Exam/Eval Flashcards
What are some subjective history components specific to a peds exam?
-developmental history
-pregnancy
-prenatal testing
-birth
-child’s health since birth (illness, hospitalizations, immunizations)
-family hx of developmental disabilities
-caregiver’s impression of child’s development
-any adaptive equipment/orthotics, etc.
2 developmental screening tools
1 - ages and stages questionnaire
2 - denver developmental screening test II
3 peds specific things to look at during objective exam
1 - developmental reflexes
2 - sensory processing
3 - hip stability
T or F: hip stability should be assessed in all infants referred for PT
T
2 tests for hip stability in peds
1 - barlow
2 - ortolani
barlow test
bring leg into adduction while pushing down laterally - does it click out?
ortolani test
bring leg into abduction and ER, does it click in?
T or F: MMT grading scale is appropriate for young children
F
2 adult balance tests that can be modified for peds
1 - berg balance scale
2 - TUG
norm-referenced standardized assessments
- designed to compare how child performs in comparison to other children their age
- yields several scores (percentiles, age equivalent, standard, quotients)
2 examples of norm-referenced standardized peds assessments
1 - peabody developmental motor scales (PDMS - 3)
2 - bruininks - oseretsky test of motor proficiency (BOT-2)
criterion referenced standardized assessments
- AKA curriculum based
- assesses how this child individually performed the items on the test
- typically give percentage scores
which translates more easily to treatment planning… criterion or norm referenced assessments?
criterion
2 examples of criterion-referenced peds tests
1 - alberta infant motor scale (AIMS)
2 - gross motor function measure (GMFM)
one powerpoint says AIMS is criterion but I think it’s norm referenced? - check
construct
does it measure the theoretical construct the test is based on
content
are there enough items for each area being measured
concurrent
does it measure the same/as well as “gold standard”?
predictive
can results accurately predict some future performance?
how long do you usually use adjusted age for premature babies? how do you adjust it?
first two years
actual age - weeks preterm = corrected age
“percent delay” formula
(chronological age - age equivalent)/ (chronological age)
