Pediatric Assessments Flashcards
What does HINT stand for?
Harris Infant Neuromotor Test
What is the age group for the HINT?
2.5-12.5 months
What does the HINT measure?
- locomotion
- posture
- movement
- stereotypical behaviors
- behavioral states
- head circumference
- parent/caregiver concerns about infant’s development
How long does the HINT take to administer?
15-30 minutes
What is the MAIN purpose of the HINT?
it is used as a screening tool for potential development disorders in both high and low risk infants
What is the first section of the HINT?
infant’s background information
What is the second section of the HINT?
5 questions of the caregiver’s perception of the infant’s movements
What is the third section of the HINT?
20 items assessing infant’s motor skills in 5 positions (prone, supine, supine to prone, sitting, standing), Muscle tone, movement against gravity, cooperation, stereotypical behaviors, head circumference
What do lower scores on the HINT indicate?
that the child is “typical”
- if the score is greater than 2 SD, they are considered atypical and may need further testing
What are the advantages of the HINT?
- more family centered
- identifies motor deficits as well as cognitive delays or behavioral difficulties
What is the age group for the BINS?
3-24 months
What does BINS stand for?
Bayley Infant Neurodevelopmental Screener
How long does the BINS take to administer?
15-20 min
What does the BINS measure?
- Basic neurological function: posture, muscle tone, movement symmetry
- Expressive functions: fine, gross, and oral/verbal
- Receptive Functions: visual, auditory, verbal
- Cognitive Processes: object permanence, goal-directedness, problem solving
How is the BINS administered and scored?
- Each subset has 11-13 items, depending on the child’s age
- Scored as “optimal” = 1 or “non-optimal” = 0
- Put into low risk, moderate risk, or high risk based on scores
What are the advantages of the BINS?
- Psychometrically sound screening tests for infants and young children at risk for developmental delays
- Short administration time
What does TIMP stand for?
Test of Infant Motor Performance
What is the main function of the TIMP?
assess posture and movements
What age group does the TIMP look at?
34 weeks to 4 months adjusted age
How long does it take to administer the TIMP?
25-40 minutes
What does the TIMP measure?
- Postural and alignment when head is manipulated
- Changes in position
- Moving against gravity - arm and leg movements
- Adjusting to handling
- Self-comforting
- Orienting the head and body for looking, listening, and interacting with caregivers in supine, prone, side lying and upright positions
- Distal selective control of the fingers, wrist, hands, and ankles
What does AIMS stand for?
Alberta Infant Motor Scale
What is the main function of the AIMS?
observational assessment scale to measure gross motor maturation from birth to walking
What is the age group that the AIMS looks at?
0-18 months
What does the AIMS measure?
- Infants whose motor performance is delayed or aberrant
- Provide info to parents about motor activities the infant has mastered, those currently developing, and those not in infant’s repertoire
- Measures poor motor performance over time of before and after intervention
- Measures changes in motor performance that are quite small
- Act as an appropriate research tool to assess efficacy of rehab programs
- Assess motor milestones and motor aspects and mechanisms necessary to attain such milestones
- Postural control in supine, prone, sitting, and standing
- 58 measures in prone (21), supine (9), sitting (12), and standing (16)
- Measuring weight bearing, posture, and antigravity movements
How is the AIMS scored?
it is either observed or not observed
What are the advantages of the AIMS?
- provides ability to detect any deviations from the norm
- permitting early intervention to minimize the effects of the dysfunction
What does GMFM stand for?
Gross Motor Function Measures
What is the main function of the GMFM?
evaluate changes in gross motor functions in children with CP over time
What is the age group that the GMFM looks at?
5 months to 16 years
What does the GMFM measure?
- motor function in 5 dimensions
- lying and rolling
- sitting
- crawling and kneeling
- standing
- walking, running, and jumping
How is the GMFM scored?
0 = no initiation 1 = initiates 10% 2 = partially completes (10-99%) 3 = task completion
What are the advantages of the GMFM?
only outcome measure to test CP children
What does PDMS 2 stand for?
Peabody Developmental Motor Scales
What is the age group for the PDMS 2?
0 - 6 years
What does the PDMS 2 measure?
- Gross motor (151 items): Reflexes, stationary, locomotion, object manipulation
- Fine motor (98 items): Grasping, Visual - motor integration
What is the main function of the PDMS?
to measure gross and fine motor abilities in children
How do they score the PDMS 2?
0 = child cannot or will not attempt item 1 = child performs but is not mastered 2 = child performs item mastery
What are the advantages to the PDMS 2?
- standardized, reliable, and valid assessment tool with a broad age range
- ease of administration
What does BOT 2 stand for?
Bruininks-Oseretsky Test of Motor Proficiency
What is the main function of the BOT 2?
Comprehensive assessment of motor skills (fine and gross motor proficiency)
What age group does the BOT 2 look at?
4-21 years
How long does it take to administer the BOT 2?
40-60 min
short form: 15-20 min
What does the BOT 2 measure?
- Fine manual control (precision and integration)
- Manual coordination (dexterity and UE coordination)
- Body coordination (bilateral coordination and balance)
- Strength and agility (running speed/agility and strength)
- Total motor composites
How do they score the BOT 2?
Using the BOT 2 ASSISTTM Software
What are the advantages of the BOT 2?
- Administration ease - pictures
- Face validity
- Current norms reflecting demographics of US
What does BSID III stand for?
Bayley scales of infant and toddler development
What is the main function of the BSID III?
Infant and toddler development
What age group does the BSID III look at?
1-42 months
What does the BSID III measure?
- Cognitive: sensorimotor development, exploration and manipulation, object relatedness, concept formation, memory
- Language: receptive communication, expressive communication
- Motor: fine motor skills, gross motor skills
- Social-emotional Questionnaire: milestones
- Adaptive Questionnaire: skills in functioning in daily life
How do they score the BSID III?
"1" = meet criteria "0" = did not meet criteria
What are the advantages of the BSID III?
Meets federal and state guidelines for early childhood development
