Outcome Measures Flashcards
Alberta Infant Motor Scale: Background info
-Norm referenced
-screening test
-observation based
-40 weeks to 18 months
-used to track, detect, predicted delays
AIMS: Indications
-typical develop[pment
-suspected developmental delays
-high risk of delays
-known motor delays
NOT for infants with compensatory strategies for functional limitation
AIMS: Scoring
-58 items, scored left to right
-start motor window with first “O”
-last motor window with last “O” before 3 “NO”
-Percentile rank scoring against corrected gestational age
-Prone: 21 items
-Supine: 9 items
-Sitting: 12 items
-Standing: 16 items
AIMS: Equipment
-AIMS manual
-score sheet and graph
-exam table for young
-mat for older
-Toys appropriate for <18M
AIMS: Calculating Chronological and Corrected age
-use carryover method
-12 months = 1 year
-30 days = 1 month
-subtract prematurity from chronological age
Hawaii Early Learning Profile: HELP
-assessment tool
-criterion referenced
-0-3 or 3-6 years
-provides estimated age of development
Domains:
-gross motor
-fine motor
-cognitive
-language
-social-emotional
-self-help
Peabody Devlopmental Motor Scales
-norm referenced
-assessment of early motor abilities; strengths and weaknesses
-0- 5 years 11m
Entry: age in months
Basal: 3 consecutive 2s
Ceiling: 2 consecutive 0s
2: mastery, 1: clear resenblance, 0: doesn’t show emergence
Gross Motor: Body control, body transport, object control
Fine Motor: Hand manipulation, eye-hand coordination
Supplemental: Physical fitness
Pediatric Evaluiation and Disability Index: PEDI
-norm referenced
Gross Motor Function Measure: GMFM
-criterion referenced
-cerebral palsy
-evaluation test
Screening Test
-identify the risk and monitor
-done at intervals
Evaluation Test
-determine a diagnosis
-atypical developmennt
-baseline
-eligibility for services
-usually norm referenced
Assessment Test
-to plan an intervention
-determine strengths, weaknesses and needs across domains
-criterion reference
-predict or classify
-HELP
GMFCS
-CP Classification of mobility
Level I: Walks w/o limitations w/ mild balance and coordination deficits
Level II: walks w/ limitations in most settinngs; might need device foor long distances; minimal ability to perform gross motor tasks
Level III: Walks using hand held device indoor; may climb stairs w/ supervision; wheeled mobilitiy for long distances
Level IV: Self mobility w/ limitations or powered; walk at home but not community
Level V: Transported in manual wheelchair in all settings; limited abilities to control antigravity muscles
MACS: Manual Ability Classification System
-UE function for 4-18yrs w/ CP
Level I: Hands objects easily and successfully
- may have limitations with speed and accuracy
Level II: Hands most obbjects with reduced speed and accuracy
Level III: Handles objects with difficulty; might need help with set up
Level IV: Handles limited selection and continuous support
Level V: Do not handle objects w/o total assistance
FMS: Functional Mobility Scale
-mobility scale w/ CP 4-18 years
-home (5 meters), school (50 Meters), community (500 meters) distances
-C: Crawling at home
-N: Does not apply
-Criterion;
1: Uses wheelchair; needs assistance
2: Uses walker or frame
3: Uses crutches
4: Uses sticks
5: Independent on level surfaces; rail for stairs
6: Independent on all surfaces
GMFM: Gross Motor Function Measure
-Assessment tool; criterion referenced
-CP and Down Syndrome (88)
88: 5m - 16 years; more descriptive
66: 5yrs to 16 years; shorter
5 Dimensions:
-Lying/rolling
-Sitting
-Crawling/kneeling
-Standing
-Walking/running/jumping
0: Does not initiate task
1: Initiates task
2: Partially complete
3: Completes
NT: Not tested
Winters Gait Classification
Group 1: Foot drop during swing; flat/forefoot during IC; excessive hip and knee flx; adequate DF
Group 2: More constant PF throughout
Group 3: Progression to knee hyper and lumbar lordosis
Group 4: Most severe; limited hip movement and inc lumbar lordosis
CMT Stages
Stage I: Early mild; 0-3m; <15 deg rot deficit; only tightness
Stage II: Early Moderate; 4-6m; only tightness; 15-30 deg
Stage III: Early Severe; 4-6m; SCM mass OR tightness >30 deg
Stage IV: Late Mild; 7-9m; <15 deg rot deficit; only tightness
Stage V: Late Moderate; 10-12m; <15 deg rot deficit; only tightness
Stage VI: Late Severe; 7-12m; tightness >15 deg rot
Stage VII: Late Extreme; 7+m w/ mass OR 12+ w/ 30+ tightness OR referred after 12+m
Tardieu Scale
-performed at same time with same position
-check each muscle group for :velocity, angle, quality of reaction
-0-4
V1: slow as possible, PROM
V2: speed of limb falling with gravity
V3: As fast as possible
R1: PROM until catch
R2: full PROM
0: no resistance
1: slight resistance through PROM with no catch
2: Clear catch with release
3: Fatiguable clonus
4: Unfatiguable clonus
Modified Ashworth Scale
-MAS
-measures spasticity/tone in reference to ROM
-0-4
0: No increase in ttone
1: Slight increase with a catch and release
1+: Slight increase with catch followed by slight resistance throughout
2: More tone through most ROM, but can still move easily
3: More tone, passive movement is difficult
4: Rigidity
