Pedi PT Exam: Tests and Measures Part 2

Question 1

what is important to keep in mind when interpreting objective test results

Answer 1

consider WHOLE PT exam
- one score shouldn’t be only factor in PT eval, PT dx, & POC

Question 2

what are 4 things to consider when selecting a test

Answer 2

1. based on ICF level
2. based on purpose
3. consider characteristics of tool and validity/reliability
4. characteristics of child: dx, age, setting

Question 3

what are 3 ways to measure impairments

Answer 3

goniometry
VS
pain scale

Question 4

what are ways to measure activity limitations (6)

Answer 4

functional reach
TUG
GMFM
PDMS-2
SFA
PEDI-CAT

Question 5

what are ways to measure participation restrictions (3)

Answer 5

CAPE
SFA
PEDI-CAT

Question 6

what is main reason that ROM norms are so different in infants and toddlers

Answer 6

newborn is in physiologic flexion
- ms biased in inc flexor tone than ext -> translates into ROM

Question 7

how does hip flex/ext ROM change and what facilitates this

Answer 7

1mo - 10-140
1-5yo - 0-125

as gain exposure to gravity, inc tummy time, inc strength/motor control -> hip will ext to 0deg

Question 8

how does DF ROM change and what facilitates this

Answer 8

1mo - 0-55deg
- newborn can touch dorsum of foot to tibia
1-5yo: 0-15deg
13-19yo: 0-10deg

as connective tissue tightens, inc strength, ROM will dec

Question 9

how does shoulder ER ROM change

Answer 9

0-2yo - 0-125deg
1-5yo - 0-110deg
13-19yo - 0-105deg

Question 10

what are the 3 main motions that there are significant changes in ROM from infant to adult

Answer 10

hip flex/ext
DF
shoulder ER

Question 11

what are 2 developmental tests that are more comprehensive and how so

Answer 11

Bayley scales of infant toddler dev
batelle dev instrument

includes social, communication, gross/fine motor, cog

Question 12

what type of tests are included in the activity domain and what are 5 examples

Answer 12

developmental
- GMFM
- PDMS-2
- BOT-2
- Bayley scales of infant todd dev
- Batelle dev instrument (BDI-2)

Question 13

when do you utilize functional measures tests and what are 2 examples

Answer 13

when developmental test isn’t appropriate or incomplete

weeFIM
PEDI-CAT

Question 14

PEDI-CAT: purpose, age range, population, domains, what does it measure

Answer 14

discriminative, outcome
birth-21yrs
multiple clinical dx

activity (3 domains), participation (RCAT)

measures functional skills in 3 domains:
- ADLs
- mobility
- social/cog
responsibility domain (RCAT)
- participation

Question 15

what is the CAT part of the PEDI-CAT

Answer 15

artificially select objects that correlate to level of difficulty that can adjust based on pt choices

Question 16

what are 2 benefits to the PEDI-CAT

Answer 16

good psychometric properties

norm and scaled scores
- enabled PT to examine function when examine dev wasn’t possible
- measure over time & compare performance

Question 17

what are 3 pieces of info obtained from participation measures

Answer 17

involvement
interests
satisfaction

Question 18

what technology can measure the involvement in participation

Answer 18

physical activity monitors
- accelerometers
- pedometers

Question 19

what is a drawback when trying to measure participation in peds

Answer 19

can’t always tell what activity they like doing

Question 20

what are 4 participation measures of interests/involvement

Answer 20

1. school function assessment
2. child assessment of participation and enjoyment (CAPE)
3. preference of activities for children (PAC)
4. canadian occupational performance measure (COMP)

Question 21

CAPE: purpose, age range, population, domains, what does it measure

Answer 21

discriminative, day to day planning

6-21yo

participation

participation in formal & informal activities
- 5 dimensions of participation
- 55 activities

Question 22

what is the key to using the CAPE

Answer 22

getting child/family/primary caregiver perspective

Question 23

what is a benefit to using the CAPE

Answer 23

child self identifies activities they like to do per activity type
- child then asked frequency, level of enjoyment, etc.

Question 24

what does the preference of activities for children (PAC) measure

Answer 24

measures child’s preferences for involvement in activities

Question 25

COMP: purpose, age range,, domains, what does it measure

Answer 25

purpose: outcome measure
- not norm referenced

age range: none specified
- older child more reliable

domain: participation

measures changes in child’s self-perception of occupational performance
- self-care
- productivity
- leisure - rec, socialization

Question 26

what is the essence of the COMP

Answer 26

semi-structured interview w questionnaire to glean the self-perception of child
- what are they wanting, required and expected to do
- what are they not able, not satisfied, can’t do

Question 27

how does the info from the COPM help you as a PT (4)

Answer 27

1. set goals in line w results based on priorities
2. guide/focus treatment plan and prioritization of salient interventions
3. motivation for pt engagement
4. how are they improving? transfer of skills?

Question 28

what is the procedure for the COPM

Answer 28

1. problem identification
2. rate importance
3. prioritize (5 ares of concern)
4. rate 5 areas relative to self-perceived performance and level of satisfaction
5. re-assess post interventions