TBI Assessments

Impairment

Used for the assessment of agitated behavior
14-item scale comprising different types of behavior. Each item is rated from 1 (absent) to 4 (present to an extreme degree).
Scoring:
• < 21 : Normal behavior
• 22-28 : Mild agitation
• 29-35 : Moderate agitation
• 35-36: Severe agitation

Impairment

22-item scale rated from 1-5 (Likert scale of true to false) rating a patient’s ability to maintain attention during different tasks
Scores range from 22-110

Impairment

Quick, bed-side assessment of orientation. Supposed to be used repetitively during rounding to track orientation
Grading:
• 3 = spontaneous/free recall
• 2 = logical cueing
• 1 = multiple choice/phonemic cueing
• 0 = unable, incorrect, inappropriate

Impairment

Quick, bed-side assessment of cognitive abilities. Supposed to be used repetitively during rounding to track cognition
Scoring depends on item being rated at that time (see PDF below), however, items are graded on a 0-3 scale

Impairment

11 question neurologic assessment that evaluates memory, arithmetic and orientation
Highest score is a 30, with a better score meaning less disability
Scoring:
• >27: No impairment
• 21-26: Mild impairment
• 11-20: Moderate impairment
• <10: Severe impairment

Impairment

30-point test evaluating domains of visuospatial abilities, executive function, short term memory, recall, attention, concentration, working memory, language, orientation to time and space
Score of <26 high sensitivity for mild cognitive impairment or dementia

Subtracting the single task performance from the dual task performance and then dividing by the single tast performance and multiplying by 100%, a positive DTC indicates poorer performance while a negative DTC indicates higher dual task ability

Impairment, activity and participation

8-item scale for moderate to severe TBI to address categories of impairment, disability and handicap including: eye opening, communication ability, motor response, feeding, toileting, grooming, level of functioning, employability

Participation

37-item scale with 6 subscales, divided into 2 parts (4 scales and then 2 scales)
Part 1 includes subscales of thinking, feelings and emotion, autonomy in daily life and social aspects. Part 2 includes subscales of negative feelings and restrictions
Higher scores = more satisfaction, or “not at all bothered”

Participation

25-item self assessment rating difficulty of activities due to dizziness symptoms
Scoring:
• >10: Refer to balance specialist
• 16-34: Mild handicap
• 36-52: Moderate handicap
• 54+: Severe handicap

Impairment, Activity and participation : Neck Disability Index Overview