, chronic stroke |
Free |
Read instructions |
20 minutes |
The Motor Activity Log (MAL) is a subjective measure of an individual’s real-life functional upper limb performance. The MAL is administered by semi-structured interview to determine how much, and how well, the individual uses his/her upper limb in his/her own home. |
inpatient rehab, skilled nursing facility (SNF), home health, outpatient rehab, hand therapy |
|
|
Motor Assessment Scale
|
|
https://www.sralab.org/rehabilitation-measures/motor-assessment-scale |
stroke (CVA) |
free |
none |
15 minutes |
Motor function evaluation; includes disability and impairment measures, arm and hand movements, tone, and mobility (bed, upright, and ambulation). |
acute, subacute, chronic |
Motor Assessment Scale
|
|
https://www.tendertouch.com/wp-content/uploads/user_uploads/Training%20admin/1629903858_Motor-Assessment-Scale.pdf |
stroke (CVA), acute stroke, subacute stroke, chronic stroke |
Free |
No training |
15 minutes |
Motor function evaluation; includes disability and impairment measures, arm and hand movements, tone, and mobility (bed, upright, and ambulation). |
acute, subacute, chronic |
|
Motor-Free Visual Perception Test
|
|
https://assessments.academictherapy.com/i/motor-free-visual-perception-test-4-mvpt-4 |
stroke (CVA), acute stroke, subacute stroke, chronic stroke, pediatrics |
$220 (test kit), $80 (manual) |
Read manual |
10-15 minutes |
36 items assessing 5 domains of visual perception (spatial relations, discrimination - visual and figure ground, visual closure and visual memory). Items are in the form of multiple choice questions with 4 possible answers. |
acute, subacute, chronic |
|
Motor Function Measure (MFM)
|
|
https://mfm-nmd.org/?lang=en |
pediatrics, spinal muscular atrophy (SMA) |
Free |
Training recommended: DVD |
36 minutes |
The MFM is a quantitative scale applicable to all patients with neuromuscular disease, regardless of the severity of the motor impairment. The MFM is thus applicable to both walking and non-walking patients. |
pediatrics |
|
Motricity Index for Motor Impairment After Stroke
|
|
https://www.sralab.org/sites/default/files/2018-04/motricity-index-mi.pdf |
stroke (CVA), acute stroke, subacute stroke, chronic stroke, adults, geriatrics |
Free (some equipment needed) |
Read instructions |
20 minutes |
Post-stroke (CVA) joint or grip strength |
acute care, adults, inpatient rehab, outpatient rehab, hand therapy |
|
|
Movement Assessment Battery for Children | Second Edition Movement ABC-2
|
|
https://www.pearsonassessments.com/store/usassessments/en/Store/Professional-Assessments/Motor-Sensory/Movement-Assessment-Battery-for-Children-%7C-Second-Edition/p/100000433.html?tab=product-details |
pediatrics (ages 3 years -16 years) |
1176 |
Read manual |
20-40 minutes |
Movement Assessment Battery for Children | Second Edition provides you with the tools you need to assist in identifying children who have motor function impairment. Tasks cover three areas: Manual Dexterity, Ball Skills, Static and Dynamic Balance. |
outpatient |
|
MS Quality of Life 54 (MSQOL 54)
|
|
https://www.nationalmssociety.org/For-Professionals/Researchers/Resources-for-MS-Researchers/Research-Tools/Clinical-Study-Measures/Multiple-Sclerosis-Quality-of-Life-54-(MSQOL-54) |
adults, multiple sclerosis (MS) |
Free |
None |
11-18 minutes |
The MSQOL-54 is a self-report multidimensional health-related quality of life measure that combines both generic and MS-specific items into a single instrument. This 54-item instrument generates 12 subscales along with two summary scores, and two additional single-item measures. The subscales are: physical function, role limitations-physical, role limitations-emotional, pain, emotional well-being, energy, health perceptions, social function, cognitive function, health distress, overall quality of life, and sexual function. |
Inpatient, outpatient, home-health |
|
Mullen Scales of Early Learning (MESL)
|
|
https://www.wpspublish.com/mullen-scales-of-early-learning?utm_term=&utm_campaign |
pediatrics (ages 0 years - 6 years), intellectual disabilities, autism spectrum disorder (ASD), cerebral palsy (CP), fragile x syndrome (FXS) |
$1,005 |
Read manual |
15-60 minutes |
Level of development with motor and cognitive skills, including language and communication. |
schools, pediatrics, early intervention |
|
|
Multidimensional Anxiety Scale for Children | Second Edition (MASC 2)
|
|
https://www.wpspublish.com/masc-2-multidimensional-anxiety-scale-for-children-2nd-edition |
pediatrics (8 years - 19 years) |
$208 |
Read Manual |
Unknown |
Multidimensional Anxiety Scale for Children Second Edition™ (MASC 2™) assesses the presence of symptoms related to anxiety disorders in youth. The measure distinguishes between important anxiety symptoms and dimensions that broadband measures do not capture. |
outpatient rehab |
|
Multidimensional Fatigue Inventory
|
|
https://www.sralab.org/rehabilitation-measures/multidimensional-fatigue-symptom-inventory-short-form |
Chronic illness, Ehlers Danlos Syndrome (EDS) |
Free |
Read instructions |
5 minutes |
30-item short form of the MFSI that yield scores only for the empirically derived subscales. Preliminary research suggests that it has acceptable psychometric properties and may be used as a substitute for the MFSI when time constraints and scale length are of concern. |
Outpatient, Home Health |
Multiple Errands Test
|
|
https://www.astate.edu/college/conhp/departments/occupational-therapy/files/F_MET%20Revised%20examiners%20packet%20_2016.pdf |
stroke (CVA), subacute stroke, chronic stroke, neurological disorders, Parkinson's disease (PD), Alzheimer's disease, Progressive Dementia |
Free |
Read manual (2 administrators required) |
45-60 minutes |
MET tasks are broken down into sets: Errands (purchasing items, using a telephone and mailing a letter); Obtaining information (closing time of local library, price of a candy bar, finding a specified flyer and keeping it with them until the BMET-R is completed),; Meeting the assessor at a designated time and place (meet at gift shop 10 minutes after starting); and Informing the assessor when task is completed.
The participant is required to complete these tasks while adhering to 6-8 rules (depending on the version) such as:
Adhering to spending limits with purchases; Not purchasing more than a certain number of items; Not visiting the same area twice; and Avoiding restricted areas and communication with others.
The participant is given the rules before beginning. The tester observes the participant and records behavior during performance. For the hospital version, this is done at a distance. |
subacute, chronic |
|
National Institutes of Health Stroke Scale (NIHSS)
|
|
https://www.stroke.nih.gov/documents/NIH_Stroke_Scale_508C.pdf |
adults, stroke (CVA), acute stroke |
Free |
Free training available |
6 minutes |
The National Institutes of Health Stroke Scale, or NIH Stroke Scale (NIHSS), is a tool used by healthcare providers to objectively quantify the impairments caused by a stroke. |
acute care, inpatient rehab, skilled nursing facility (SNF), outpatient rehab, home health |
|
|
Neurobehavioral Functioning Inventory (NFI)
|
|
https://www.pearsonassessments.com/store/usassessments/en/Store/Professional-Assessments/Cognition-%26-Neuro/Neurobehavioral-Functioning-Inventory/p/100000482.html |
adults, TBI and other neurological disorders (e.g., stroke, multiple sclerosis). |
280 |
Read manual |
15 minutes |
NFI is a brief, self-report inventory that can be completed by the patient or family member. Two forms — Patient Record Form and Family Record Form — allow comparison between two perspectives. Items on both forms use a five-point, Likert-type scale to measure the frequency of behaviors exhibited by the patient. NFI's 76 items are organized into six independent scales reflecting symptoms and problems commonly encountered following the onset of neurological disability: Depression, Somatic, Memory/Attention, Communication, Aggression, Motor |
outpatient |
|
Non-Communicating Adult Pain Checklist
|
|
https://cpb-us-e1.wpmucdn.com/wordpressua.uark.edu/dist/9/300/files/2017/04/Non-Communicating-Adult-Pain-Checklist.pdf |
adults, intellectual disability |
Free |
Read instructions |
5 minutes |
The 18 items' Non-Communicating Adult Pain Checklist (NCAPC) has been developed from the 27 items Non-Communicating Children Pain Checklist to better capture pain behavior of adults with Intellectual and Developmental Disabilities (IDD). |
acute care, snf, community, outpatient |
|
Non-Communicating Children’s Pain Checklist (NCCPC)
|
|
http://www.community-networks.ca/wp-content/uploads/2015/07/PainChklst_BreauNCCPC-R2004.pdf |
pediatric (ages 3 years - 18 years), CLN2 |
Free for clinical use |
Reading assessment |
2 hours |
This pain checklist is a 30 items rating scale based on a child's behaviors over a two hour period. There is also a post-operative form available. |
Home health, Long term residential facilities, hand therapy |
|
Nottingham Extended Activities of Daily Living (NEADL) Scale
|
|
http://oml.eular.org/sysModules/obxOML/docs/id_146/neadl_english.pdf |
stroke (CVA), adults, geriatrics, cancer |
Free |
Read instructions |
20 minutes |
Patient-reported level of independence performing activities of daily living (ADLs). |
adults, outpatient rehab, home health |
|
|
Nottingham Health Profile (NHP)
|
|
https://www.sralab.org/sites/default/files/2017-07/Nottingham.pdf |
stroke (CVA), chronic pain, geriatrics, pulmonary disease, non-specific patient population |
unknown |
Read instructions |
10 minutes |
Client-reported. Self perceived emotional, social and physical health |
outpatient rehab |
|
|
Nottingham Leisure Questionnaire (NLQ)
|
|
https://journals.sagepub.com/doi/pdf/10.1191/0269215501cr438oa?casa_token=01cWy-Jv9fcAAAAA:vQgUwLzUoiEgksztYcT9rjLGp1Zg4MYdFzJK6dHBC_pd8rf-hW37yNfBFgEKJG_5mzbZsmsFNo8i5g |
adults, stroke (CVA), traumatic brain injury (TBI), multiple sclerosis (MS) |
unknown |
Read instructions |
10-20 minutes |
Client-reported. Level of participation in leisure activities |
outpatient rehab |
|
Numeric Pain Rating Scale
|
|
https://www.sralab.org/rehabilitation-measures/numeric-pain-rating-scale |
Adults/Youth, Pain |
Free |
Read Instructions |
Less than three minutes |
The patient is asked to make three pain ratings, corresponding to current, best and worst pain experienced over the past 24 hours. |
acute care, inpatient rehab, skilled nursing facility (SNF), outpatient rehab, home health, hand therapy |
Occupational Circumstances Assessment Interview and Rating Scale
|
|
https://moho-irm.uic.edu/productDetails.aspx?aid=35 |
Adults |
40 |
Read Manual |
50 minutes |
The OCAIRS provides a structure for gathering, analyzing, and reporting data on the extent and nature of an individual's occupational participation. It can be used with a wide range of clients, and would be appropriate for any adolescent or adult client who has the cognitive and emotional ability to participate in an interview. |
Outpatient |
|
Occupational Performance History Interview-II (OPHI-II)
|
|
https://www.moho.uic.edu/productDetails.aspx?aid=31 |
adults, mental health, physical disability, adults with neuropsychiatric disorders, sleep apnea, spinal cord injury (SCI), substance abuse recovery, chronic pain, multiple sclerosis (MS), transition programs |
$40 |
Read manual |
Unknown |
A semi-structured interview that explores a client's life history in the areas of work, play and self-care performance. The manual contains reproducible assessment, life history narrative, and data summary forms. |
outpatient rehab, mental health |
|
Orpington Prognostic Scale
|
|
https://www.sralab.org/sites/default/files/2017-07/HcgdPe-Orpington-Prognostic-Scale.pdf |
stroke (CVA), acute stroke, subacute stroke |
Free |
Read instructions |
<5 minutes |
4 items which include an assessment of motor functioning in the arm, proprioception, balance, and cognition. |
acute, subacute |
|
Pain Assessment in Advanced Dementia Scale (PAINAD)
|
|
https://www.mdcalc.com/calc/3701/pain-assessment-advanced-dementia-scale-painad |
adults, pain in dementia |
free |
Read instructions |
5 minutes |
Assesses pain in patients with dementia. |
home health, outpatient, snf, acute care |
|
Pain Catastrophizing Scale (PCS)
|
|
https://www.oregon.gov/oha/HPA/dsi-pmc/PainCareToolbox/Pain%20Catastrophizing%20Scale.pdf |
pediatrics/adults |
Free |
Read Instructions |
10 minutes |
These short likert-type questionnaires assess catastrophising about pain in children and their parents. It looks at issues such as rumination, magnification and feelings of helplessness. |
outpatient rehab, hand therapy |
|
|
Pain Disability Index
|
|
https://www.med.umich.edu/1info/FHP/practiceguides/pain/detpdi.pdf |
adults, chronic pain |
free |
Read instructions |
5 minutes |
Helps evaluate the impact of chronic pain on an individual’s life activities. Rates 7 areas: Family and home responsibilities, recreation, social activity, occupation, sexual behavior, self care, life-support activity. |
outpatient, home health |
|
|
Pain Self-Efficacy Questionnaire (PSEQ)
|
|
https://www.workcover.wa.gov.au/wp-content/uploads/sites/2/2015/07/pain_self_efficacy_questionnaire.pdf |
adults, chronic pain |
Free |
Read article |
5 minutes |
Patient-reported impact of pain on functional performance. |
adults, outpatient rehab, home health, hand therapy |
Parenting Sense of Competence Scale
|
|
http://www.bristol.ac.uk/media-library/sites/sps/documents/c-change/parenting-sense-of-competence-scale.pdf |
pediatrics, adults, caregivers, parents |
Free |
None |
5+ minutes |
The Parenting Sense of Competence Scale (PSOC) is a self-reporting instrument that measures and assesses parent self-efficacy. The instrument, designed for parents with children birth-17 years of age, was originally developed by Gibaud-Wallston and Wandersman (1978) with skill knowledge and value competence subscales but has been translated and revised by Johnston and Marsh (1989) for use with older children. |
pediatrics |
|
|
Parenting Stress Index - Short Form (PSI-SF)
|
|
https://www.wpspublish.com/psi-4-parenting-stress-index-fourth-edition |
pediatrics (ages 1 year - 12 years), developmental delay, intellectual disability |
$181 |
Read manual |
10-15 minutes |
Stress in the parent-child relationship, identifying dysfunctional parenting and child adjustment problems. Proxy reported. |
|
|
Parkinson's Disease Questionnaire - 39 (PDQ-39)
|
|
https://www.sralab.org/rehabilitation-measures/parkinsons-disease-questionnaire-39 |
adults, Parkinson's disease (PD) |
Free |
No training |
10-20 minutes |
The PDQ-39 is a 39-item questionnaire that offers a patient-reported measure of health status and quality of life. It is the most frequently used disease-specific health status measure in the Parkinson's Disease (PD) space. The questionnaire assesses how often people affected by PD experience difficulties across 8 dimensions of daily living, including relationships, social situations, and communication. |
outpatient rehab, home health |
|
|
Participation and Environment Measure for Children and Youth (PEM-CY)
|
|
https://www.sralab.org/rehabilitation-measures/patient-specific-functional-scale |
amputation, back pain, chronic pain, joint pain and fractures, musculoskeletal conditions |
Free |
No training |
Less than 4 minutes |
The Patient-Specific Functional Scale (PSFS) is a self-reported, patient-specific outcome measure, designed to assess functional change, primarily in patients presenting with musculoskeletal disorders. |
outpatient rehab |
Participation Assessment and Recombined Tools (PART-O)
|
|
https://www.tbims.org/parto/index.html |
adults, traumatic brain injury (TBI) |
Free |
Read Manual |
5-10 minutes |
The Participation Assessment with Recombined Tools-Objective (PART-O, Whiteneck, Dijkers, Heinemann, et al., 2011) is an objective measure of participation, representing functioning at the societal level. Developed by the NIDRR-sponsored Traumatic Brain Injury Model Systems, the original instrument included 24 items derived or modified from three measures commonly found in the TBI literature |
inpatient rehab, outpatient rehab |
|
|
Patient Global Impression of Change Scale
|
|
https://health.mil/Reference-Center/Forms/2015/05/01/Patient-Global-Impression-Change-Scale |
Adults |
Free |
Read Instuctions |
1 minute |
The Patient Global Impressions scale (PGI), also known as Subject Global Impression (SGI), is the PRO counterpart to the Clinical Global Impressions scale, (CGI), which was published in 1976 by the National Institute of Mental Health (US). It consists of one item based on the CGI and adapted to the patient. |
acute care, inpatient rehab, skilled nursing facility (SNF), outpatient rehab, home health, hand therapy |
|
Patient Health Questionnaire (PHQ-9)
|
|
https://www.mdcalc.com/phq-9-patient-health-questionnaire-9 |
adults, depression, chronic pain, stroke (CVA), acute stroke, subacute stroke, chronic stroke, Postpartum Anxiety |
Free |
None |
5 minutes |
Objectifies degree of depression severity. |
Outpatient |
|
Patient-Rated Wrist Evaluation (PRWE)
|
|
https://www.ace-pt.org/wp-content/uploads/2019/10/PF-PRWHE.pdf |
adults, wrist disorder |
Free |
Read instructions |
5 minutes |
The PRWE is a 15-item questionnaire designed to measure wrist pain and disability in activities of daily living. |
outpatient, hand therapy |
|
Patient-Specific Functional Scale (PSFS)
|
|
https://www.sralab.org/rehabilitation-measures/patient-specific-functional-scale |
amputation, back pain, chronic pain, joint pain and fractures, musculoskeletal conditions, adults |
Free |
Read instructions |
5-10 minutes |
Patient Specific Functional Scale is a self-report outcome measure of function that could be used in patients with varying levels of independence. |
outpatient rehab, hand therapy, home health |
|
Peabody Developmental Motor Scales | Second Edition (PDMS-2)
|
|
https://www.proedinc.com/Products/9280/pdms2-peabody-developmental-motor-scalessecond-editioncomplete-kit.aspx |
pediatrics |
$557 |
Read manual |
45-60 minutes |
The PDMS-2 is an early-childhood motor-development program that provides in-depth assessment, as well as training or remediation of gross- and fine-motor skills. (These are both delivered in one package.) The assessment is composed of six subtests that measure interrelated motor abilities that develop early in life. It is designed to assess the motor skills of children from birth through 5 years of age. Subtests include: reflexes, stationary, locomotion, object manipulation, grasping. |
early intervention (EI), schools |
Pediatric Activity Card Sort (PACS)
|
|
https://www.caot.ca/client/product2/12/itemFromIndex.html |
pediatrics |
126.95 |
Read Manual |
5-10 minutes per category |
This helpful assessment tool focuses on measuring occupation in the paediatric population. It contains pictures of children engaged in typical childhood occupations. These help to determine the child's level of occupational performance and engagement. For ages 6 - 12. |
outpatient |
|
Pediatric Confusion Assessment Method for the Intensive Care Unit (pCAM-ICU)
|
|
https://www.icudelirium.org/medical-professionals/pediatric-care |
ICU, pediatrics (at least 5 years old) |
Free |
Read instructions |
Around 5 minutes |
Children at least 5 years of age (both chronological and developmental) either intubated or non-intubated. |
intensive care unit (ICU) |
|
Pediatric Eating Assessment Scale (PediEAT)
|
|
https://feedingflockteam.org/wp-content/uploads/2023/11/PediEAT-Full-Version-2023-9-8-2.pdf |
Pediatrics (children 6 months to 7 years) |
Free |
No training required |
15 Minutes |
The PediEAT is intended to assess observable symptoms of problematic feeding in children between the ages of 6 months and 7 years who are being offered some solid foods. |
Outpatient, pediatrics, early intervention |
|
Pediatric Evaluation of Disability Inventory (PEDI)
|
|
https://www.pearsonassessments.com/store/usassessments/en/Store/Professional-Assessments/Developmental-Early-Childhood/Pediatric-Evaluation-of-Disability-Inventory/p/100000505.html |
pediatrics, intellectual disability, postural orthostatic tachycardia syndrome (POTS) |
$286/kit |
Read manual |
45-60 minutes |
The PEDI assesses key functional capabilities and performance in children ages 6 months to 7 years. It is also useful for older children whose functional abilities are lower than those of seven-year-olds without disabilities. |
outpatient rehab, early intervention |
|
|
Pediatric Interest Profiles (PIP)
|
|
https://moho-irm.uic.edu/productDetails.aspx?aid=43 |
pediatrics (6 – 21 years of age), ADHD |
Free, with account |
Read instructions |
15-30 minutes |
Provides an easy way to gain a profile of the play interests of children and adolescents. Children/adolescents respond to questions regarding interest, participation, and enjoyment in leisure/play activities typical of peers |
pediatrics, outpatient |
Pediatric Pain Profile (PPP)
|
|
https://ppprofile.org.uk/ |
pediatrics, CLN2, children with neurological impairment who are unable to use speech or AAC |
Free upon request |
Read manual |
Brief, less than 5 minutes |
This is a 20 items behavior rating scale. It uses a 4 point likert scale to assess pain based on a caregiver's observations. This assessment is also designed for ongoing monitoring of a child's pain situation. |
Home health, Long term residential facilities |
|
Pediatric Specific Quality of Life Questionnaire (PedsQL)
|
|
https://www.pedsql.org/about_pedsql.html |
pediatrics |
$9,500 |
Read manual |
5 minutes |
Health-related quality of life in children in various diseases areas. |
pediatrics, schools |
|
Pelvic Floor Disability Index (PFDI-20)
|
|
http://centerforadvancedgyn.com/wp-content/uploads/2016/06/pelvic-floor-disability-index.pdf |
adults, pelvic floor dysfunction |
Free |
Read instructions |
5 minutes |
The PFDI-20 is a self report measure comprised of 3 scales, which include the Urinary Distress Inventory-6, Pelvic Organ Prolapse Distress Inventory-6, and the Colorectal-Anal Distress Inventory-8. |
Pelvic health |
|
Pelvic Floor Impact Questionnaire (PFIQ-7)
|
|
https://www.nppt.com/files/forms/PFIQShortform.pdf |
adults, pelvic floor dysfunction |
Free |
Read instrucitons |
5 minutes |
The PFIQ-7 is a health-related quality of life questionnaire for women with pelvic floor conditions to fill out. It includes scales from the Urinary Impact Questionnaire, Pelvic Organ Prolapse Impact Questionnaire, and the Colorectal-Anal Impact Questionnaire-7,1 which are short-forms of their the longer versions. It is useful to determine changes in symptom-severity over time and before and after treatments. |
Pelvic health |
|
Perceived Change Index (PCI)
|
|
https://pblob1storage.blob.core.windows.net/public/nadrc/docs/Perceived%20change%20scale.pdf |
adults, caregiver of someone with dementia |
free |
Read instructions |
5 minutes |
13-item scale that measures caregiver appraisals of self-improvement or decline in distinct areas of well-being, and to examine demographic differences in responses. |
outpatient |
|
|
Perceived Efficacy and Goal Setting System (PEGS)
|
|
https://canchild.ca/en/shop/5-pegs-2nd-edition-complete-kit |
pediatrics (ages 5-9 years) |
$120 CAD |
Read manual |
40-60 minutes |
The Perceived Efficacy and Goal Setting (PEGS) system enables young children (ages 5-9 years) to self-report their perceived competence in everyday activities and to set goals for intervention. Using a set of cards that show self-care, school and leisure activities, children identify the activities that are challenging for them and choose those that they are motivated to work on. Parallel questionnaires for caregivers and educators allow for multiple perspectives to be considered in collaborative goal setting. |
Outpatient |
|
|
Perceived Stress Scale
|
|
https://www.sralab.org/sites/default/files/2017-06/PSS_10_item.doc |
adults, traumatic brain injury (TBI), Spinal Cord Injury (SCI), stroke (CVA), functional neurological disorder (FND) |
Free for non-profit, academic research, educational purposes. |
No training required |
5-10 minutes |
The PSS is a self-reported measure which assesses the degree to which the respondent has perceived situations in his/her life within the past month as stressful. |
Outpatient, Neuro rehab, neurology |
|
Perceive, Recall, Plan, and Perform System (PRPP)
|
|
http://www.occupationalperformance.com/assessments/cognitive-component/prpp-system/ |
adults, cognitive impairment |
$1260 (for Training) |
Training course |
Unknown |
The Perceive, Recall, Plan & Perform (PRPP) Assessment is part of the PRPP System of Task Analysis– an interactive system of assessment and intervention that is based on task analysis methodology. The PRPP Assessment is a standardized, person-centred, criterion-referenced, occupational therapy assessment of occupational performance. It is used with clients of any age, gender, diagnosis, or cultural background whose performance is compromised by difficulties in meeting the cognitive demands of occupations and contexts. The assessment yields information about performance mastery and cognitive strategy application. Strategy application is assessed by scoring behaviors that align with dimensions of attention and perception (Perceive), learning, memory and recall (Recall), planning, decision-making and judgment (Plan), and the capacity to act on decisions and follow-through with plans (Perform). The PRPP Assessment is used internationally, and has been translated into several languages. It has established validity in a variety of practice domains including neurology, mental health, learning disabilities, autism, chronic pain, HIV-associated neurocognitive disorders, and dementia. Acceptable reliability has been demonstrated following training. |
Unknown |
|
Performance Assessment of Self-Care Skills
|
|
https://www.sralab.org/rehabilitation-measures/performance-assessment-self-care-skills |
arthritis, joint conditions, cardiac dysfunction, Multiple Sclerosis (MS), Parkinson's disease (PD), movement disorders, pulmonary disorders, spinal cord injury (SCI), stroke (CVA), chronic stroke |
Available for purchase |
Read manual |
3 hours |
Tasks are administered to client in a standardized way, including placement of objects and verbal instructions: Client attempts to perform task, and therapist provides assistance only when needed; Least assistive prompts are used prior to more assistive prompts; Frequency of prompts and types of assistance are recorded to aid in intervention planning. PASS assessment is flexible: therapist may administer only those tasks deemed relevant to client; therapist may use PASS template to develop new PASS items. |
subacute, chronic |
|
Personal Adjustment and Role Skills Measure (PARS)
|
|
https://www.parentprojectmd.org/wp-content/uploads/2018/06/PARS-III-FOR-DMD.pdf |
pediatrics, geriatrics, stroke (CVA), mental health |
Free |
Read article |
10-20 minutes |
Proxy-reported. Overall psychosocial adjustment for individuals with chronic medical conditions |
outpatient rehab, pediatrics, mental health |
|
|
Pervasive Developmental Disorders Behavior Inventory (PDDBI)
|
|
https://www.parinc.com/Products/Pkey/318 |
pediatrics, autism spectrum disorder (ASD) |
$413/kit |
Read manual |
20-45 minutes |
This informant-based rating scale is designed to assist in the assessment of children who have been diagnosed with autism spectrum disorder (ASD). Unlike existing assessments for ASD, the PDDBI was developed to assess both problem behaviors and appropriate social, language, and learning/memory skills. The test also provides age-standardized scores for parent and teacher ratings. |
outpatient rehab |
|
Photovoice process
|
|
https://ctb.ku.edu/en/table-of-contents/assessment/assessing-community-needs-and-resources/photovoice/main |
adolscents, adults, intellectual disability |
Varied |
Read chapter |
Hours |
The main goal of Photovoice is to help people whose needs – and sometimes whose very existence – are often ignored gain some sense of control over their lives. |
community |
Physical Activity Scale for the Elderly
|
|
https://www.sralab.org/sites/default/files/2017-06/SampleItemsPhysicalActivity.pdf |
Stroke, Cancer, older adults, |
Free |
No training required |
Less than 5 minutes |
The PASE is a self-report measure of the level of physical activity in individuals aged 65 years and up. The PASE includes items regarding occupational, household, and leisure activities during the previous 7-day period. |
Adult rehab, outpatient, home health, community health, oncology |
|
Physical Function in the ICU - Scored (PFIT-s)
|
|
http://icucycle.com/wp-content/uploads/2018/06/The-Physical-Function-in-ICU-Test-PFIT-1-Page-Summary-June-07-2018-UPLOADED-to-Website.pdf |
adults, ICU patients |
Free (?) |
Unknown |
5-10 minutes |
The PFIT-s is a safe and inexpensive test of physical function with high clinical utility. It is valid, responsive to change, and predictive of key outcomes. |
intensive care unit (ICU) |
|
|
Pinch Strength
|
|
https://pdfs.semanticscholar.org/70bb/13c8924c91c61c4c0141f4b45308d4e0f4ca.pdf |
stroke (CVA), subacute stroke, adults, geriatrics, joint conditions |
$191 |
Read manual |
10 minutes |
Tip, key, and palmar pinch strength, B&L Pinch Gauge |
inpatient rehab, outpatient rehab, hand therapy |
|
Piper Fatigue Scale (PFS)
|
|
https://geriatrictoolkit.missouri.edu/fatigue/PiperFatigueScale.pdf |
adults, fatigue, cancer rehab |
free |
Read instructions |
10 minutes |
The Piper Fatigue Scale (PFS) is one of the commonly used multidimensional fatigue measures in the cancer research field and includes subdomains of behavioral, affective, sensory, and cognitive/mood attributes of fatigue subdomains of behavioral, affective, sensory, and cognitive/mood attributes of fatigue. |
outpatient |
|
|
Pittsburgh Agitation Scale (PAS)
|
|
https://dementiaresearch.org.au/wp-content/uploads/2016/06/PAS-2.pdf |
adutls, dementia, agitation |
free |
Read instructions |
5 minutes |
The PAS assesses agitation for individuals with dementia. The scale focuses on four behaviour groups: aberrant vocalizations, motor agitation, aggressiveness and resisting care. |
snf, inpatient |
|
|
Pittsburg Sleep Quality Index
|
|
https://www.sleep.pitt.edu/sites/default/files/assets/Instrument%20Materials/PSQI-Instrument.pdf |
Cancer, older adults, sleep difficulties, insomnia |
Free |
No training required |
5-10 Minutes |
The Pittsburgh Sleep Quality Index (PSQI) is a self-report measure that assesses sleep quality over the past month. |
Outpatient, neuro rehab, oncology |
|
Positive and Negative Affect Scale (PANAS)
|
|
https://ogg.osu.edu/media/documents/MB%20Stream/PANAS.pdf |
adults |
Free |
Read instructions |
5 minutes |
The scale intends to measure someone’s positive and negative affect and how a person is feeling at the moment. |
Mental health, pelvic health |
|
|
Possibilities for Activity Scale
|
|
https://pmc.ncbi.nlm.nih.gov/articles/instance/4992939/bin/NIHMS805322-supplement-Appendix.pdf |
Cancer, Older adults |
Free |
Read Instructions |
Less than 5 minutes |
The Possibilities for Activity Scale (PActS) is a self-report measure of perceived occupational possibilities, specifically for older adults with cancer. |
outpatient, chronic |
|
Possibilities for Activity Scale
|
|
https://pmc.ncbi.nlm.nih.gov/articles/instance/4992939/bin/NIHMS805322-supplement-Appendix.pdf |
Cancer, Older adults |
Free |
No training required |
Less than 5 minutes |
The PActS self-report scale measures perceived occupational possibilities for older adults. |
Subacute, Outpatient |
|
Postpartum Social Support Screening
|
|
https://artemisguidance.com/pssst/ |
adults, pediatrics, mother-infant dyad |
Free, request permission to reproduce |
Read Instructions |
5 minutes |
This tool can help women and families identify the various forms of social support in their system. It can be used as a treatment planning tool to assist women in strengthening their support system. It can create a powerful dialogue where women and families are empowered to strengthen their resource and use them to their fullest potential. |
outpatient, postpartum, maternal wellness |
|
Postural Assessment Scale for Stroke Patients (PASS)
|
|
https://www.sralab.org/sites/default/files/2017-06/Postural-Assessment-Scale-for-Stroke-Patients-PASS.pdf |
adults, stroke (CVA), acute stroke, subacute stroke, chronic stroke |
Free |
Read instructions |
10 minutes |
PASS is a postural assessment scale specifically designed to assess and monitor postural control after stroke. It contains 12 four-level items of varying difficulty for assessing ability to maintain or change a given lying, sitting, or standing posture. |
acute care |
|
|
Preschool Confusion Assessment Method for the ICU (psCAM-ICU)
|
|
https://www.icudelirium.org/medical-professionals/pediatric-care |
ICU, pediatrics (less than 5 years old) |
Free |
Read instructions |
Around 5 minutes |
The psCAM-ICU Instruction Tool provides detailed directions on how to perform delirium monitoring in children less than 5 years of age or older patients with developmental delay. |
intensive care unit (ICU) |
|
Preschool Language Scale, 4th Edition (PLS-4)
|
|
https://www.pearsonassessments.com/store/usassessments/en/Store/Professional-Assessments/Speech-%26-Language/Preschool-Language-Scale-%7CFourth-Edition/p/100000455.html |
pediatrics (ages 0 years - 7 years), intellectual disabilities, autism spectrum disorder (ASD), fragile x syndrome (FXS) |
$235 |
Read manual |
20-45 minutes |
Level of development with language comprehension and expressive communication |
schools, pediatrics |
|
|
PROMIS Anxiety
|
|
https://www.healthmeasures.net/search-view-measures |
adults, pediatrics, TBI |
Free PDF |
Read instructions |
1-5 minutes |
Patient reported outcome measure for physical function. (Adult, pediatric and caregiver options available.) |
outpatient, community, mental health |
|
PROMIS Bank v2.0 - Ability to Participate in Social Roles and Activities
|
|
https://www.healthmeasures.net/index.php?option=com_instruments&view=measure&id=75&Itemid=992 |
Cancer, Older adults |
Free |
No training required |
Less than 1 minute per item bank |
PROMIS® is a set of validated and patient-centered measures that evaluates and monitors physical, mental, and social health in adults and children. It can be used with the general population and with individuals living with chronic conditions. |
oncology, acute, subacute, chronic |
|
PROMIS Bank v2.0 - Satisfaction with Social Roles and Activities
|
|
https://www.healthmeasures.net/index.php?option=com_instruments&view=measure&id=78&Itemid=992 |
Cancer, Older adults |
Free |
No training required |
Less than 5 minutes |
PROMIS® is a set of validated and patient-centered measures that evaluates and monitors physical, mental, and social health in adults and children. It can be used with the general population and with individuals living with chronic conditions. |
oncology, acute, subacute, chronic |
|
PROMIS Depression
|
|
https://www.healthmeasures.net/search-view-measures |
adiults, pediatrics, TBI |
Free PDF |
Read instructions |
1-5 minutes |
Patient reported outcome measure for physical function. (Adult, pediatric and caregiver options available.) |
outpatient, community, mental health |
|
PROMIS® Global Health (Physical and Mental Health Subscales)
|
|
https://www.healthmeasures.net/index.php?option=com_instruments&view=measure&id=778&Itemid=992 |
Cancer, Older adults |
Free |
No training required |
1 minute |
PROMIS Global Health instrument is a self-report measure of physical and mental health indicators. |
oncology, acute, subacute, chronic |
|
PROMIS Physical Function
|
|
https://www.healthmeasures.net/index.php?option=com_instruments&view=measure&id=789&Itemid=992 |
Cancer, Older adults |
Free |
No training required |
Less than 10 minutes per item bank |
PROMIS Physical Function instruments measure self-reported capability rather than actual performance of
physical activities. This includes the functioning of one’s upper extremities (dexterity), lower extremities (walking
or mobility), and central regions (neck, back), as well as instrumental activities of daily living, such as running
errands |
oncology, acute, subacute, chronic |
|
PROMIS Physical Function Mobility short form
|
|
https://www.healthmeasures.net/search-view-measures |
pediatrics, adults, TBI |
Free PDF |
Read instructions |
1-5 minutes |
Patient reported outcome measure for physical function. |
outpatient, community |
|
|
Quality of Life of in Alzheimers Disease (QoL-AD)
|
|
https://www.agedcaretests.com/Quality_of_Life_in_Alzheimer's_Disease_Measure_(QOL-AD)_SAMPLE.pdf |
adults, alzeheimers disease, dementia patient, caregiver |
3 |
Read isntructions |
5 minutes |
The QOL-AD is a 13-item questionnaire designed to provide both a patient and a caregiver report of the quality of life (QOL) for patients who have been diagnosed with Alzheimer Disease (AD). |
outpatient, home-based |
|
|
Quality of Upper Extremity Skills Test (QUEST)
|
|
https://canchild.ca/en/shop/19-quality-of-upper-extremity-skills-test-quest |
pediatrics, cerebral palsy (CP) |
$99 |
Read manual |
30-45 minutes |
The QUEST evaluates movement patterns and hand function in children with cerebral palsy. The four domains evaluated by the QUEST include: 1.) Dissociated movement 2.) Grasp 3.) Protective extension 4.) Weight bearing |
pediatrics, hand therapy |
|
|
QuickDASH
|
|
https://www.sralab.org/rehabilitation-measures/quick-disabilities-arm-shoulder-hand |
adults, msk disorder of the upper extremity |
Free |
Read instructions |
10 minutes |
The QuickDASH is a shortened version of the DASH Outcome Measure. Instead of 30 items, the QuickDASH uses 11 items to measure physical function and symptoms in people with any or multiple musculoskeletal disorders of the upper limb. |
outpatient, hand therapy |
|
|
Quick Neurological Screening Test (QNST)
|
|
https://www.parinc.com/Products/Pkey/344 |
neurological soft signs, pediatrics (ages 3-80) |
140 |
Read manual |
30 minutes |
The QNST-3R is an assessment of the development of motor coordination and sensory integration seen as neurological soft signs (NSSs), such as poor coordination, sensory perceptual changes, and difficulty sequencing complex motor tasks. The presense of NSSs can indicate neural trauma and is often a harbinger of learning difficulties (with or without trauma). |
outpatient |
|
Range of Motion Testing (ROM)
|
|
https://www.dshs.wa.gov/sites/default/files/forms/pdf/13-585a.pdf |
pediatrics, adults, general population, orthopedics, spinal cord injury (SCI), stroke (CVA), acute stroke, subacute stroke, chronic stroke, functional neurological disorder (FND) |
Free |
Trained in use of goniometer |
Less than 5 minutes |
Range of motion (ROM) measures joint mobility of the elbow, shoulder, hip, knee and ankle joints. |
Inpatient, outpatient, acute rehab |
|
Rapid Assessment Test for Delirium (4AT)
|
|
https://www.the4at.com/ |
adults, delirium |
free |
Read instructions |
2 minutes |
The 4AT is a simple, quick (<2 min) and well-validated bedside tool which helps practitioners detect delirium in day to day practice. |
acute care, snf |
|
|
Rating of Anxiety in Dementia (RAID)
|
|
https://dementiaresearch.org.au/wp-content/uploads/2016/06/RAID.pdf |
adults, anxiety in dementia |
free |
Read instructions |
5 minutes |
The Rating Anxiety in Dementia is a clinical rating scale comprising 18 items rated ona three-point scale, specifically developed to evaluate severity of anxiety in persons with dementia (PWD). |
snft, long-term care |
|
|
REEL-4: Receptive-Expressive Emergent Language Test
|
|
https://www.proedinc.com/Products/14880/reel4-receptiveexpressive-emergent-language-testfourth-edition-complete-kit.aspx |
pediatrics (birth-3) |
189 |
Read manual |
20 min |
Designed to help you identify infants and toddlers who have language impairments or who have other disabilities that affect language development. |
early intervention |
Reintegration to Normal Living Index
|
|
https://www.sralab.org/rehabilitation-measures/reintegration-normal-living-index |
adults, chronic stroke, TBI, spinal cord injuries |
Free |
Read instrucitons |
10 minutes |
The Reintegration to Normal Living Index (RNLI) was developed to assess, quantitatively, the degree to which individuals who have experienced traumatic or incapacitating illness achieve reintegration into normal social activities (e.g. recreation, movement in the community, and interaction in family or other relationships). |
outpatient, community |
|
|
Revised Upper Limb Module (RULM)
|
|
http://columbiasma.org/docs/cme-2010/RULM-Generic-Manual-16-Dec-2014.pdf |
pediatrics, spinal muscular atrophy (SMA) |
Free |
Read manual |
Unknown |
The RULM, a revised version of the original ULM scale, was created to measure upper limb function in a wider range of patients. The RULM has 19 items that reflect various functional domains and are graded on a three-point system with a score of 0 (unable), 1 (able, with modification), and 2 (able, no difficulty). |
pediatrics |
|
|
Richmond Agitation-Sedation Score (RASS)
|
|
https://www.mdcalc.com/richmond-agitation-sedation-scale-rass |
adults, ICU, mechanically ventilated patients |
Free |
Read instrucitons |
Less than 5 minutes |
Richmond Agitation-Sedation Scale is a medical scale used to measure the agitation or sedation level of a person. Obtaining a RASS score is the first step in administering the Confusion Assessment Method in the ICU (CAM-ICU),[4] a tool to detect delirium in intensive care unit patients. |
intensive care unit (ICU) |
|
|
Rivermead Mobility Index (RMI)
|
|
https://www.sralab.org/sites/default/files/2017-06/Rivermead%20Mobility%20Index.pdf |
adults, amputation, brain injury (BI), spinal cord injury (SCI), stroke (CVA), acute stroke, subacute stroke, chronic stroke |
Free |
No training |
3-4 minutes |
The Rivermead Mobility Index (RMI) was developed as a means to quantify mobility disability in clients who have had strokes. The RMI is clinically relevant in testing functional abilities such as gait, balance, and transfers. |
adults, acute care, inpatient rehab, skilled nursing facility (SNF), outpatient rehab, home health |
|
|
Rivermead Motor Assesment
|
|
https://www.sralab.org/sites/default/files/2018-08/RMA.pdf |
stroke (CVA), subacute stroke, chronic stroke, brain injury (BI) |
Free |
No training |
45 minutes |
The RMA assesses functional mobility following stroke (e.g., gait, balance, and transfers). |
subacute, chronic |
|
Roland Morris Disability Questionnaire
|
|
http://www.rmdq.org/ |
adults, low back pain |
free |
Read instructions |
5 minutes |
Designed to assess self-rated physical disability caused by low back pain. |
outpatient |
|
Roll Evaluation of Activities of Life (REAL™)
|
|
https://www.pearsonassessments.com/store/usassessments/en/Store/Professional-Assessments/Behavior/Adaptive/The-Roll-Evaluation-of-Activities-of-Life/p/100000762.html?tab=pricing-%2526-ordering |
pediatrics |
$110 |
Read user's guide |
Unknown |
The REAL™ may be used as a screening tool. It comprises two domains: activities of daily living (ADLs) and independent activities of daily living (IADLs). Benefits include: 1.) Determining the need for skilled and supportive services. 2.) Developing individual educational plans (IEPs) and choosing intervention services. 3.) Making decisions on placement and living arrangements.4.) Evaluating programs, with measurement of participants’ abilities prior to and after a program. 5.)Conducting research projects on child development and skill attainment. |
outpatient rehab, pediatrics, mental health, schools |
Rosenburg Self-esteem Scale
|
|
https://wwnorton.com/college/psych/psychsci/media/rosenberg.htm |
adults, self esteem |
free |
Read instructions |
5 minutes |
The Rosenberg Self-Esteem Scale, a widely used self-report instrument for
evaluating individual self-esteem. |
outpatient |
|
|
Routine Assessment of Patient Index Data 3 (RAPID3)
|
|
https://www.ra.com/rheumatoid-arthritis-resources/rapid3-survey |
adults, rheumatoid arthritis |
Free |
Read instructions |
5 minutes |
RAPID3 (routine assessment of patient index data 3) is a pooled index of the 3 patient-reported American College of Rheumatology rheumatoid arthritis (RA) Core Data Set measures: function, pain, and patient global estimate of status. Each of the 3 individual measures is scored 0 to 10, for a total of 30. |
Outpatient |
|
Rowland Universal Dementia Assessment Scale 11 (RUDAS)
|
|
https://dementia.org.au/common/files/NAT/20110311_2011RUDASAdminScoringGuide.pdf |
adults, dementia, mild cognitive impairment (MCI), age associated cognitive decline (AACD), geriatrics |
Free |
Read instructions |
10-15 minutes |
Cognitive function. Sensitive to differing education levels and cultural backgrounds. |
inpatient rehab, skilled nursing facility (SNF), outpatient rehab |
|
|
Saint Louis University Mental Status Examination (SLUMS)
|
|
https://www.sralab.org/rehabilitation-measures/saint-louis-university-mental-status-exam |
adults, suspected cognitive impairment, stroke (CVA), subacute stroke |
Free |
None |
4-10 minutes |
The Saint Louis University Mental Status (SLUMS) is an 11-item questionnaire with scores ranging from 0 to 30. It is designed to identify individuals with mild or early dementia (scores 21-26) by measuring orientation, memory, attention, and executive functions. |
home health, acute care, outpatient rehab, skilled nursing facility (SNF) |
|
Satisfaction with Life Scale
|
|
https://fetzer.org/sites/default/files/images/stories/pdf/selfmeasures/SATISFACTION-SatisfactionWithLife.pdf |
adults, life satisfaction |
free |
Read instructions |
2 minutes |
The SWLS is a short 5-item instrument designed to measure global cognitive judgments of satisfaction with one's life. The scale usually requires only about one minute of a respondent's time. |
outpatient |
|
|
Satisfaction with Life Scale (SWLS)
|
|
http://labs.psychology.illinois.edu/~ediener/SWLS.html |
adults, traumatic brain injury (TBI) |
Free |
Read Instructions |
Less than 5 minutes |
The SWLS is a short 5-item instrument designed to measure global cognitive judgments of satisfaction with one's life. The scale usually requires only about one minute of a respondent's time. |
inpatient rehab, outpatient rehab |
|
SCA Functional Index (SCAFI)
|
|
http://www.ataxia-study-group.net/html/about/ataxiascales/scafi |
adults, spinocerebellar ataxia |
Free |
Read Instructions |
20 minutes |
The SCAFI is composed of a timed 8m walk at maximum speed (8MW), the 9-hole peg test (9HPT), and the PATA rate, a measure of speech performance. SCAFI was validated in a large multi-center cohort of SCA patients. |
Outpatient, Home-health, SNF, ALF |
|
Scale for the Assessment and Rating of Ataxia (SARA)
|
|
https://www.sralab.org/rehabilitation-measures/scale-assessment-and-rating-ataxia |
adults, ataxia, spinocerebellar ataxia |
Free |
Read Instructions |
20 minutes |
SARA is a clinical scale developed by Schmitz-Hübsch et al which assesses a range of different impairments in cerebellar ataxia. The scale is made up of 8 items related to gait, stance, sitting, speech, finger-chase test, nose-finger test, fast alternating movements and heel-shin test. |
Outpatient, Home-health, SNF, ALF |
|
|
Scale for the Assessment of Negative Symptoms (SANS)
|
|
https://www.ncbi.nlm.nih.gov/projects/gap/cgi-bin/GetPdf.cgi?id=phd000807.2 |
adults, psychosism, schizophrenia |
Free |
Read manual |
10 minutes |
SANS is a rating scale that mental health professionals use to measure negative symptoms in schizophrenia. Answers are based on last 30 days. Areas it measures include: affect flattening or blunting, alogia, avolition, anhedonia, attention. |
Inpatient psych |
|
|
Schoodles: Fine Motor & Keyboarding
|
|
https://schoodles.com/product/schoodles-school-fine-motor-assessment-and-school-keyboarding-assessment-3-ring-binder-pencil-pouch-and-spiral-bound-copy/ |
pediatrics (ages 3+) |
150 |
Read manual |
30-45 minutes |
Schoodles is a qualitative assessment of skills that contribute to fine motor work. Skills are assessed according to age levels of attainment and quality of performance, and it can be individualized for each students identified challenges. Schoodles can be used as a stand-alone tool to determine the need for intervention or as a companion to standardized testing for students ages 3 and older. Components of the assessment are chosen based on the student need identified by the student's teachers. |
school, outpatient |
School Function Assessment (SFA)
|
|
https://www.pearsonassessments.com/store/usassessments/en/Store/Professional-Assessments/Behavior/Adaptive/School-Function-Assessment/p/100000547.html |
pediatrics (elementary age) |
$268 (kit) |
Read Manual |
10 min (individual scales) |
The School Function Assessment (SFA) measures student performance of functional tasks that affect the academic and social aspects of an elementary school program. SFA facilitates collaborative program planning for students with various disabling conditions. |
schools |
|
|
SCI Falls Concern Scale (SCI-FCS)
|
|
https://scireproject.com/outcome-measures/list-sci/community-reintegration/spinal-cord-injury-falls-concern-scale-sci-fcs/ |
adults, spinal cord injury (SCI) |
Free |
None |
5 min |
The Spinal Cord Injury-Falls Concern Scale (SCI-FCS) is a self-report scale assessing the level of concern about falling during common activities of daily life in people with spinal cord injuries who are dependent on manual wheelchairs |
inpatient, outpatient |
|
Screen for Child Anxiety Related Disorders (SCARED)
|
|
https://www.midss.org/content/screen-child-anxiety-related-disorders-scared |
pediatrics |
Free |
None |
5-10 minutes |
The Screen for Child Anxiety Related Disorders (SCARED) is a 41-item inventory rated on a 3 point Likert-type scale. It comes in two versions; one asks questions to parents about their child and the other asks these same questions to the child directly. The purpose of the instrument is to screen for signs of anxiety disorders in children. |
outpatient rehab |
|
Self-Directed Search
|
|
https://self-directed-search.com/ |
adolscents, adults, intellectual disability |
14.95 |
Self-adiministered |
20 minutes |
A career assessment and exploration tool that matches your aspirations, activities, and talents to the career choices and educational opportunities that fit you best. |
school, community |
Self-Efficacy for Managing Chronic Disease
|
|
https://www.selfmanagementresource.com/docs/pdfs/English_-_self-efficacy_for_managing_chronic_disease_6-item.pdf |
adults, chronic conditions, rheumatoid arthritis (RA) |
Free |
None |
5 minutes |
The Self-Efficacy to Manage Chronic Disease Scale is made up of 6-items on a visual analog scale, ranging from 1 (not at all confident) to 10 (totally confident). A German version and 4-item Spanish version are also available. |
Home health, outpatient, hand therapy |
|
Self Efficacy Scale
|
|
https://www.drugsandalcohol.ie/26768/1/General_Self-Efficacy_Scale%20(GSE).pdf |
mental health, adults, non-specific patient population |
Free |
|
5 minutes |
Client-reported. General self-efficacy |
|
|
Self Perception Profile for Children (SPPC)
|
|
https://www.pdffiller.com/395666211-221383-SELF-PERCEPTION-PROFILE-FOR-CHILDREN-MANUAL-AND-QUESTIONNAIRES-portfolio-du- |
pediatrics (8-15 years of age) |
Free |
Reading manual |
20-30 minutes |
This self-report questionnaire includes 6 domains: scholastic competence, social competence, athletic competence, physical competence, behavioral conduct, and global self-worth. It is also available for other age groups: adolescents, learning disabled students, emerging adults, college students, adults, and older adults. |
Schools, Community programs, Group mental health programming |
|
Semmes Weinstein Monofilament Test
|
|
http://www.southamptonhandcourse.org.uk/downloads/2012/SensoryAssessmentWorkshophandout.doc.pdf |
stroke (CVA), chronic stroke, peripheral neuropathy, diabetes, carpal tunnel syndrome |
Full testing kit starting at $258 |
Reading instructions |
|
Testing should be done in a quiet area with vision occluded. The patients hand should be supported on either a towel or therapeutic putty to avoid moving the finger especially when using the larger filaments. Instruct the patient to respond when a stimuli is felt saying “Yes” or “Touch”. When testing proceed from distal to proximal and from small to large monofilaments. It is not necessary to test every area of the skin, checks may be done over areas innervated by different nerves. Press the filament at a 90 degree angle for 1.5 seconds against the skin until it bows and then remove. When the patient indicates a correct response record using the color pencil that corresponds to the colour on the handle of the monofilament onto a hand diagram. The patient should only be asked when a stimuli is felt and not where they feel it. |
chronic |
|
Sensory Integration and Praxis Tests (SIPT)
|
|
https://www.wpspublish.com/sipt-sensory-integration-and-praxis-tests |
pediatrics |
$1295/kit |
Read manual |
2 hours for entire battery |
The Sensory Integration and Praxis Tests (SIPT) was designed to measure the sensory integration processes that underlie learning and behavior. By showing you how children organize and respond to sensory input, SIPT helps pinpoint specific organic problems associated with learning disabilities, emotional disorders, and minimal brain dysfunction. |
outpatient rehab |
|
Sensory Integration Inventory–Revised for Individuals with Developmental Disabilities
|
|
https://www.therapro.com/Evaluations/Sensory-Processing-Assessments/Sensory-Integration-Inventory-Revised-for-Individuals-with-Developmental-Disabilities.html |
adolscents, adults, intellectual disability |
19.95 |
Read manual |
30-60 minutes |
Appropriate for all ages, the Sensory Integration Inventory Revised for Individuals with Developmental Disabilities is a preliminary assessment for occupational therapists who serve people with developmental delays and disabilities. It is designed to screen for clients who might benefit by a sensory integration treatment approach. |
residential facilities, community |
Sensory Processing Measure (SPM)
|
|
https://www.wpspublish.com/spm-sensory-processing-measure |
pediatrics (ages 6 years - 12 years) |
$199.50 |
Read manual |
15-20 minutes |
Proxy-reported. Sensory processing, praxis, and social participation in the home, at school, and in the community. |
pediatrics, schools |
|
Sensory Profile™ 2
|
|
https://www.pearsonassessments.com/store/usassessments/en/Store/Professional-Assessments/Motor-Sensory/Sensory-Profile-2/p/100000822.html |
pediatrics, postural orthostatic tachycardia syndrome (POTS) |
$286/kit |
Read manual |
5-20 minutes |
The Sensory Profile™ 2 family of assessments provides standardized tools to help evaluate a child's sensory processing patterns in the context of home, school, and community-based activities. |
outpatient rehab, early intervention |
|
Sharpened Romberg
|
|
http://www.exercisepd.com/uploads/3/5/3/1/3531021/romberg.nov2012.pdf |
adults, vestibular disorders |
Free |
Read instructions |
2 minutes |
Static balance of clients in a sensory integration taxing condition |
inpatient rehab, outpatient rehab |
|
Short Blessed Test (SBT)
|
|
http://regionstrauma.org/blogs/sbt.pdf |
adults, suspected cognitive impairment, dementia |
Free |
No training |
5-10 minutes |
The Short Blessed Test (SBT), sometimes called the Orientation-Memory-Concentration Test, is a weighted six-item instrument originally designed to identify dementia. The SBT evaluates orientation, registration, and attention. It was originally validated on patients in a skilled nursing facility and active community-dwelling senior citizens. |
skilled nursing facility (SNF), emergency room (ER), home health |
|
Short-form McGill Pain Questionnaire
|
|
https://www.sralab.org/rehabilitation-measures/mcgill-pain-questionnaire-short-form |
Adults, Pain |
Free |
Read Instructions |
2-5 minutes |
The SF-MPQ has been developed for adults with chronic pain, including pain due to rheumatic conditions,[3] but recent research has also proven usefulness of the SF-MPQ-2 in patients with acute low back pain. |
acute care, inpatient rehab, skilled nursing facility (SNF), outpatient rehab, home health, hand therapy |
|
Short Physical Performance Battery
|
|
https://www.sralab.org/sites/default/files/2018-03/SPPB-Score-Tool.pdf |
Cancer, older adults, alzheimers, multiple sclerosis |
Free |
No training required |
10 minutes |
The SPPB is an assessment tool for evaluation of lower extremity functioning in older persons. |
Adult rehab, outpatient, home health, community health, oncology |
|
Sickness Impact Profile (SIP)
|
|
https://www.sralab.org/sites/default/files/2017-06/clin_sum_sip_68.pdf |
adults, stroke (CVA), acute stroke, spinal cord injury (SCI), traumatic brain injury (TBI), chronic pain |
Free |
Read instructions |
15-30 minutes |
Patient reported, quality of life and level of dysfunction that results from disability or illness |
skilled nursing facility (SNF), outpatient rehab |
|
|
Sleep Hygiene Index
|
|
https://www.med.upenn.edu/cbti/assets/user-content/documents/Sleep%20Hygiene%20Index.pdf |
Sleep difficulties, Insomnia |
Free |
None |
Less than 5 minutes |
The Sleep Hygiene Index (SHI) is a 13-item self-assessment that measures the frequency of specific behaviors thought to support sleep hygiene. |
Outpatient, Adult rehab |
|
Sleep log
|
|
https://www.nhlbi.nih.gov/resources/sleep-diary |
Adults, Adolescents, General population, functional neurological disorder (FND), sleep difficulties, insomnia |
Free |
No training required |
7 day self report |
Patients use this sleep diary to record the quality and quantity of sleep; use of medicines, alcohol, and caffeinated drinks; and how sleepy they feel during the day. Patients can then bring the diary with them to review the information with their providers. |
Outpatient |
Social Communication Questionnaire (SCQ)
|
|
https://www.wpspublish.com/scq-social-communication-questionnaire |
autism spectrum disorder (ASD), pediatrics |
$166 |
Read manual |
10 minutes |
Screening tool to test for markers or characteristics of autism spectrum disorder (ASD) |
pediatrics, schools |
|
|
Social Responsiveness Scale, Second Edition (SRS™-2)
|
|
https://www.wpspublish.com/srs-2-social-responsiveness-scale-second-edition |
autism spectrum disorder (ASD), pediatrics, adults |
$213 |
Read manual |
15-20 minutes |
Presence and severity of social impairment within autism spectrum disorder (ASD) |
pediatrics, mental health, schools |
|
|
Spence Children's Anxiety Scale (SCAS)
|
|
https://www.scaswebsite.com/ |
pediatrics |
Free |
Read Instructions |
15 minutes |
The Spence Children's Anxiety Scale was developed to assess the severity of anxiety symptoms broadly in line with the dimensions of anxiety disorder proposed by the DSM-IV. The scale assesses six domains of anxiety including generalized anxiety, panic/agoraphobia, social phobia, separation anxiety, obsessive compulsive disorder and physical injury fears. |
outpatient rehab |
|
|
Spinal Cord Independence Measure (SCIM)
|
|
https://www.sralab.org/rehabilitation-measures/spinal-cord-independence-measure |
spinal cord injury (SCI) |
Free |
None |
10 min |
The SCIM has been developed to address three specific areas of function in patients with spinal cord injuries (SCI). It looks at self-care (feeding, grooming, bathing, and dressing), respiration and sphincter management, and a patient’s mobility abilities (bed and transfers and indoors/outdoors). |
acute, inpatient, outpatient |
|
|
Standardized Touchscreen Assessment of Cognition (STAC)
|
|
http://www.cognitive-innovations.com/stac.html |
cognitive impairment |
$39.99 |
No training |
Unknown |
The Standardized Touchscreen Assessment of Cognition (STAC) is an automated screening tool that allows therapists and other healthcare providers to obtain cursory information about an individual’s cognitive function. The STAC assesses cognitive and linguistic functions and enables the examiner to receive both quantitative and qualitative information about a person's cognitive abilities. The STAC is a self-administered, automated assessment making the administration consistent from session to session. STAC eliminates examiner bias with serial administrations of the test. The scoring is automated; however, qualitative information from each patient is determined based on time elapsed during timed subtests, pattern of responses and ability to process sub-test instructions. A full report is immediately accessible following the test administration, and can be emailed directly to the clinician. Ranked scores are provided in the report based on preliminary normative data collection. Norms will continually be updated to provide the evaluating clinician with valuable data for interpretation during the evaluation process. |
Outpatient |
|
Stanford Chronic Disease Self-Efficacy 6-Item Scale (SSE) (SEMCD)
|
|
https://www.selfmanagementresource.com/docs/pdfs/English_-_self-efficacy_for_managing_chronic_disease_6-item.pdf |
adults, chronic pain, arthritis, joint conditions, heart conditions, pulmonary conditions, diabetes |
Free |
Read instructions |
2 minutes |
Patient report of self-efficacy, specifically relating to the management of their condition and to what degree it is impacting their independence |
outpatient rehab, outpatient mental health |
|
|
Stroke Impact Scale (SIS)
|
|
https://www.bmc.org/sites/default/files/For_Medical_Professionals/Pediatric_Resources/Pediatrics__MA_Center_for_Sudden_Infant_Death_Syndrome__SIDS_/Stroke-Impact-Scale-SIS.pdf |
stroke (CVA), subacute stroke, chronic stroke |
License possibly required (link provided) |
Reading instructions |
15-20 minutes |
The SIS is a self-report measure that includes 64 items and assesses 8 domains (strength, hand function, ADLs/IADLs, mobility, communication, emotion, memory and thinking, and participation). |
skilled nursing facility (SNF), outpatient rehab, home health |
|
|
Stroke Rehabilitation Assessment of Movement
|
|
https://www.sralab.org/sites/default/files/2017-07/Stroke_Rehabilitation_Assessment_of_Movement_STREAM.pdf |
stroke (CVA), acute stroke, subacute stroke, chronic stroke |
Free |
No training |
15 minutes |
30 items assessing voluntary movement of the upper and lower limbs and basic mobility. Items are answered based on a 3 or 4 point ordinal scale. |
acute, subacute, chronic |
|
Supports Intensity Scale
|
|
https://www.aaidd.org/sis |
adolscents, adults, intellectual disability |
175 |
Read manual |
Unknown |
The Supports Intensity Scale - Adult Version® (SIS-A®) is a standardized assessment tool designed to measure the pattern and intensity of supports that a person aged 16 years and older with intellectual and developmental disabilities (IDD) requires to be successful in community settings. |
community |
Symbol Digit Modalities Test (SDMT)
|
|
https://www.wpspublish.com/sdmt-symbol-digit-modalities-test |
adults and pediaric clients (8 years and older) with suspected cognitive dysfunction |
$145 |
Read manual |
Less than 5 minutes |
The Symbol Digit Modalities Test (SDMT) detects cognitive impairment in less than 5 minutes. This simple, economical test is an ideal way for busy clinicians to screen for organic cerebral dysfunction in both children (8 years and older) and adults. |
acute care, skilled nursing facility (SNF), outpatient rehab |
|
Tampa Scale of Kinesiophobia (TSK)
|
|
https://novopsych.com.au/wp-content/uploads/2020/05/tsk_assessment.pdf |
musculoskeletal disorders, pelvic floor dysfuction, fear of movement, Ehlers Danlos Syndrome (EDS) |
Free |
Read instructions |
5 minutes |
TSK is 17 items a self-reporting questionnaire based on evaluation of fear of movement, fear of physical activity, and fear avoidance. It was first developed to distinguish between non-excessive fear and phobia in patients with chronic musculoskeletal pain, specifically the fear of movement in patients with chronic low back pain then widely used for different parts of the body. The questionnaire using 4 points to assess that are based on; the model of fear-avoidance, fear of work-related activities, fear of movement, and fear of re-injury |
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|
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TEMPA
|
|
https://www.physipro.com/wp-content/uploads/2015/03/TEMPA-Evaluators-guide.pdf |
stroke (CVA), subacute stroke, chronic stroke, spinal cord injury (SCI), muscular disorders |
Free |
Read instructions |
30+ minutes |
Upper extremity performance test composed of 9 standardized tasks (bilateral and unilateral) measured by 3 criteria: length of execution, functional rating, and task analysis; sample tasks are handling coins, picking up a pitcher and pouring water, writing and stamping an envelope, and unlocking a lock. |
subacute, chronic |
|
Test for Information Processing Skills
|
|
https://www.wpspublish.com/tips-test-of-information-processing-skills |
Dyslexia, Auditory and Visual Processing |
185 |
Read Manual |
20-25 min |
Here is a quick, reliable way to assess information processing skills in children and adults. Performance on the TIPS reflects executive functioning, working memory, auditory and visual processing, and ability to learn, retain, organize, and use new information. |
Outpatient, schools, pediatrics, adults |
Test of Gross Motor Development (TGMD)
|
|
https://www.cdc.gov/nchs/data/nnyfs/tgmd.pdf |
pediatrics (3 years - 11 years), cognitive impairments, autism |
$150 for complete kit |
Reading manual |
30 minutes for entire test |
This norm-referenced test is used to identify children with gross motor deficits. There are two domains: locomotor (which looks at movements which require fluid coordinated movements of the body as the child moves between directions) and balls skills. |
Schools |
|
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Test of Infant Motor Performance
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|
https://www.thetimp.com/products-for-therapists#!/Basic-TIMP-Starter-Kit/p/128346146/category=100056112 |
Infants (34 weeks postconceptional age - 4 months post-term) |
189 |
Course Available |
25-35 min |
The test assesses the postural and selective control of movement needed for functional motor performance in early infancy. |
early intervention, outpatient, NICU |
|
|
Test of Visual Perceptual Skill (non-motor) (TVPS-4)
|
|
https://www.wpspublish.com/tvps-4-test-of-visual-perception-skills-4th-edition |
pediatric patients with suspected difficulty in visual preceptual skills, intellectual disability |
$205 |
Read manual |
25 minutes |
Assesses visual-perceptual strengths and weaknesses, using a response format suitable for all children, including those with disabilities. |
outpatient rehab, pediatrics, schools |
|
The Chronic Pain Acceptance Questionnaire (CPAQ-8)
|
|
https://www.div12.org/wp-content/uploads/2015/06/Chronic-Pain-Acceptance-Questionniare-Revised.pdf |
adults, chronic pain |
free |
Read instructions |
5 minutes |
The 20-item CPAQ-revised has been designed to measure acceptance of pain. The
acceptance of chronic pain is thought to reduce unsuccessful attempts to avoid or control
pain and thus focus on engaging in valued activities and pursuing meaningful goals. |
outpatient |
|
The Developmental Profile (DP-4)
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|
https://www.wpspublish.com/dp-4-developmental-profile-4.html |
pediatrics (birth to 21 years) |
599 |
Training and CE available |
Varies |
Quickly identifies developmental strengths and weaknesses in five key areas and offers suggested activities for remediation |
early intervention, schools |
The Dysfunctional Beliefs and Attitudes About Sleep Scale (DBAS)
|
|
https://deploymentpsych.org/system/files/member_resource/DBAS%2016%20Fillable%20autoscore_0.pdf |
Sleep Difficulties, Insomnia |
Free |
None |
5 minutes |
This 16-item self report measure assesses dyfunctional sleep related cognitions across a variety of sleep related conditions. |
Outpatient, Chronic |
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The Epworth Sleepiness Scale
|
|
https://www.cdc.gov/niosh/work-hour-training-for-nurses/longhours/mod2/epworth-P.pdf |
Sleep Difficulties, Insomnia |
Free |
None |
Less than 5 minutes |
The Epworth Sleepiness Scale is a simple, eight question self-assessment that measures daytime sleepiness in a variety of common situations. |
Outpatient, chronic |
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The Insomnia Severity Index (ISI)
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|
https://www.healthquality.va.gov/guidelines/CD/insomnia/TrifectaInsomniaSeverityIndexFillable910162020.pdf |
Sleep Difficulties, Insomnia |
Free |
None |
Less than 5 minutes |
The insomnia severity index (ISI) scale assesses daytime and nighttime factors affecting sleep disturbances and symptoms of insomnia over the past 2-weeks. |
Outpatient |
|
The Medi-Cog
|
|
https://www.pharmacy.umaryland.edu/media/SOP/medmanagementumarylandedu/MediCogBlank.pdf |
adults, cognition |
Free |
Read instructions |
10 min |
The Medi-Cog-R appears to be a useful screening measure for functional cognition and can be used to prompt further assessment and intervention to promote community independence. The Medi-Cog and it is a combination off the Mini-Cog and a medication transfer task. The original Medi-Cog included a paper and pencil version of the transfer task but can alos be done with actual pills (beads), pill bottles, and a pill sorter. A great option for medication management screening. |
Mental heath, SNF, Community |
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The Model of Human Occupation Screening Tool
|
|
https://moho-irm.uic.edu/productDetails.aspx?aid=4 |
Adults |
40 |
Read Manual |
40 minutes |
The MOHOST addresses client's motivation for occupation, pattern of occupation, communication/interaction, process, and motor skills, and environment. The MOHOST was designed to be used to document progress towards occupational therapy intervention goals as well as to screen for occupational therapy services. |
Outpatient |
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The Occupational Experience Profile (OEP)
|
|
https://ot-colostate.nbsstore.net/occupational-experience-profile-manual-and-5-paper-assessments |
adults, chronic pain, chronic condittions, mental health |
50 |
Read manual |
24 hour time log |
As a time-use diary, the OEP is designed to (1) capture what people do and experience in the context of their everyday lives, and (2) promote awareness of how experiences of pleasure (enjoyment/ non enjoyment, productivity (accomplishment/nonaccomplishment), restoration (energy renewal/energy drain) and social connectedness (connection/disconnection) relate to daily occupations. The OEP asks the user to record what they did over a 24-hour period of time. For each activity logged, the user records when they engaged, where and with whom along with their level of pleasure, productivity, restoration, and social connectedness. |
Children’s Eating Behavior Inventory (CEBI) |
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The Occupational Self Assessment (OSA)
|
|
https://moho-irm.uic.edu/productDetails.aspx?aid=2 |
adults, self-efficacy, occupational involvement |
40 |
Read manual |
15 min |
The OSA is designed to capture clients' perceptions of their own occupational competence on their occupational adaptation. Clients are provided with a list of everyday occupations, and assess their level of ability when participating in the occupation and their value for that occupation. |
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The Pediatric Quality of Life Inventory (PedsQL)
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|
https://www.pedsql.org/about_pedsql.html |
pediatrics (ages 2-18), TBI |
Free with permission |
Read instructions |
4 minutes |
The PedsQL Measurement Model is a modular approach to measuring health-related quality of life (HRQOL) in healthy children and adolescents and those with acute and chronic health conditions. |
school, outpatient, community, early intervention, |
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The Personal Recovery Outcome Measure (PROM)
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|
https://emergencymedicinecases.com/wp-content/uploads/2022/07/PROM.pdf |
adults, mental health Recovery |
Free |
Read instructions |
5 minutes |
The Personal Recocery Outcome measure is a self-report assessment with 30 questions related to recovery pertaining to mental health. |
Mental health |
|
The Short Child Occupational Profile (SCOPE)
|
|
https://moho-irm.uic.edu/productDetails.aspx?aid=9 |
pediatrics (birth-21 y/o) |
40 |
Read manual |
20 min |
The SCOPE is an occupation-focused assessment that determines how a child’s volition, habituation, skills, and the environment facilitate or restrict participation. Developed in collaboration with international practitioners, the SCOPE seeks to facilitate a systematic evaluation of most MOHO concepts. SCOPE ratings are based on each child’s “individual developmental trajectory”- the capacities a child has the potential to acquire in the future given the child’s age, impairment, prior life experiences, and environmental context. This approach enables practitioners to capture each child’s strengths as well as challenges using the SCOPE. |
schools, outpatient |
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The Spider Questionnaire
|
|
https://www.thespidertool.com |
Chronic illness, Ehlers Danlos Syndrome (EDS) |
Free |
Read instrucitons |
5-10 minutes |
The Spider is a questionnaire created for people with Hypermobility Spectrum Disorders (HSD) or Hypermobile Ehlers-Danlos Syndrome (hEDS). It has eight sections that assesses the different symptoms people with HSD/hEDS may have. After completing the questionnaire, you can map the results on a Spider's web, like below! |
Outpatient, Home Health |
Timed Up and Go Test (TUG)
|
|
https://www.sralab.org/sites/default/files/2017-06/Timed%20Up%20and%20Go%20Test%20Instructions.pdf |
arthritis, cerebral palsy (CP), multiple sclerosis (MS), spinal cord injury (SCI), stroke (CVA), acute stroke, subacute stroke, chronic stroke, vestibular disorders |
Free |
No training |
Less than 3 minutes |
The TUG test is a quick, easy, and reliable tool to assess your patients’ balance and risk for falls. |
adults, acute care, inpatient rehab, skilled nursing facility (SNF), outpatient rehab, home health |
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Tinetti Performance Oriented Mobility Test
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|
https://ptclinic.com/websites/991/files/TinettiBalanceAndGaitAssessment.pdf |
stroke (CVA), acute stroke, subacute stroke, chronic stroke, Parkinson's disease (PD), pain management |
Free |
No training |
10-15 minutes |
Evaluates balance and gait in the older adult population. |
acute, subacute, chronic |
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Trail Making Test
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|
https://www.center-tbi.eu/files/approved-translations/English/ENGLISH_TMT.pdf; https://neuropsych.com/product/trail-making-test-adults/ |
postural orthostatic tachycardia syndrome (POTS), traumatic brain injury (TBI), concussion, stroke (CVA), brain tumor, mild cognitive impairment (MCI) |
$75 (manual) |
No training |
5-10 minutes |
The Trail Making Test consists of two parts, A and B. The participant will need a pencil to perform each part. The examiner starts timing both part A and B as soon as the instructions are completed and the participant is signaled to begin. Do not stop timing until the participant completes each respective part or the discontinuation time points have been reached. |
subacute |
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Trunk Control Test
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|
https://www.medicalalgorithms.com/trunk-control-test |
stroke (CVA), acute stroke, subacute stroke, chronic stroke |
Free |
Read manual |
<5 minutes |
Trunk control evaluated on a 0- to 100-point scale; tasks used include rolling, supine to sitting, and balanced sitting. |
acute, subacute, chronic |
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UCLA PTSD Reaction Index
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|
https://www.reactionindex.com/measures/ |
pediatrics (school age), TBI |
$4/use |
Read manual/video available |
20-30 minutes |
The UCLA PTSD Reaction Index for DSM-5 provides a structure for making a comprehensive evaluation of trauma history and an assessment of the full range of DSM-5 posttraumatic stress symptoms among school-age children and adolescents. Brief screen is available, as is a parent/caregiver report. |
school, outpatient, community, mental health |
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Unified Multiple System Atrophy Rating Scale (UMSARS)
|
|
https://www.movementdisorders.org/MDS/MDS-Rating-Scales/Unified-Multiple-System-Atrophy-Rating-Scale-UMSARS.htm |
multiple systems atrophy (MSA) |
Outpatient |
Reading instructions |
30-45 minutes |
The Unified Multiple System Atrophy Rating Scale (UMSARS) was developed to provide a surrogate measure of disease progression in multiple system atrophy. |
|
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Unified Parkinson's Disease Rating Scale (UPDRS)
|
|
https://img.medscape.com/fullsize/701/816/58977_UPDRS.pdf |
Parkinson's disease (PD) |
Free for individual use/ up to $20,000 for industry use |
Training course recommended |
30 minutes |
The Unified Parkinson Disease Rating Scale is a rating tool used to gauge the course of Parkinson’s Disease (PD) in patients. The UPDRS includes a series of ratings for typical PD symptoms that cover all of the movement hindrances the disease. The UPDRS scale consists of the following five segments: 1.) Mentation, behavior, and mood 2.) Activities of Daily Living (ADLs) 3.) Motor sections 4.) Modified Hoehn and Yahr Scale 5.) Schwab and England ADL scale |
outpatient rehab |
|
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Upper Limb Tension Tests (ULTTa)
|
|
https://www.physio-pedia.com/Upper_Limb_Tension_Tests_(ULTTs) |
Carpal Tunnel Syndrome |
Free |
Read or watch instructions |
Less than 5 minutes |
The Upper Limb Tension test (also known as the Brachial Plexus Tension test and the Elvey's test) is designed to detect the involvement of the neural pathways from the cervical spine to the hand, including the nerve roots, brachial plexus, and peripheral nerves. |
Hand therapy, orthotics, outpatient |
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Vineland Adaptive Behavior Scales | Third Edition (Vineland-3)
|
|
https://www.pearsonassessments.com/store/usassessments/en/Store/Professional-Assessments/Behavior/Adaptive/Vineland-Adaptive-Behavior-Scales-%7C-Third-Edition/p/100001622.html |
intellectual and developmental disabilities, autism spectrum disorders (ASDs), attention deficit hyperactivity disorder (ADHD), post-traumatic brain injury (TBI), hearing impairment, dementia/Alzheimer's disease, intellectual disability |
$206/kit |
Read Manual |
20-90 minutes |
Vineland Adaptive Behavior Scales Third Edition is the leading instrument for supporting the diagnosis of intellectual and developmental disabilities. Vineland-3 not only aids in diagnosis, but provides valuable information for developing educational and treatment plans. |
outpatient rehab |
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Visual Activity Sort
|
|
https://www.visualactivitysort.com/ |
adults |
299 |
Read instructions |
10-15 minutes |
Visual Activity Sort (VAS) is an effective tool that quickly helps you gather important information about your client's wants and needs. |
outpatient, home health |
Volitional Questionnaire
|
|
https://moho-irm.uic.edu/productDetails.aspx?aid=8 |
adolscents, adults, intellectual disability |
40 |
Read manual |
5-30 minutes |
The VQ provides insight into a person's inner motives and information about how the environment affects volition by systematically capturing how a person reacts to and acts within his/her environment. The VQ provides the occupational therapist with insight into a person's inner motives and the effect of the environment on the person's participation in meaningful occupations. |
residential facilities, community |
Water Orientation Test Alyn 2
|
|
https://www.inertiatherapy.com/wp-content/uploads/2016/02/3.-WOTA-Mr-Cools-MS.pdf |
Autism, Aquatic OT |
Free |
Read Instructions |
Unknown |
WOTA 1 and 2 are two important aquatic instruments that were developed to assess the mental adaptation of the swimmer and his function in the water based on the principles of the Halliwick method. WOTA 1 was developed to evaluate children with difficulties in following or understanding instructions. WOTA 2 was developed to assess children with higher functional abilities or that are able to follow instructions |
Outpatient, Aquatic OT |
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Weber Two Point Discrimination Test
|
|
https://www.amazon.com/Baseline-Discrim-Evaluation-Rehabilitation-Professional/dp/B003TMB168?th=1 |
stroke (CVA), acute stroke, peripheral neuropathy, diabetes |
$48 |
Read instructions |
5-10 minutes |
Testing should be done in a quiet area with vision occluded. The patients hand should be firmly supported in order to avoid unwanted movement of the fingers. Demonstrate to the patient on a normally innervated skin area initially. Starting on a 5mm distance between the two points. Randomly place either 1 or 2 points parallel to the long axis of the finger along each phalanx until the skin blanches. Start distally and work proximally. The patient is asked whether 1 or 2 points has been felt. This should be repeated 10 times in each area. If 7/10 responses are correctly identified then the distance is scored. If the responses are inaccurate then the distance between the two end points is increased by increments of either 1,2 or 5mm depending on the suspected level of dysfunction. Equal pressure most be applied between the two points simultaneously. Two point discrimination can be assessed as a static or moving pressure. To assess moving pressure, and randomly place either 1 or 2 points then maintain contact and move distally. Score Interpretation: Normal < 6mm; Fair 6-10mm; Poor 11-15mm; Protective One point perceived; Anaesthetic No points perceived |
acute |
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WeeFIM
|
|
https://www.udsmr.org/products-pediatric-rehab |
infants (0 years - 3 years), children, and adolescents with either acquired or congenital disease |
Must contact sales team |
Complete training materials |
Unknown |
The WeeFIM II® System is the most respected pediatric outcomes management tool in the market. The WeeFIM II® System provides a simple, uniform construct that measures function in children. Based on the principal underpinnings of the FIM® instrument, the system allows clinicians to quickly assess functional status and track progression. It also provides patient-level data, profile reports, and program summary reports that demonstrate individual patient progress and overall program effectiveness. |
acute pediatric care |
|
Weekly Calendar Planning Activity
|
|
https://myaota.aota.org/shop_aota/product/900369 |
stroke (CVA), subacute stroke, chronic stroke, cognitive deficits |
$112 (AOTA member), $161 (non-member) |
Read manual |
10-40 minutes |
WCPA involves following and organizing a list of appointments or errands into a weekly schedule while keeping track of rules, avoiding conflicts, monitoring passage of time, and inhibiting distractions. Because performance on multiple-step activities such as the WCPA requires coordinating and integrating various cognitive abilities, this assessment provides the opportunity to observe how an individual manages a cognitively challenging task. |
subacute, chronic |
|
WHO Quality of Life (WHOQOL)
|
|
https://www.who.int/tools/whoqol |
adult rehab, stroke, postural orthostatic tachycardia syndrome (POTS) |
Free |
Read instructions |
10 minutes |
The WHOQOL is a quality of life assessment developed by the WHOQOL Group with fifteen international field centres, simultaneously, in an attempt to develop a quality of life assessment that would be applicable cross-culturally. (Available in many languages.) |
outpatient, community |
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Wide Range Assessment of Visual Motor Abilities (WRAVMA)
|
|
https://www.pearsonassessments.com/store/usassessments/en/Store/Professional-Assessments/Motor-Sensory/Wide-Range-Assessment-of-Visual-Motor-Abilities/p/100001723.html |
pediatric, visual motor impairment |
477 |
Read manual |
4-10 min per subtest |
Wide Range Assessment of Visual Motor Abilities (WRAVMA) provides a reliable, accurate evaluation of visual-motor skills of children and adolescents. |
early intervention, outpatient |
Wolf Motor Function Test (WMFT)
|
|
http://www.midss.org/sites/default/files/wolf_motor_function_test_instructions.pdf |
stroke (CVA), chronic stroke, traumatic brain injury (TBI) |
Instructions are free, template costs $25.00 |
Read instructions |
Unknown |
The Wolf Motor Function Test (WMFT) is a quantitative index of upper extremity motor ability examinable through the use of timed and functional tasks. The WMFT has been posited as instructive for assessing the motor status of higher functioning chronic patients with stroke and traumatic brain injury, in terms of severity and upper extremity motor deficiency. |
Outpatient, hand therapy |
|
|
Work and Social Adjustment Scale (WSAS)
|
|
https://www.networks.nhs.uk/nhs-networks/regional-mental-health-commissioning-networks-portal/documents/wsas.pdf |
adults with impaired functioning, chronic pain and other conditions |
Free |
None |
5 minutes |
The Work and Social Adjustment Scale (“WSAS”) is a simple and reliable measure for impairment in functioning. The WSAS assesses the impact of a person’s mental health difficulties on their ability to function in terms of work, home management, social leisure, private leisure and personal or family relationships. |
Outpatient |
|
|
Worker Role Interview
|
|
https://moho-irm.uic.edu/productDetails.aspx?aid=11 |
adolscents, adults, intellectual disability |
40 |
Read manual |
30-60 minutes |
The WRI was developed to address psychosocial and environmental factors that impact return to work. The information gathered compliments other work/physical capacity assessments to ensure a well rounded picture of the client and their needs that should be addressed to ensure return to work. |
school, community |
World Health Organization Assessment Schedule 2.0 (WHODAS 2.0)
|
|
https://www.who.int/classifications/icf/whodasii/en/ |
used across all diseases, including mental, neurological, and addictive disorders |
Free (w/ permission) |
Read manual |
5-10 minutes |
WHODAS 2.0 is a generic assessment instrument for health and disability. It is a tool to produce standardized disability levels and profiles and is applicable across cultures, in all adult populations. It is directly linked at the level of the concepts to the International Classification of Functioning, Disability and Health (ICFDH). WHODAS 2.0 covers 6 domains of functioning, including: 1.) Cognition 2.) Mobility 3.) Self-care 4.) Getting along 5.) Life activities (domestic responsibilities, leisure, work & school) 6.) Participation (joining in community activities) |
All |
|
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Young Child and Participation and Environment Measure (YC-PEM)
|
|
https://www.canchild.ca/en/shop/23-yc-pem-young-children-s-participation-and-environment-measure |
pediatrics (0 years - 5 years) |
$99 |
No training |
Around 20 minutes |
The YC-PEM is a parent-completed measure that looks at the different activities of children aged 0-5 years by evaluating the level of participation and qualities of the environment in which these activities take place. The results are then to be shared with the child’s health professional and therapy team to determine any adjustments to be made to help reach goals. |
Outpatient |
|
|
Your Current Life Situation Survey
|
|
https://sirenetwork.ucsf.edu/tools-resources/resources/your-current-life-situation-survey |
adults, intellectual disability |
Free |
Read instructions |
5-10 minutes |
Kaiser Permanente's Your Current Life Situation (YCLS) survey was developed to capture a range of social and economic needs, including living situation, housing, food, utilities, childcare, debts, medical needs, transportation, stress, and social isolation. |
community |