Pediatric Evaluation: ICF model Flashcards
Historical based vs more recent based approach to PT
Historical- Impairment based
Recent- Function based, like motor learning and task specific training
How many standard deviations below the mean for the child to be eligible for therapy interventions
1.5 or below
How many standard deviation below the mean is significant (clinical range)
2
4 Fundamental questions to Drive Evaluation and how to answer them
- WHO is your client?
- HOW can I best help this child/family?
- WHY is child presenting with performance/activity deficits/difficulty?
- WHAT information do I need to gather to figure this out?
WHO is your client?
Always the kiddo (and family)!
Not the BOE or El Agency
HOW can I best help this child/family?
Think about a GOAL: What is the most important thing to do for the child now
WHAT information do I need to gather to figure this (deficits) out?
The parent might know it all along. You can do FOMs for the child
Norm referenced Assessment: Purpose
To measure performance against average performance of a normative sample: compare child’s performance to same age peers
Criterion referenced Assessment: Purpose
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.
What does standardization of assessment require (4)
Directions for administering and scoring, specific materials and equipment, testing conditions (instructions, number of trials ) given, interpretation guidelines given.
Without standardization, we cannot assume… and make sure you are…
Psychometric soundness: Reliability and validity
Retesting
Three types of reliability
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)
Construct validity: What it asks
Does this test measure what it purports to measure
Concurrent validity: What it asks
Does this test relate well to others that assess similar content
Predictive validity: What it asks
Do the results on this test predict future performance
Discriminative purpose of assessment
Norm referenced
Used for discrimination or placement (how many STD below the mean is this baby compared to its same aged peers)
Evaluative purpose of assessment
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)
Predictive purpose of assessment
Provides info on what is expected in the future
Screening purpose of assessment
To see if the child is normal or is at risk/needs more attention
Raw score
Number obtained from test
Percentile rank
Compares score to standardized sample
The percentage of standardized sample whose score is at or below a certain score
Age equivalent scores
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
Standard scores
Scores which are given mean and standard deviation in respect to the normal curve
Confidence Intervals (CI)
The boundaries of scores we can say with x% certainty that the true score lies.
