Intro to Peds Eval and Exam Flashcards
Which part of the ICF model are we focusing on?
activity and body structure and function
Examination vs. Evaluation
- Evaluation is also used for tests and measures in peds
- in early intervention, an eval is a developmental assessment
Role of the child and family:
primary team members and active participants in examination process
What should the examination start with?
observation
when does observation begin?
the waiting room, parking lot, transitioning into the room
Observation should be…..
ACTIVE
PT should play with, interact with
child, talk to parent, and engage with siblings (if present) or inquire about siblings (if not present).
Watch child play
Start to build relationship with child immediately
Pediatric patient/client history should include:
Family and child concerns
Pregnancy and birth history, family genetic history, developmental, medical, social, play/school/job, and intervention history – may be obtained through questionnaire, but should always clarify in person
Identification of goals
Environment setting: Natural settings
- going to need to bring all of the things you need
- lots of distractions: space, pets, siblings, etc
Environment setting: Hospital
- may not be as mobile
- may have shared hospital rooms
environment setting: outpatient clinic
- distractions
- space
-adults vs. peds –> SAFETY
Environment Settings: school setting
- parents aren’t there
- often doing therapy in the classroom
What should you base all examination on?
age-appropriate expectations for development
- vitals
- gait
- reflex integrity (muscle tone)
What should you accommodate?
- child’s level of cognitive development within examination:
- attention span
- interesting toys, games, songs
- behavior
Be prepared to…
work efficiently
be flexible
react to a child’s interests/activity
NEVER EVER EVER EVER
LEAVE A CHILD UNATTENDED
there’s a nice chart on pg 22
Evaluation of a child:
- patient/client history
- review of systems
- tests and measures
- evaluation
How might you conduct a systems review on a child?
- talk to parent
- review chart
- observation
Tests and Measures =
- neuromotor development and sensory processing
- ROM/skeletal alignment
- muscle performance
- reflex integrity
- gait, locomotion, wheeled mobility
- postural control and static/dynamic balance
- pain
- ventilation and respiration
- coordination
- self-care and domestic life and work, community, education, and leisure
- assistive technology
Neuromotor development and sensory processing
- pediatric development assessment
- sensory processing/integration
ROM/Skeletal Alignment
- pediatric range of motion and flexibility examination
- pediatric orthopedic assessment
Muscle performance
pediatric muscle performance examination
reflex integrity
pediatric reflex integrity/tone examination
reflex testing
gait, locomotion, wheeled mobility
- pediatric gait examination
- pediatric functional mobility
postural control and static /dynamic balance
pediatric balance examination
pain
pediatric pain examination
ventilation and respiration
- pediatric respiratory system development and examination
coordination
developmental assessment
self-care and domestic life and work, community, education, and leisure
assessment of function, activity and participation
Evaluation
- diagnosis
- prognosis
- plan of care
Developmental Assessment assesses one or more domains of development:
Physical development – includes both fine motor and gross motor
Cognitive development – learning
Communication development – receptive and expressive language
Social or emotional development – behavior
Adaptive development – self-help, ADLs
Components of a developmental assessment
Family interview
Observation (in natural setting if possible)
Standardized testing using an appropriate assessment tool
Assessment of impairments that may be limiting motor development or development of functional skills
Considerations for choosing the appropriate tests and measures for a developmental assessment:
Purpose of assessment – screening, diagnosis, or intervention planning?
Population to be tested – age, diagnosis
Time and cost
Qualifications of tester
Screening:
Alberta Infant Motor Scale (0-18 mo)
Comprehensive Development Assessment
Bailey Scale of Infant Development
HELP
Motor Assessment
BOT2
Peabody
