FUNCTIONAL [ABILITY] ASSESSMENT

The ability to function normally depends upon the patient’s ability to respond to the demands of environment & to his own needs.

ESSENTIALS

§  Mature & healthy Nervous system

§  Healthy muscle working over mobile joints

MECHANISM

Stimulus à sensation à processing sensory information à coordinated bodily movements à desired function

METHODS

v Rolling - prone to supine

v Crawling to sitting quadruped

v Crawling

v Kneeling to kneel standing

v Standing with support

v Standing without support

v Walking

v Running

ASSESSING QUALITY OF FUNCTION

1.      Versatility of movement permutation available

2.      Eg: Ability to mix flexion & extension components to achieve a balanced activity.

3.      Ability to balance

4.      Ability to coordinate

5.      Muscle power available

6.      Speech

7.      Feeding

8.      Swallowing

9.      Respiratory control

GRADING FUNCTION

GRADES

                               I.            Normal

                            II.            Can complete task with difficulty but without aid

                         III.            Can complete task with the use of aid

                         IV.            Unable to complete task