Work Type



Fall 2023

Faculty Advisor

Holly Roberts, PT, DPT, PhD, NCS




Background: Literature suggests that Clinical Practice Guidelines (CPGs) are insufficient for facilitating behavior change in clinicians. However, translating research to clinical practice is essential for evidence-based practice. Prior to publication of the Core Set of Outcome Measures (CSOMs) for Adults with Neurologic Conditions CPG, all recommended outcome measures (OMs) were included in the University of Puget Sound curriculum. Beginning Fall 2018, didactic instruction adjusted such that clinical decision-making for the CSOMs was instructed as outlined in the CPG.

Purpose: To determine whether utilization of CSOMs in a student-led neurologic outpatient physical therapy clinic changed after students received intentional didactic instruction on CPG utilization. The secondary aim was to determine whether OM utilization frequency changed.

Methods: Patient diagnosis, patient ambulatory status, and frequencies of OMs administered were collected for all patients who attended a student-led neurologic physical therapy clinic between 2017 and 2022. Descriptive and inferential statistical tests were conducted using non-parametric methods.

Results: Utilization of the CSOMs increased by 41% overall and 59% for ambulatory patients. Prior to Fall 2018, the most frequently utilized OMs were the Timed Up and Go (TUG), 5 Times Sit to Stand (5xSTS), Dynamic Gait Index, and Four Square Step Test. Following publication and instruction of the CPG, the most frequently utilized OMs were the TUG, 5xSTS, Activities-Specific Balance Confidence Scale, and Functional Gait Assessment. The frequency of overall OM utilization did not change.

Conclusion: Students increased utilization of CSOMs after intentional didactic instruction. Frequency of overall OM utilization remained unchanged.


University of Puget Sound