Intro to Peds Eval and Exam

Question 1

Which part of the ICF model are we focusing on?

Answer 1

activity and body structure and function

Question 2

Examination vs. Evaluation

Answer 2

• Evaluation is also used for tests and measures in peds
• in early intervention, an eval is a developmental assessment

Question 3

Role of the child and family:

Answer 3

primary team members and active participants in examination process

Question 4

What should the examination start with?

Answer 4

observation

Question 5

when does observation begin?

Answer 5

the waiting room, parking lot, transitioning into the room

Question 6

Observation should be…..

Answer 6

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

Question 7

Pediatric patient/client history should include:

Answer 7

 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

Question 8

Environment setting: Natural settings

Answer 8

• going to need to bring all of the things you need
• lots of distractions: space, pets, siblings, etc

Question 9

Environment setting: Hospital

Answer 9

• may not be as mobile
• may have shared hospital rooms

Question 10

environment setting: outpatient clinic

Answer 10

• distractions
• space
  -adults vs. peds –> SAFETY

Question 11

Environment Settings: school setting

Answer 11

• parents aren’t there
• often doing therapy in the classroom

Question 12

What should you base all examination on?

Answer 12

age-appropriate expectations for development
- vitals
- gait
- reflex integrity (muscle tone)

Question 13

What should you accommodate?

Answer 13

• child’s level of cognitive development within examination:
• attention span
• interesting toys, games, songs
• behavior

Question 14

Be prepared to…

Answer 14

work efficiently
be flexible
react to a child’s interests/activity

Question 15

NEVER EVER EVER EVER

Answer 15

LEAVE A CHILD UNATTENDED

Question 16

there’s a nice chart on pg 22

Question 17

Evaluation of a child:

Answer 17

1. patient/client history
2. review of systems
3. tests and measures
4. evaluation

Question 18

How might you conduct a systems review on a child?

Answer 18

• talk to parent
• review chart
• observation

Question 19

Tests and Measures =

Answer 19

1. neuromotor development and sensory processing
2. ROM/skeletal alignment
3. muscle performance
4. reflex integrity
5. gait, locomotion, wheeled mobility
6. postural control and static/dynamic balance
7. pain
8. ventilation and respiration
9. coordination
10. self-care and domestic life and work, community, education, and leisure
11. assistive technology

Question 20

Neuromotor development and sensory processing

Answer 20

• pediatric development assessment
• sensory processing/integration

Question 21

ROM/Skeletal Alignment

Answer 21

• pediatric range of motion and flexibility examination
• pediatric orthopedic assessment

Question 22

Muscle performance

Answer 22

pediatric muscle performance examination

Question 23

reflex integrity

Answer 23

pediatric reflex integrity/tone examination
reflex testing

Question 24

gait, locomotion, wheeled mobility

Answer 24

• pediatric gait examination
• pediatric functional mobility

Question 25

postural control and static /dynamic balance

Answer 25

pediatric balance examination

Question 26

pain

Answer 26

pediatric pain examination

Question 27

ventilation and respiration

Answer 27

- pediatric respiratory system development and examination

Question 28

coordination

Answer 28

developmental assessment

Question 29

self-care and domestic life and work, community, education, and leisure

Answer 29

assessment of function, activity and participation

Question 30

Evaluation

Answer 30

1. diagnosis 2. prognosis 3. plan of care

Question 31

Developmental Assessment assesses one or more domains of development:

Answer 31

 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

Question 32

Components of a developmental assessment

Answer 32

 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

Question 33

Considerations for choosing the appropriate tests and measures for a developmental assessment:

Answer 33

 Purpose of assessment – screening, diagnosis, or intervention planning?  Population to be tested – age, diagnosis  Time and cost  Qualifications of tester

Question 34

Screening:

Answer 34

Alberta Infant Motor Scale (0-18 mo)

Question 35

Comprehensive Development Assessment

Answer 35

Bailey Scale of Infant Development HELP

Question 36

Motor Assessment

Answer 36

BOT2 Peabody