Lecture 22: Standardized tests and measures

Question 1

imairement lvl = decreased flexion

function would be decreased elbow flexion not allowing them to eat

if given an age its for a reason

family functioning = what family wants

Question 2

have to do an eval but need to get info w/ play

need to get info from family

Question 3

daily activites and why they can do what they can do

devices and past devices

why are they here for PT

Question 4

shows pain scales we use w/ kids
* use w/ conditions that have pain

posture = structural posture = muscle posture
* muscle imbalances can lead to poor posture
* lay them down where muscles are no longer working to dilinate between muscke and bony posture problem reasons

muscle strenghth in kids should be functional

mmt at ~3 or when they can follow directions

Question 5

reasons we do pediatric standardized tests

want to see if they’re at risk for something

can predict later outcomes unless intervention is introduced

determmines if the introvention you’re already doing is working well

Question 6

cons of standardized tesing

they take forever

these tests change so older might not have knowledge of these

these tests take training and theres to many to be trained on all of them

Question 7

when we pick our tests
* going to need a standardized test on every kid

pick based on outcome u want

pick it if its for your specific pop

chacteristics of the kid

Question 8

why you’re picking specific tests

based off family goals - if fam wants kids to walk pick one that has walking

age/dignosis - dont use tests where they wont show a change - think walkinging test for c4 sci

also do what your clinic wants you to use

Question 9

tests to memorize

motor
* timp
* pbody
* pdms
* bot

functional
* gmfm
* pedi

Question 10

Question 11

icf model framework

Question 12

icf

impairment = decreased control of selective m function; increased resistance to movement
* think spasticity / hypertonicity

activity limitation = difficulty w/ independent mobility

we have a hard time getting them from activity to participation
* they can walk but are they walking

Question 13

what is criteron refernce?

Answer 13

compares child to same childs performace over time
* gmfm, pedi
* more pass fail

Question 14

what is norm referenced?

Answer 14

child is compared to peera at a specific point in time to determine performance
* “If you score this you’re at the 5th percentile”
* guves you a percent rank
pdms, bayley, bot
* must be standardized - meaning you must give it exactly as it is written

Question 15

Question 16

TEST how old do you have to be to do the pbody
* will be a question like “pt is this age what test should be administered

Answer 16

<6

Question 17

pbody

pbody 2 = on paper
pbody 3 = online

basal = bottom

Question 18

6 subtests for pbody

under 11 months only score these
* score reflexes, stationary, locomotion

12m+ do all + object manip, grasping, visual motor integration
* and dont do reflexes

Question 19

peabody test

on the test it tells you where to start the test based on the age of the child
* so if it says 36 months start at the 36 month mark

need to get 3 2’s in a row to get the basal score - need 3 2’s to enter the test. so essential you start the test at some point and keep going until they get 3 2’s in a row and then everything before that counts as a 2. so, if question 20 is where they start than everything before that is scored as a 2. if you get 0’s or 1’s you keep going backwards until you get 3 2’s in a row. you keep testing them until they get 2 0’s in a row. if they get 0,0,1 you keep going. once you get 0,0,0 you stop because that means they’re at their ceiling
* possible scores are 0,1,2
* 0 = cant do it
* 2 = do it at the set criteria

ceiling score = three 0’s in a row

Question 20

pediatric evaluation of disability inventory (PEDI)
* age range?

Answer 20

6m-7 years
* however, can be used w/ children >7.5 w/ significant functional delay

pbody is the skill, the pedi is talking about self care, mobility, sociql function

3 domains
* self care
* mobility
* social function
* * 197 functional skills

structured interview
* parents or observation -so you’e asking if the parents if they can do specific functions
* 20-30 minutes

Question 21

Question 22

bruininks-oseretsky test of motor proficiency (BOT-2)
* test age
* 5 domains

Answer 22

age 4-21

domains:
* fine motor control
* manual coordination
* body coordinarion
* strength and agility

Question 23

Bruininks-Oseretsky Test of motor proficiency (BOT3)
* age
*

Answer 23

age 4-26

can do it on pen and paper

Question 24

which bot can you take when your older

Answer 24

bot 3

Question 25

good test retest reliability same instructions for 4 year old as 21 year old

Question 26

functional tells you about their ability to participate in school

Question 27

Question 28

gross motor function measure (GMFM-88/66) * whats it used to test * 5 diminesions

Answer 28

cerebral palsy 5 dimensions * lying, rolling * sitting * crawling/kneeling * standing * walking, running, jumping **levels 1-5**

Question 29

can use assitive devices just document

Question 30

sensory profule - gets sent home to parents - asks questions like can your child sit still - more ot timp = up to 4 months - looks at movement patterns * can tell us if they need something * if score well unlikely to have a movement disorder bayley used as a screener to see if they need therapy

Question 31

similar to berg do not memorize cut off scores tells you if they're at risk for falls

Question 32

Question 33

Question 34

Question 35

so after 2 you're not correting for pre maturity

Question 36

write age appropriate goals

Question 37