Outcome Measures/Labs Flashcards
GMFCS- what is it for? What are the levels?
Cerebral palsy classification system
Level 1- walks without limitations
Level 2 -walks with limitations
Level 3- walks with handheld device
Level 4- self mobility with limitations, power wheelchair may be used
Level 5 - power wheelchair/dependent/mobility severely limited
GMFM
Gross motor function measure
- Observational
- Can do the 88 or 66 question version
- Measures gross motor function over time
- Ages 4 months to 16 years
- Takes 45-60 minutes to administer (88) or 20-30 minutes (66)
- Promotes reaching and developmental milestones
Assessment of Trunk Control
-what is it for?
quick and easy postural assessment
-
Static, Active, Reactive trunk control
- Child strapped to bench
- Ideal to administer with 2 people
-
Ages 6-8 months
- Trunk control develops here
- Helps assess fall risk, and amount of support as well as postural control
- Takes 15-20 minutes to administer
Child and Adolescent Scale
-survey for developmental status
- Administered by parent/admin
- Survey of broad activities
- Home, neighborhood, school, and community
- Age of at least 5
- Helps ID participation and activity limitations
- Takes 10 minutes to complete
- Will help you to determine developmental status and what to focus your interventions on
HAT
Hypertonia Assessment Tool
- Classifies hypertonia progression over time
- Consists of 7 items that help determine type of hypertonia present
- Ages 4-19 years
- Takes 20 minutes (5 minutes per limb)
- Less effective if dystonia + spasticity present
- Not commonly used but very helpful
SCALE
selective control assessment of the LE
- Tests for normal, impaired, unable movements in LE
- There is no age range – child must be able to follow simple commands
- Takes 15 minutes to administer
- Assists with ROM and synergy goal planning
MCHAT
questionnaire for parents to fill out/looks at autism
- Ages 16-30 months
- Helps determine risk for Autism
- Helps ID behavioral issues associated with ASD
- Helps to inform a subj interview
- Could help with intervention planning
- Takes less than 2 minutes to admin
SAROMM
Spinal alignment and ROM measure for children with CP
- Looks at spinal alignment, ROM and muscle extensibility
- Scored 0-4 (least to most impaired)
- No stated age range but must be able to follow directions
- Determines areas of decreased ROM or strength in trunk and LE
- Takes 15-30 minutes to administer
- Helps inform intervention planning
crouched gait
- Loss of PF and knee extension coupling due to inaccurate surgical lengthening of soleus
- Lever arm dysfunction due to femoral and tibial torsion deformities (includes pes valgus)
- Compensation strategies not effective bc gravity has shifted posterior to the knee thus causing the “crouched gait”
Latrogenic crouch
related to crouched gait → weakness of the muscle due to surgical tendo achilles lengthening (TAL) to correct a contracted triceps surae
firm placement and use of hands
- allows deep sensory input
- focus is inhibition
- PT has abundant control
- guides rather than controls
- focus on facilitation
- child needs to have ample control
light placement and use of hand
- requires active control on the part of the child
- focus is on facilitation
Intermittent placement and use of hands:
- good way to combine inhibition, firm sensory input, and the patient can be active above/below your key points of control
slow movement with a firm touch
- small ranges of movement can be used to inhibit abnormal postural responses
Fast movement with a firm touch
