Pediatric Normative Criterion Testing

Question 1

Components of a developmental assessment.

There are 6..

Answer 1

Cognitive ability
Communication 
Motor/ physical skill
Adaptive skills
Social, emotional , and behavioral functioning
Sensory process

Question 2

Denver II test

Answer 2

COVERS: personal, social, fine motor, language, gross motor
AGE RANGE: 2 weeks to 6 years
BENEFITS: high specificity and can be done in 20 min.
DRAWBACKS: LOW SENSITIVITY since it only picks up 50% of delays (high false negative)
It is a NORMATIVE TEST

Question 3

Alberta infant motor scales (AIMS)

Answer 3

TEST: gross motor
AGE: birth to 18 months
Can be done in 10-20 min with minimal handling
Breaks done skills into: prone, supine, sit, stand
NORMATIVE DATA

Question 4

HARRIS INTANT NEUROMOTOR TEST (HINT)

Answer 4

TESTS: neuromotor milestones, active and passive muscle tone, head circumference, stereotypical movement patterns, behavioral interactions,caregiver assessment of infant interaction 
AGE: 3-12 months
TIME: less than 30 min
Normative test (screening tool)
Reliability .98 validity .89

Question 5

Test infant motor performance (TIMP)

Answer 5

TEST: motor test: looking at postural and selective control needed for functional movements.
AGE: infants 4 months and below including 32 week premature.
Normative referenced test
TIME: 25-35 min

Question 6

General movement assessment (GMA)

Answer 6

TEST: Assesses spontaneous movements of preterm, term newborns and young infants
Qualitative test! Done by observation
EFFECTIVE IN PREDICTING NEUROLOGICAL DIAGNOSIS PARTICULAR CEREBRAL PALSY AT AGE 2.

Sensitivity: 95-100%
Specificity: 92.5-96%
Effectiveness: 83%
Two hallmarks of general movements: writhing and fidgety.

Question 7

Movement assessment of infants

Answer 7

Test: muscle tone, reflexes,automatic reactions, and volition all movements.
The purpose of the test is to identify motor dysfunction.
Age: birth to 1 year
CRITERION BASED ON 65 ITEMS
Area of testing: muscle testing, reflexes, automatic reactions, and volitional movement.
It is sensitive to predict motor dysfunction at later age
Poor specificity. (FALSE NEGATIVE).

Question 8

What can a developmental assessment do?

Answer 8

Identify Possible developmental problems and the need for further diagnostic evaluation.
Provide an objective description of the child’s abilities and deficits
Determine eligibility for programs such as early intervention programs
(they need to have at least 25% disability).
Aid in planning appropriate intervention.