Examination & Evaluation / Outcome Measures Flashcards by Owen Honroth

what approach is conducted in pediatric PT

top down

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what is the structure of the top down approach

Family’s Goals / Outcomes
PT exam/evaluation
Identification of strengths/obstacles that hinder out comes
PT strategies to negate obstacles
PT intervention plan

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considerations for initial evaluation

location
time
focus of exam
those involved
what measuring tool to be used?

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what is the best location for initial examination

a natural environment

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how are pediatric examinations typically completed in healthcare settings?

multiple disciplines or a team of providers will evaluate a patient

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settings associated with pediatric examination (typically)

acute care
outpatient
home
school

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in pediatric PT, what are participation restrictions typically related to

school
play

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what is a discriminative test

one that discriminates behavior in comparison to normal

– is norm referenced

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examples of discriminative tests

peabody (PDMS-2)
bayley scale of infant development
BOT-2
Test of Sensory Function in Infants

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what is an evaluative test

test that determines small increments in performance either from maturation or intervention

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examples of evaluative measures

pediatric index of disability inventory (PEDI)

gross motor function measure (GMFM)

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what is a predictive test

one accomplished by a predictive index, classifies individuals based on what is expected to be future status

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examples of predictive tests

alberta infant motor scales (AIMS)
movement assessment for infants (MAI)

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what age is MMT applicable in pediatrics

3-4 years
– need the ability to follow directions

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what is the FLACC scale
- testing?
- ages?

face legs activity cry and consolability scale

up to 7 years (verbal and nonverbal)

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wong baker face scale
- measuring?
- ages?
- protocol

pain scale
3-7
0-10, 10 being worst

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compare norm and criterion referenced measures related to
- reference group
- interpretation of performance
- objectivity of test
- instruction importance

Norm
- referenced to other children
- compare for age related norms
- low degree of objectivity
- not sensitive to instruction

criterion
- no reference group
- compared toa defined standard that is content specific
- competing against self
- high objectivity
- high sensitivity to instruction

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standardized tests
- how they work
- what they are helpful for

evaluation to track a change over time

set guidelines with directions associated
will be retested and assessed using same tool

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standardized norm reference tests include

Bayley-III
Peabody
M-ABC
BOT-2

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criterion referenced standardized tests include

SFA
WeeFIM

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what test is both criterion and norm referenced

PEDI
norm, but can be used criterion wise to measure functional status

AIMS
- ages
- time involved
- protocol
- ICF category

0-18 months
20-30 min
standardized observation of 58 items in different positions (prone, supine, sitting, standing)
activity

how is the AIMS scored

each observation is a point
total points plotted
percentile compared to norm sample
info about change over time and maturation

TIMP
- name
- ages
- protocol
- ICF category

test of infant motor performance

32wks post conception to 4 months term

2 sections with observed and elicited movements

activity

Peabody (PDMS-2) - ages - purpose / protocol - point scale - ICF category

assessment of gross/fine motor norm referenced/standardized 0,1,2 point scale activity measure

gross motor scale within peabody - ages associated

reflexes (birth to 11 months) stationary (all ages) locomotion (all ages) object manipulation (≥ 12mo)

fine motor scale of peabody - ages associated

grasping (all ages) visual motor integration (all ages)

how to administer peabody?

take age of child (entry point) find basal and ceiling level

definition of basal level in peabody

score of 2 on 3 items in a row

definition of ceiling in peabody

child receives a score of 0 on 3 items in a row

advantages of peabody

easy instructions to follow definitions provided for scores scores in testing packet emerging skills are considered differentiation between gross/fine motor

Bayley-III - ages - purpose - protocol - scoring - ICF category

1-42 months assess skills in 5 developmental domains norm-referenced/standardized 1 or 0 for items Activity / participation

5 developmental domains

cognitive language motor social-emotional adaptive behavior

what is the basal vs ceiling score on Bayley-III

basal = 1 on 3 consecutive items ceiling = 0 on 5 consecutive items

disadvantages of bayley-III

expensive time consuming underestimation of ability in severely disabled pops

BOT-2 - ages - protocol - ICF category

4 to 21 years old and 11 months norm referenced/standardized body structure / function, participation

composites of the BOT-2

fine motor control manual coordination body coordination strength and agility

GMFM - ages - protocol - ICF

5 months - 16 years observation, criterion referenced activity

purpose of GMFM

evaluate change over time in gross motor function in children with cerebral palsy or down syndrome

GMFM 66 vs GMFM 88

66 - CP 88 - DS

dimensions of the GMFM

lying/rolling sitting crawling standing walking (running/jumping)

what is the GMFCS

a tool used in conjunction with GMFM to classify severity of functional limitations in those with CP

range of GMFCS

1 (least impaired) to 5 (most impaired)

age bands associated with GMFCS

under 2 2-4 4-6 6-12 12-18

what is the M-ABC - ages - purpose/protocol - ICF category

3 to 16 years identify mild motor impairments norm-referenced/standardized body function/structure. activity, and participation

what does the M-ABC test specifically

manual dexterity ball skills static/dynamic balance

PEDI - ages - protocol - scoring - ICF

6 months to 7.5 years norm-referenced and criterion 0 (incapable) and 1 (capable) activity and participation

domains of the PEDI

self-care mobility social function need for modification/assistance

SFA - ages - protocol - implementation - ICF

kindergarten to 6th grade criterion referenced/standardized determine eligibility for services/assistance activity / participation

parts of the SFA

participation task supports activity

pediatric balance scale - ages - protocol - ICF category

5-15 years criterion referenced / screening body structure and function / activity

sensory integration tests and ages associated

infant/toddler sensory profiles - birth to 36 months sensory profile - 5 to 10 years sensory integration/praxis test - 4 to 8 years and 11 months