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Peds Neuro extras > Pediatric Evaluation: ICF model > Flashcards

Pediatric Evaluation: ICF model Flashcards

1
Q

Historical based vs more recent based approach to PT

A

Historical- Impairment based

Recent- Function based, like motor learning and task specific training

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2
Q

How many standard deviations below the mean for the child to be eligible for therapy interventions

A

1.5 or below

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3
Q

How many standard deviation below the mean is significant (clinical range)

A

2

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4
Q

4 Fundamental questions to Drive Evaluation and how to answer them

A
  1. WHO is your client?
  2. HOW can I best help this child/family?
  3. WHY is child presenting with performance/activity deficits/difficulty?
  4. WHAT information do I need to gather to figure this out?
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5
Q

WHO is your client?

A

Always the kiddo (and family)!

Not the BOE or El Agency

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6
Q

HOW can I best help this child/family?

A

Think about a GOAL: What is the most important thing to do for the child now

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7
Q

WHAT information do I need to gather to figure this (deficits) out?

A

The parent might know it all along. You can do FOMs for the child

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8
Q

Norm referenced Assessment: Purpose

A

To measure performance against average performance of a normative sample: compare child’s performance to same age peers

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9
Q

Criterion referenced Assessment: Purpose

A

To compare performance to specific standard or external criterion. Like serial testing: performance at different points of time. Ex: Can the child transition from floor to stance, only care i the child stand from squatting, sitting, and other positions.

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10
Q

What does standardization of assessment require (4)

A

Directions for administering and scoring, specific materials and equipment, testing conditions (instructions, number of trials ) given, interpretation guidelines given.

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11
Q

Without standardization, we cannot assume… and make sure you are…

A

Psychometric soundness: Reliability and validity

Retesting

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12
Q

Three types of reliability

A

Inter-rater ( different observers to assess the same test) , test-restest (same test on the same sample of different point in time), intra-rater (single rater making multiple tests)

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13
Q

Construct validity: What it asks

A

Does this test measure what it purports to measure

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14
Q

Concurrent validity: What it asks

A

Does this test relate well to others that assess similar content

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15
Q

Predictive validity: What it asks

A

Do the results on this test predict future performance

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16
Q

Discriminative purpose of assessment

A

Norm referenced

Used for discrimination or placement (how many STD below the mean is this baby compared to its same aged peers)

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17
Q

Evaluative purpose of assessment

A

Criterion referenced
Used for program planning
Items may be used for developing objectives
(How is this baby go from sit to stand. Is the child symmetrical in their movement)

18
Q

Predictive purpose of assessment

A

Provides info on what is expected in the future

19
Q

Screening purpose of assessment

A

To see if the child is normal or is at risk/needs more attention

20
Q

Raw score

A

Number obtained from test

21
Q

Percentile rank

A

Compares score to standardized sample

The percentage of standardized sample whose score is at or below a certain score

22
Q

Age equivalent scores

A

Raw scores used to get age equivalent score
Ex: If mean score for 3 yr old is 80, then any child (no matter age) who gets a raw # of 80 is said to have an average score for a child of that age

23
Q

Standard scores

A

Scores which are given mean and standard deviation in respect to the normal curve

24
Q

Confidence Intervals (CI)

A

The boundaries of scores we can say with x% certainty that the true score lies.

25
Q

Confidence interval calculation

A

+/- 2SD score + 2*SD in each direction

26
Q

Purpose of a parent interview

A

Get some info before you meet the child! (so the child will not hear about the negative stuff about the condition)

27
Q

Pediatric Quality of life (PQOL)

A

How is the child functioning at home, choose a survey most relevant to that child. It gives you an objective to see what is going on with the child.

28
Q

Purpose of an ICF model

A

Structure the peds eval, reminds you to treat the whole person instead of the condition.

29
Q

What do developmental assessments help us with

A

Quantify the extent of developmental delay or limits of function parents are concerned about.

30
Q

Developmental assessments is appropriate for (2) but still doesn’t answer the…

A

Age ranges and patient presentations/diagnoses and purposes

“Why”

31
Q

Gait analysis: What it provides opportunity for and helps us with?

A

For movement analysis!

Plan for body functions and structures assessments!

32
Q

Does does Body functions and structures provide?

A

Tell parent something he/she doesn’t know

Ask and answer “why”

33
Q

Why is important for PT to build knowledge base in body functions and structures?

A

Really good ped clinicians need to know good knowledge in ortho and neuro

34
Q

List of personal factors (6)

A
  • Age ( super important. If u see a 14 yr old, u know u can no longer fix torsion)
  • Sex
  • BMI (if system is weak and u are overweight, muscles become weaker)
  • Cognition
  • Co-morbidities
  • Tolerance to Testing
35
Q

Environmental factors includes:

A

Environmental demands vs environmental supports (adaptive equipment, adaptive van, orthotics, family resources, supportive teacher, culture, opportunities for practice

36
Q

Environmental factors: Parents’ role in clinical decision making

A
  • Prefer active role- collaborative vs autonomous or paternalistic
  • Prior experience like hospitalizations or similar situation
  • Emotions beliefs and values, guilt, value of not giving up, social acceptability of tx
  • They desire INFO from provider but need to couple with decision making support
  • They filter info
37
Q

Parents’ creation of micro-environment

A

Patients promote child to move. But if a baby is born with a disorder, parents are overprotective of their child and do not provide opportunities for child to explore. So as PT, u can tell parent “it’s okay, let him fall”

38
Q

What do you want to know during a eval?

A

What is the kiddo/family’s main concern?

What do you really think is going on?

39
Q

In most settings, more than one session can complete eval info, but which setting you need to move faster

A

EI/CPSE homecare

Early intervention/Committee on Preschool Special Education

40
Q

What to combine to create clinical reasoning for your client’s needs

A

Standardized tests/metrics and what you know

41
Q

Risk of templates and what is the alternative

A

Risk of rigidity and looking at template vs at the patient

Consider flexible techniques like IFC model! even excel spreadsheet handout

Peds Neuro extras (8 decks)

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