final part 2 Flashcards
Criterion Referenced Test
compare performance against a described criteria
–can compare before and after intervention
Norm Referenced Test
compare between child performance and norm or average
Scaled Score
level of proficiency in the subtest, convert raw score to a common scale
Raw Score
number of items correct
Percentile Rank
percentage of student peer group the student surpassed
Z score
number of SF from the mean
Premature Baby
adjusted age
only do this until age 2
so if 6 months old born 2 months early, adjusted age is 4 months
Measure strength by age
observed movement and palpate muscle contraction 3-4 years in normal until able to follow directions
can do real way at 2-5 years
When can children report pain and its intensity and how?
emerge at about age 2 years –and need language
3 years may be able to use a simple validated pain scale
3 years and older can rank pain with a validated scale
Wong baker pain scale
3-7 years
visual analog pain scale
10 years and up
Behavioral observational scales for pain
less than three years
and DEVELOPMENTALLY DISABLED PATIENTS
if nonverbal and cannot verbalize presence and severity of pain
Behavioral observational things in nonverbal children that indicate pain
reluctance to move
personality changes
self harming/aggression to others
–search for cause:
search for infection, injury, disease progression, surgical procedure
sleep disturbances, change in muscle tone, minimal movement, agitated/irritable, facial expression, limb withdrawal arch back, thrashing
Can physiological responses be used as predictor of pain or absence of pain?
physiological responses: increased HR, chnage in HR, change in resporations, decreased O2sat
No because they are modifiable
affected by:
–disease, medications, changes in physiological state
FLACC
Faces, Legs, Activity, Cry, Consolability
**scored 0-1-2 to provide a total pain score from 0-10
Face: expression
0: no particular expression or smile
1: occasional grimace or frown, withdrawn, disinterested
2: frequent to constant quivering chin, clenched jaw
Legs: how are they holding their legs
0: normal position or relaxed
1: uneasy, restless, tense
2: kicking or legs withdrawn
Activity
0: lying quietly, normal position, moves easily
1: squirming, shifting back and forth, tense
2: arched, rigid, or jerking
Cry
0: no cry
1: moans or whimpers, occasional complaint
2: crying steadily, screams or sobs, frequent complaints:
Consolability: how easy it is to comfort them
0: content, relaxed
1: reassured by occasional touching, hugging or being talked to, distractible
2: difficult to console or comfort
PIPPS
Premature Infant Paint Profile
HR, respiratory status, facial expression, body movement
Children’s Hospital of Eastern Ontario Pain Scale
Function: observational scale measures postoperative pain
Age: 1-7 YEARS
Catagories: pain behavior: cry, facial, verbal, torso, touch, legs
Max score: (no pain: 4) worst pain: 13
Is response of surrogate reporting pain reliable?
RELIABLE
Functional Reach Test
Purpose: measure dynamic balance reaching forward
–anticipatory control in forward reach
reliability better using two hands to eliminate trunk rotation (in their posture)
limits of 5cm change true clinical difference
values 5-15 years were given
what are the three scales of pain assessment that are behavioral observational scales
FLACC
Children’s Hospital of Eastern Ontario Pain Scale
Premature Infant Pain Profile
Pediatric balance Scale
Age: 5-15 years
(like the berg)
NOT NORMATIVE DATA
Endurance Functional Ambulatory Capacity
6MWT
Age: 4-11 Years
NORMAL REFERENCE
–use for low tone/arrousal when concern for endurance
TUG
Age: 4 years and older
NORMAL REFERENCE
TUDS
Functional mobility, need LE strength, ROM, and anticipatory and reactive postural control: shorter time better
Age: 8-14 years were the values given in the packet of NORMS
Timed Floor to Stand
NORMS given for 5-6 years (7.5 seconds) and 7-16 years (6.4-6.6 seconds) indian style–> 3m walk and back –>indian style
Gait Velocity
distance walk test
10MWT gait velocity and cadence indoors on 15m walkway
Gait velocity in school
often used considering for services
KINDERGARTEN TO 6th GRADE
50ft walkway
kindergarten: 13.5
6th Grade: 10.6 seconds
PDMS2
activity test
age: birth–> 71 months
NORM REFERENCED
Reflex: birth to 11 months
OBJECT MANIPULATION: 12 months and on (kick, catch, throw)
STATIONARY: balance
LOCOMOTION: hop, skip, jump
(grasp: use hans
visual motor integration: visual perceptual skills)
limitation: doesnt account for quality of the movement, test question descriptions not precisely specified
BOT
activity test
Age: 4-21 YEARS
NORM REFERENCED: use to qualify age 4-21
The scaled scores show change over time
assess motor skills of children, develop and evaluate motor training programs
visual motor control? FINE MANUAL 1.fine motor perception 2. fine motor integration MANUAL COORDINATION 3. manual dexterity 4. upper limb coordination BODY COORDINATION 4. bilateral coordination 5. balance-has an eyes open and closed part that she likes STRENGTH AND AGILITY 6. running speed and agility 8. strength
- need preferred hand and preferred foot (kicking foot)
- need space
TGMD2
activity test
AGE: 3-10 years
NORM REFERENCED: use to qualify
grade: present (1) or not present (0)
- locomotor: hop, gallop, slide, run
- object control: ball skills
SFA
participation test
KINDERGARTEN–> 6th GRADE
–criterion referenced, can derive goals, questions get harder
CRITERION REFERENCED
Parts:
1. participation–low: participate less than peers/ and with how much help
- task support: adaptive rating modifications ie AD / assistance rating /
- activity performance: how much is performed
there are cut off scores for ages
PEDI
participation test
AGE: 6 months –> 7.5 years (**given by ppl who know them)
NORM REFERENCED, scaled scores (can use those when not able to use the norm reference due to severe functional delay and child older than 7.5 years, or to document functional change)
CAREGIVER ASSISTANCE
- –items get more difficult through test
- –score able (0), unable (1)
- –caregiver assistance scale, modification scale (N, child oriented, rehabilitation, extensive)
- –SELF CARE, MOBILITY, SOCIAL FUNCTION
Discriminative: detect functional limitation and participation
Evaluative: sensitive to small increment of change
PEDICat
participation test
AGE: birth –> 20 years!!!!
variety of physical and behavioral conditions!!!
caregiver assistance
NORM REFERENCED scaled scores (can use to look at child functional skills and progress over time)
RESPONSIBILITY DOMAIN = caregiver assistance
—DAILY ACTIVITY, MOBILITY, SOCIAL/COGNITIVE
WeeFIM
participation test
Age: 6 months –> 7 years (with disabilities to 12 years)–>after use real FIM
CRITERION REFERENCED–use to track functional outcomes overtime , how much assistance needed
self care, sphincter control, transfers, locomotion, communication, social interaction, cognition
*does not give credit for how well/quality –write it in the report
practice a peabody scenario char standard score percentile rank gross motor quotient SD
prectice
APS
assistance to participate in scale
from the caregiver perspective**
–q on play and leisure for child with disability
CAPE
children assessment of participation and enjoyment
6-21 years
activities done, frequency of participation, enjoyment of activities
PAC
preference for activity of children
6-21 years
tells you what they like to do–helps us for tx
ASK
activities scale for kids
PedsQLTM
Pediatric Quality of Life Inventory
general and diagnostic forms
age 2-18 years
measure physical, emotional, social and school funciton
What is percentile of
1.5 SD
2SD
1.5 SD: 7%
2 SD: 2.14%
(1SD is 16% and doesnt get services)
For the peabody what does she want in the
chart
