Neuro Peds 1 Flashcards
Measures
R-FLACC
Face Leg Activity Cry Consolability Revised Scale
(body function/structure)
0-10 scale
for non-verbal or pre-verbal patients
parent or therapist report
2 months - 18 yo
category 2 is a concern
Modified Tardieu Scale (MTS)
(body function/structure)
angle of muscle reaction
R2: passive ROM following a slow velocity stretch V1
R1: the angle of the catch following a fast velocity stretch
joint angle R2-R1
small tardieu angle usually means contracture
0 - no resistance
1 - slight resistance, no clear catch
2 - clear catch followed by release
3 - fatiguable clonus ( <10 sec)
4 - unfatiguable clonus (>10 sec)
5 - joint immovable
Selective Control Assessment of the Lower Extremity (SCALE)
(body function/structure)
5 reciprocal LE movements
10-15 mins
therapist asministered
AGES >/= 4 yo (need to follow simple commands)
Spinal Alignment ROM Measure SAROMM
(body function/structure)
26 items
45-60 mins
AGES 2-18yo
scoring : lower = better
0 - normal alignment and range
1 - normal alignment and range w passive correction
2 - mild fixation
3 - moderate fixation
4 - severe fixation
Muscle Strength
MMT or handheld dynamometry
functional strength more common like the Verschuren Functional Strength Tests
Lateral Step Up Test
- 20 cm step up
within 15 dg to full knee extension
- 30 seconds
STS
- bench high enough for 90 dg knee flexion
- within 15 dg to full knee extension
- 30 seconds
1/2 Kneel-to-Stant
- start in 1/2 kneel with butt clear of the floor or legs
- within 15 dg to full hip and knee ext
- no external support
test of postural control in pediatrics
Kids-Balance Evaluation Systems tests (kids-BEST)
Early Clinical Assessment of Balance (ECAB)
Pediatric Balance Scale (PBS)
Kids-BESTest Domains
biomechanical restraints
stability limits and verticality
transitions and anticipatory
reactive
sensory orientation
stability in gait
KidsBestest
for ambulant children with/without CP b/w 7-18 yo
30 mins
Validity mixed
Reliability good for full test
Ceiling effect
Responsive - smallest detectable change (3 pts same examiner, 4 pts different)
how does the Kids BESTest differ from adults
instructions were more clarified and gamified
equipment was changes (box height)
multiple trials allowed
Pediatric Balance Scale
Reliability: excellent
Validity: mixed
Responsiveness in children w CP:
MDC - 1.59 total pts
MDIC - 5.83 total pts
Norms and cut off scores for children developing typically ages 2yrs4mo-13yrs7mo
Ceiling effect - 7yo typically under 7
Early Clinical Assessment of Balance (ECAB)
good predictor for pts with CP
AGES 1.5-12yo
15-30mins
Validity: high
Reliability: excellent
Ceiling effect: 3-5yo with higher function
Responsiveness: 7.39 level 1/2; 5.32 level 3, 6.88 level 4/5
Segmental Assessment of Trunk Control (SATCo)
as young as 3 months
for children and adults with or without CP
Validity - high
Reliability - good
Ceiling effect - 8-9 months for children developing typically
Responsiveness: demonstrated changes in static, active, and reactive trunk control overtime from 4-9months of ages
School Function Assessment SFA
316 items
1.5-2 hours to complete
for ages between 5-12 yo (K-6th grade)
part 1 - participation
part 2 - task supports
part 3 - activity performance
Participation and Environment Measure - CHildren and Youth (PEM-CY)
25 items
30 mins
parent report
AGES 5-17yo
Young childeren participation and environment measure (YC_PEM)
28 item
30 mins
parent report
AGES 0-5 yo
home
daycar/preK
community
