Activity Outcome Measures Flashcards
Functional mobility assessment
To measure gait
Used with adolescents above 13 years old who have LE amputation or resection
Assesses pain, supports needed, satisfaction with walking quality, participation in work, school, or sports
9 minute run-walk test
TUG and TUDS with HR and RPE
Functional MObility Scale
Measures gait Rates walking ability at 5, 50, and 500 m which are meant to represent home, school, and community environments For CP GMFCS III-V Ages 4-18 Can use assistive devices
Observational Gait scale
For children with CP Assesses gait in stance and swing phases Target age range 6-21 Often used after Botox. Also often used for idiopathic toe walking
Standardized Walking Obstacle Course
Assesses functional Ambulation capability in children who can follow directions and do not use an assistive device
Ages 4-11 for typical development
Ages 6-21 for children with disabilities
Timed Obstacle Ambulation test
Measures ability to negotiate over surfaces, picking up and object, stepping over, around, under obstacles
Timed up and down stairs test
Assesses mobility during stair use
Target age 8-14
With and without disabilities
Timed Up and Go
Assesses mobility during standing up from sitting, walking and returning to sitting.
Used modified timed up and go for children with CP or Down syndrome
Ages 3+
Alberta Infant Motor Scales
Purpose: To identify infants and toddlers with gross motor delay and to evaluate gross motor skill maturation over time
Age range: birth to 18 months
Areas tested: 58 gross motor skill items divided among prone, supine, sitting, standing
Statistics
Interrater reliability: Pearson r =0.95 to 0.00
Test retest reliability: Pearson r= 0.86-20.99
Concurrent validity with PDMS: Pearson r=0.90 to 0.99 (typical dev), and 0.84-0.98 (abnormal and at risk)
Bruininks-Osestry Test of Motor Proficiency (BOT)
Purpose: to assess gross and fine motor skills of individual children and develop and evaluate motor training programs
Age range: 4 to 14.5 years
Areas tested: running speed and agility, balance, bilateral coordination, strength, upper limb coordination, response speed, visual-motor control, upper limb speed and dexterity
Psychometric
Norm referenced, standardized on 765 children divided among 10 age groups
Interrater reliability: Pearson r = 0.63-0.97
Test retest reliability: 0.77 to 0.89
Construct validity: relationship between subtest scores and chronologic age: 0.78
Gross Motor Function Measure
Purpose: to evaluate change in gross motor function in children with cerebral palsy, describe a child’s current level of motor function and determine treatment goals
Age range: no specific age range recommended, but validated between 5 months and 16 years; seems best suited for children 2-5 years
Areas tested: lying and rolling, sitting, crawling, standing, walking, running and jumping
Psychometric characteristics
Criterion referenced
Interrater reliability: ICC: 0.75 (lying and rolling) to 0.97 (standing)
Intrarater reliability: ICC: 0.75 (lying and rolling) to 0.99 (all other subtests and total score)
Percent agreement: 96.2 to 98.4
No normative data
Gross motor performance measure
used to evaluate gross motor performance (i.e., quality of movement) in children with cerebral palsy. The instrument’s primary purpose is to evaluate change over time in specific qualitative features or attributes of gross motor behaviour.
Ages 0-12 yrs
Psychometric
Inter-rater, intra-rater and test-retest reliabilities were calculated using intra-class correlations, and these were found to be high (0.93, 0.97 and 0.96, respectively)
High Level Mobility Assessment Tool (HIMAT)
Ages: 13-17, 18+
standardised outcome measure used to quantify motor performance in individuals with high-level balance and mobility deficits.
Developed for use with TBI but can be used for a number of other neurological and musculoskeletal conditions that result in vestibular and motor deficits
Must be able to walk for 20 meters independently without assistive device but may use orthoses.
13 item with 4 point scale. Free
Psychometric
Excellent interrater and test retest
Excellent internal consistency
Adequate to excellent concurrent validity
Motor Function Measure
The MFM is a quantitative scale applicable to all patients with neuromuscular disease, regardless of the severity of the motor impairment. The MFM is thus applicable to both walking and non-walking patients.
The MFM makes it possible to:
clarify the symptomatology and evolution of neuromuscular diseases
objectify the impact of therapeutic measures
guide rehabilitative and adaptive measures
facilitate communication between the different stakeholders involved in medical care
select homogeneous groups of patients for therapeutic trials
Items of the MFM-32 and MFM-20 are classified in 3 domains:
D1: Standing and transfers (13 items for the MFM-32 and 8 items for the MFM-20);
D2: Axial and proximal motor function (12 items for the MFM-32 and 8 items for the MFM-20);
D3: Distal motor function (7 items for the MFM-32 and 4 items for the MFM-20)
Recently validated in ages 2-5, otherwise 6 and up.
Primarily for SMA, muscular dystrophies
Strong evidence of test-retest reliability (intraclass-correlation coefficient = 0.93-0.95), internal consistency (Cronbach’s alpha = 0.89), convergent validity (Hammersmith Functional Motor Scale: rho = 0.87; forced vital capacity: rho = 0.61), known-groups validity (all p<0.0001), and ability to detect change (all p<0.001) were demonstrated. These results provide evidence of the MFM32’s measurement properties, supporting its use in longitudinal research in individuals with Type 2 and non-ambulant Type 3 SMA.
Peabody Developmental Motor Scales
Purpose: to determine the level of motor skill acquisition, detect small changes in motor development in children with known motor delays or disabilities, and assist in programming for children with disabilities
Age range: 1 to 72 months
Areas tested
Gross motor scale: reflexes, stationary, locomotion, object manipulation
Fine motor scale: grasping, visual motor integration
Psychometric characteristics
Norm referenced on 2003 children stratified by census data
Standard error of measurement: 1-2 for gross motor and fine motor scales; composite scales: range between 2 and 5
Test retest reliability: Pearson: r=0.82 to 0.94 for gross motor scales, 0.87-0.92 fine motor scale
Interrater reliability: Pearson’s: r=0.97-0.99 gross motor, 0.98 fine motor scale
Construct validity: gross motor and fine motor: 0.79; stationary, locomotion, reflexes and object manipulation sub tests to gross motor construct: 0.78, 0.85, 0.63 and 0.63 respectively
Content: Pearson r =0.35 to 0.69
Concurrent: Pearson r = 0.84 gross motor scale with PDMS, 0.91 fine motor with PDMS
Test of Gross Motor Development
Purpose: to determine a child’s acquisition of aspects of selected gross motor tasks
Age range: 3-10 years
Areas tested: locomotion, object control
Each item contains 3-4 specific performance criteria indicative of maturity of skill
Psychometric characteristics
Norm and criterion referenced
Normative sample was 1208
Reliability: locomotor sub test average 0.85, object control sub test 0.88, gross motor composite 0.91
SEM is 1 for both sub tests, and 4 or 5 for composite score
Coefficient alpha for selected subgroups are all above 0.90 for the sub test and the composite
Time sampling reliability coefficients range from 0.84 to 0.96
Validity: content description, criterion prediction, and construct identification validity indicate that the test identifies children who are significantly behind their peers in gross motor development
Jebsen Taylor Test of Hand Function
Consists of seven items used to asses fine motor skills, weighted functional tasks and non weighted functional tasks Writing a short sentence Turning over a 3 x 5 card Picking up small common objects Simulated feeding Stacking checkers Picking up large and light cans Picking up large heavy cans Test dominant and non dominant hand Modified Jebsen Hand Function Test has 3 items Turning over 5 cards Stacking 4 cones Spooning five kidney beans into a bowl to simulate feeding Ages 6+
Nine Hole Peg Test
Assesses finger dexterity by recording speed in which a person places/removes pegs
Ages 3+
Assisting Hand assessment
Used for children with hemiplegia CP or brachial plexus injury
Small kids: 18 months to 5 years
School kids: board game for children 6-12 years
Measures how effectively an affected hand and arm is used in bimanual performance.
Semistructured play system is videotaped and 22 observable actions scored assessing typical play skills rather than capacity
Activities include general usage, arm use items, grasp release, fine motor adjustments, coordination, pace
Specialized training to become a certified rater
Melbourne Unilateral Upper Limb Function MULL
Discriminative and evaluative measure
Clinician based functional performance assessment which measures the quality of unilateral upper limb movement
Children with neurological conditions ages 5-15
Adequate to excellent reliability
Excellent validity
