PWR Client Assessment & Progress Monitoring 4

Question 1

A PWR! client in Hoehn and Yahr Stage 3 is most likely to present with which characteristic during gait assessment?

Accepted Answer

Mild postural instability but able to walk independently

Answer

Stage 3 is characterized by mild to moderate bilateral disease with postural instability, but the client retains the ability to walk independently.

Question 2

When tracking freezing of gait (FOG) in a PWR! client, which assessment tool is most commonly used?

Accepted Answer

Freezing of Gait Questionnaire (FOG-Q)

Answer

The Freezing of Gait Questionnaire is a validated patient-reported tool that quantifies FOG frequency and severity in daily life.

Question 3

A PWR! therapist uses the 6-Minute Walk Test (6MWT) with a client. A meaningful improvement in 6MWT distance is generally considered to be:

Accepted Answer

14–25 meters

Answer

Research supports a minimal clinically important difference of approximately 14–25 meters on the 6MWT for individuals with Parkinson's disease.

Question 4

Which cognitive assessment is most commonly used as a brief screen during PWR! intake to detect mild cognitive impairment?

Accepted Answer

Montreal Cognitive Assessment (MoCA)

Answer

The MoCA is a brief, validated cognitive screening tool sensitive to the mild cognitive impairment commonly seen in Parkinson's disease.

Question 5

In PWR! progress documentation, a SOAP note's 'O' section would include:

Accepted Answer

Objective measurements like TUG time and gait speed

Answer

The 'O' (Objective) section of a SOAP note contains measurable, observable data such as standardized test results and performance metrics.

(PWR) Parkinson's Wellness Recovery Moves Certification Practice Test