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When? |
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Where? |
(EE) Intensive Protocol |
(EE) |
(EE) Intensive Protocol |
(EE) Intensive Protocol |
(EE) |
(EE) |
(EE) |
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Questionnaire |
Intake Assessment pp. 7, 8 IP: |
Intake Assessment pp. 9-11 |
Intake Assessment pp. 9-11 IP: |
Intake Assessment pp. 9-11 IP: |
Intake Assessment pp. 12-14 |
Intake Assessment pp. 23-25 |
Intake Assessment pp. 23-25 |
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SIR Data bank |
ZPK rec/table 10 (z1ee) IP: rec/table 15 (I1unters) |
ZPK rec/table 110 (z2ee) |
ZPK rec/table 210 (z3ee) IP: rec/table 215 (I3unters) |
ZPK rec/table 310 (z4ee) IP: rec/table 315 (I4unters) |
ZPK rec/table 410 (z5ee) |
ZKP rec/table 510 (z6ee) |
ZKP rec/table 610 (z7ee) |
Literature: Borchelt, Gilberg, Horgas, & Geiselmann (1996; 1999); Lindenberger & Reischies (1999); Marsiske, Delius, Maas, Lindenberger, Scherer, & Tesch-Römer (1996; 1999); Reischies & Lindenberger (1996); Steinhagen-Thiessen & Borchelt (1996; 1999).
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Time 1 |
Time 2 |
Time 3 |
Time 4 |
Time 5 |
Time 6 |
Time 7 |
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(Sehprobentafel) |
(eye chart) |
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Ich würde jetzt gerne einmal prüfen, wie gut Sie sehen können. |
I would now like to test your vision. |
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at a distance |
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Ohne Brille, Entfernung (Meter) |
without glasses, distance (meter) |
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Ohne Brille, Tafelwert (* 10) |
without glasses, Snellen chart score (* 10) |
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Mit Brille, Entfernung (Meter) |
with glasses, distance (meter) |
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Mit Brille, Tafelwert (* 10) |
with glasses, Snellen chart score (* 10) |
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Haben Sie Schwierigkeiten beim Lesen der Zeitung? |
Do you have difficulties reading the newspaper? |
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Haben Sie Schwierigkeiten beim Fernsehen? |
Do you have difficulties watching TV? |
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Hatten Sie in den letzten 2 Jahren eine Augenoperation? |
Have you had an eye operation within the last 2 years? |
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Hat sich Ihre Sehkraft in den letzten 12 Monaten verändert? Sie können mir wieder sagen, welche Antwort auf Sie zutrifft. 1 = ist viel besser geworden |
Has your eyesight changed within the last 12 months? Please tell me which answer describes you best. 1 = improved greatly |
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(Lesetafel) |
(reading chart) |
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Nahvisus ohne Brille re. |
Visual acuity at near, without glasses, right eye |
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Nahvisus ohne Brille li. |
Visual acuity at near, without glasses, left eye |
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Nahvisus mit Brille re. |
Visual acuity at near, with glasses, right eye |
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Nahvisus mit Brille li. |
Visual acuity at near, with glasses, left eye |
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Haben Sie eine Lesebrille? 0 = nein |
Do you have reading-glasses? 0 = no |
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Link zu Vision Test (2. Kodierung) |
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Haben Sie Hörschwierigkeiten? 1 = ja |
Do you have hearing difficulties? 1 = yes |
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Ist es anstrengend für Sie, genau zu hören, was die Leute sagen? 1 = ja |
Is it hard for you to hear exactly what people say? 1 = yes |
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Tragen Sie ein Hörgerät? 1 = ja |
Do have a hearing aid? 1 = yes |
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Hat sich Ihr Hörvermögen in den letzten 12 Monaten verändert? Sie können mir wieder sagen, welche Antwort auf Sie zutrifft. 1 = ist viel besser geworden |
Has your hearing changed within the last 12 months? You can tell me again which answer describes you best. 1 = improved greatly |
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Audio re. 0.25 kHz Hörschwelle (dB) |
hearing assessment, right, at 0.25 kHz pure tone hearing threshold (dB) |
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Audio re. 0.50 kHz Hörschwelle (dB) |
hearing assessment, right, at 0.50 kHz pure tone hearing threshold (dB) |
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Audio re. 1.00 kHz Hörschwelle (dB) Kodierung (FTA) |
hearing assessment, right, at 1.00 kHz pure tone hearing threshold (dB) encodement (research assisstant) |
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Audio re. 1.00 kHz Hörschwelle (dB) Kodierung (Zentrale Projektkoordination) |
hearing assessment, right, at 1.00 kHz pure tone hearing threshold (dB) encodement (central project coordination) |
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Audio re. 2.00 kHz Hörschwelle (dB) Kodierung (FTA) |
hearing assessment, right, at 2.00 kHz pure tone hearing threshold (dB) encodement (research assisstant) |
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Audio re. 2.00 kHz Hörschwelle (dB) Kodierung (Zentrale Projektkoordination) |
hearing assessment, right, at 2.00 kHz pure tone hearing threshold (dB) encodement (central project coordination) |
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Audio re. 3.00 kHz Hörschwelle (dB) |
hearing assessment, right, at 3.00 kHz pure tone hearing threshold (dB) |
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Audio re. 4.00 kHz Hörschwelle (dB) Kodierung (FTA)) |
hearing assessment, right, at 4.00 kHz pure tone hearing threshold (dB) encodement (research assisstant) |
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Audio re. 4.00 kHz Hörschwelle (dB) Kodierung (Zentrale Projektkoordination) |
hearing assessment, right, at 4.00 kHz pure tone hearing threshold (dB) encodement (central project coordination) |
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Audio re. 6.00 kHz Hörschwelle (dB) Kodierung (FTA) |
hearing assessment, right, at 6.00 kHz pure tone hearing threshold (dB) encodement (research assisstant) |
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Audio re. 6.00 kHz Hörschwelle (dB) Kodierung (Zentrale Projektkoordination) |
hearing assessment, right, at 6.00 kHz pure tone hearing threshold (dB) encodement (central project coordination) |
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Audio re. 8.00 kHz Hörschwelle (dB) |
hearing assessment, right, at 8.00 kHz pure tone hearing threshold (dB) |
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Audio li. 0.25 kHz Hörschwelle (dB) |
hearing assessment, left, at 0.25 kHz pure tone hearing threshold (dB) |
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Audio li. 0.50 kHz Hörschwelle (dB) |
hearing assessment, left, at 0.50 kHz pure tone hearing threshold (dB) |
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Audio li. 1.00 kHz Hörschwelle (dB) Kodierung (FTA) |
hearing assessment, left, at 1.00 kHz pure tone hearing threshold (dB) encodement (research assisstant) |
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Audio li. 1.00 kHz Hörschwelle (dB) Kodierung (Zentrale Projektkoordination) |
hearing assessment, left, at 1.00 kHz pure tone hearing threshold (dB) encodement (central project coordination) |
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Audio li. 2.00 kHz Hörschwelle (dB) Kodierung (FTA) |
hearing assessment, left, at 2.00 kHz pure tone hearing threshold (dB) encodement (research assisstant) |
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Audio li. 2.00 kHz Hörschwelle (dB) Kodierung (Zentrale Projektkoordination) |
hearing assessment, left, at 2.00 kHz pure tone hearing threshold (dB) encodement (central project coordination) |
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Audio li. 3.00 kHz Hörschwelle (dB) |
hearing assessment, left, at 3.00 kHz pure tone hearing threshold (dB) |
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Audio li. 4.00 kHz Hörschwelle (dB) Kodierung (FTA) |
hearing assessment, left, at 4.00 kHz pure tone hearing threshold (dB) encodement (research assisstant) |
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Audio li. 4.00 kHz Hörschwelle (dB) Kodierung (Zentrale Projektkoordination) |
hearing assessment, left, at 4.00 kHz pure tone hearing threshold (dB) encodement (central project coordination) |
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Audio li. 6.00 kHz Hörschwelle (dB) Kodierung (FTA) |
hearing assessment, left, at 6.00 kHz pure tone hearing threshold (dB) encodement (research assisstant) |
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Audio li. 6.00 kHz Hörschwelle (dB) Kodierung (Zentrale Projektkoordination) |
hearing assessment, left, at 6.00 kHz pure tone hearing threshold (dB) encodement (central project coordination) |
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Audio li. 8.00 kHz Hörschwelle (dB) |
hearing assessment, left, at 8.00 kHz pure tone hearing threshold (dB) |
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Link zu Audiometrie (2. Kodierung) |
Link zu Audiometry (2. encodement) |
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N. facialis Summe: 0 = unauffällig |
Facial Nerve Sum: 0 = unremarkable |
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Unterberger-Tretversuch (Grad) |
Unterberger's Test (degrees) |
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Finger-Nase-Versuch Summe: 1 = rechts < 3 cm |
Finger to Nose Test Sum: 1 = right < 3 cm |
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360o-Drehung (Anzahl Schritte) |
360o-Rotation (number of steps) |
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Romberg-Versuch 0 = schwankt praktisch nicht |
Romberg test 0 = basically steady |
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Muskeltonus 0 = unauffällig |
Muscular tension 0 = normal |
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Handkraftbestimmung und Handdominanz (drei Messungen rechts und links) |
Determination of grip strength and dominant hand (3 measurements right and left) |
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rechts (kp) |
right (kp) |
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links (kp) |
left (kp) |
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rechts (kp) |
right (kp) |
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links (kp) |
left (kp) |
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rechts (kp) |
right (kp) |
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links (kp) |
left (kp) |
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Sind Sie Rechts- oder Linkshänder? 1 = rechts |
Are you right or left-handed? 1 = right |
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BSR, rechts 1 = kloniform / klonisch |
BTR, right 1 = clonic |
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BSR, links 1 = kloniform / klonisch |
BTR, left 1 = clonic |
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BRR, rechts 1 = kloniform / klonisch |
BRR (brachioradialis), right 1 = clonic |
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BRR, links 1 = kloniform / klonisch |
BRR, left 1 = clonic |
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PSR, rechts 1 = kloniform / klonisch |
PTR, right 1 = clonic |
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PSR, links 1 = kloniform / klonisch |
PTR, left 1 = clonic |
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ASR, rechts 1 = kloniform / klonisch |
ATR, right 1 = clonic |
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ASR, links 1 = kloniform / klonisch |
ATR, left 1 = clonic |
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Trömner, rechts 1 = deutlich |
Trömner, right 1 = distinct |
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Trömner, links 1 = deutlich |
Trömner, left 1 = distinct |
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Babinski, rechts 1 = deutlich |
Babinski, right 1 = distinct |
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Babinski, links 1 = deutlich |
Babinski, left 1 = distinct |
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13. |
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Link zu Diagnosen (ICD-9) |
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