Appendix B: Glossary of Terms
AlphaFIM: http://ontariostrokenetwork.ca/wp-content/uploads/sites/2/2014/01/AlphaFIM_Poster_December_2012.pdf
- The AlphaFIM ® Instrument for Stroke provides a snapshot of the patient’s burden of care and helps assist in decision making for rehab referrals.
- AlphaFIM score between 40-80 < 7 days post stroke, with rehab goals = automatic acceptance to inpatient rehab
- AlphaFIM score score of > 80 with rehab goals = outpatient rehab
Berg Balance Scale: https://strokengine.ca/en/assessments/berg-balance-scale-bbs/
- Assess balance and indicate risk for falls
- 0-20 on the BBS represents balance impairment;
- 21-40 on the BBS represents acceptable balance;
- 41-56 on the BBS represents good balance.
Canadian Occupational Performance Measure: https://www.thecopm.ca/
- The COPM© is a patient reported outcome measure that focuses on needs identified by the patient as most important and measures the most relevant outcomes.
- Detects change in a patient’s perception of occupational performance over time
- Promotes evidence-based practice and patient-centered care
- Improves the patient’s experience by supporting the clinician’s ability to establish a positive relationship with the patient
- The COPM©is being used across the continuum of care in Toronto 43
- A functional, patient-goal-centred, problem-solving approach that is associated with improved function, activity performance, participation, and self-efficacy in persons with stroke
Six Minute Walk Test: https://strokengine.ca/en/assessments/six-minute-walk-test-6mwt/
- A measure of functional status or fitness. It is used as a simple measure of aerobic exercise capacity.
- Widely used in stroke studies.
- Distance walked and speed can be measured and used as indicators to mobility performance in community.
Integrated Care: Integrated care is broadly understood as a people-centred approach to address fragmented care systems through better coordination of care around people’s needs (Goodwin, 2016*). Integrated stroke care requires a coordinated approach, by a specialized interprofessional stroke team, across the continuum of care to ensure persons experiencing stroke receive access to expert best practice care.
MOCA: also known as Montreal Cognitive Assessment or The MoCA Test—is a highly sensitive tool for early detection of mild cognitive impairment (MCI). MoCA has been subsequently adopted in clinical settings around the world and is widely used as a scale in academic and non-academic research. MoCA accurately and quickly assesses:
- Short term memory
- Visuospatial abilities
- Executive functions
- Attention, concentration and working memory
- Language
- Orientation to time and place
*Goodwin, N. (2016). Understanding integrated care. International Journal of Integrated Care, 16(4), 1-4. https://doi.org/10.5334/ijic.2530
