Bleck used 4 measures of functional performance in patients with osteogenesis imperfecta. This can help monitor the natural progression of the disease and the response of the patient to therapeutic interventions. The author is from Children's Hospital at Stanford, California.
Parameters:
(1) independence
(2) activities of daily living (ADL) efficiency
(3) mobility efficiency
(4) ambulation efficiency
Parameter |
Findings |
Points |
independence |
none (unable to act independent even with human assistance) |
0 |
|
requires human assistance to achieve anything in an activity (complete dependence) |
1 |
|
needs some help occasionally (partial dependence) |
2 |
|
independent of human help but requires assistive devices or special tools (independent with technical help) |
3 |
|
completely independent in activity but not normal (timing, effort, external appearance) |
4 |
|
normal activity (timing, effort, external appearance) |
5 |
activities of daily living |
none possible |
0 |
|
essential personal needs met (self-feeding, toileting, dressing) |
1 |
|
complete personal care (grooming, hygiene) |
2 |
|
household activity possible (can cook, clean, keep house) |
3 |
|
can participate in community activities (social, participate in organization, game playing) |
4 |
mobility efficiency |
none |
0 |
|
severely limited (mobile but not functional enough to be used) |
1 |
|
can move about immediate surroundings (housebound) |
2 |
|
can travel in the community |
3 |
|
can travel beyond the community |
4 |
ambulation efficiency |
no ambulation possible |
0 |
|
can walk but not functional enough to be useful (severely limited; physical therapy walker) |
1 |
|
can walk in the home (house bound) |
2 |
|
can walk outside in the neighborhood (limited to 2-3 blocks) |
3 |
|
can walk in the community |
4 |
total score =
= SUM(points for all 4 parameters)
Interpretation:
• minimum total score: 0
• maximum total score: 17
• The higher the score the greater the normalcy in function.
• Each parameter can be monitored over time.
Purpose: To assess the functional ability of a patient with osteogenesis imperfecta using the measures of Bleck.
Specialty: Sports Medicine & Rehabilitation
Objective: clinical diagnosis, including family history for genetics, severity, prognosis, stage, response to therapy, disease progression
ICD-10: Q78.0,