Measures perceived ability to accomplish common functional tasks independently versus need for assistance or supervision to do the tasks safely.
12
2-10 minutes
Adults
18 +
yearsInitially reviewed by Karen McCulloch, PT, PhD, NCS and the TBI EDGE task force of the Neurology Section of the APTA in 5/2012; Reviewed by Karen M., 11/27/16.
Recommendations for use of the instrument from the Neurology Section of the American Physical Therapy Association’s Multiple Sclerosis Taskforce (MSEDGE), Parkinson’s Taskforce (PD EDGE), Spinal Cord Injury Taskforce (PD EDGE), Stroke Taskforce (StrokEDGE), Traumatic Brain Injury Taskforce (TBI EDGE), and Vestibular Taskforce (Vestibular EDGE) are listed below. These recommendations were developed by a panel of research and clinical experts using a modified Delphi process.
For detailed information about how recommendations were made, please visit:
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Abbreviations: |
|
|
HR |
Highly Recommend |
|
R |
Recommend |
|
LS / UR |
Reasonable to use, but limited study in target group / Unable to Recommend |
|
NR |
Not Recommended |
Recommendations based on level of care in which the assessment is taken:
|
|
Acute Care |
Inpatient Rehabilitation |
Skilled Nursing Facility |
Outpatient Rehabilitation |
Home Health |
|
TBI EDGE |
NR |
LS |
NR |
NR |
NR |
Recommendations for use based on ambulatory status after brain injury:
|
|
Completely Independent |
Mildly dependant |
Moderately Dependant |
Severely Dependant |
|
TBI EDGE |
LS |
LS |
LS |
NR |
Recommendations for entry-level physical therapy education and use in research:
|
|
Students should learn to administer this tool? (Y/N) |
Students should be exposed to tool? (Y/N) |
Appropriate for use in intervention research studies? (Y/N) |
Is additional research warranted for this tool (Y/N) |
|
TBI EDGE |
No |
No |
No |
Not reported |
Designed for use in inpatient settings
Examines possible self-awareness deficits that other assessments may not detect
Lack of study of reliability and minimal validation is a significant weakness
Inpatient TBI/Aneurysm: (Neuman et al., 2000; n = 37; mean age = 39.2 (17.9) years, mean time post admission = 24.5 days)
Inpatient orthopedic: (Garmoe et al., 2005; n = 28; mean age = 66.9 (10.3) years; mean time post-admission = 6.9 days)
Differences between therapist and patient ratings for those with TBI were greater (patients rate themselves as more independent than therapists).
Discrepancy ratios (number of items rated differently by therapist divided by total number of items) were greater for those with TBI.
Individuals with brain injury rated their performance better than therapists did.
Garmoe, W., Newman, A. C., et al. (2005). "Early self-awareness following traumatic brain injury: Comparison of brain injury and orthopedic inpatients using the Functional Self-Assessment Scale (FSAS)." J Head Trauma Rehabil 20(4): 348.
Newman, A. (2013). “Measuring self-awareness after brain Injury in the inpatient rehabilitation setting and at 6 months follow-up: Comparison of the Functional Self-Assessment Scale and Patient Competency Rating Scale in understanding outcome.” Archives of Clinical Neuropsychology 28(6): 601.
Newman, A. C., Garmoe, W., et al. (2000). "Self-awareness of traumatically brain injured patients in the acute inpatient rehabilitation setting." Brain Injury 14(4): 333-344.
We have reviewed more than 500 instruments for use with a number of diagnoses including stroke, spinal cord injury and traumatic brain injury among several others.