Pediatric standardized testing Flashcards
What is the APGAR?
Simple and brief way to assess health status of newborn
What are the 5 criteria of the APGAR?
Appearnace Pulse Grimace Activity Respiration
When is the APGAR usually done?
1 and 5 min post birth
How is the APGAR scored?
Out of 10 7-10 being good, < 3 being critical
How are you eligible for early intervention in MA?
If you are between 0-3 and have developmental difficulties due to identified disabilities adn typical development is at risk due to certain birth or environmental circumstances
What is developmental screening?
Breif assessment for early ID of children with unsuspected deviations from normal for earlier intervention
Who usually performs a developmental screen?
pediatrician or family practice MD, NP, or PA
What type of tool is the HINT and what does it stand for?
Harris INfant Neuromotor Test (HINT). It is a developmental screening tool
What age range is the HINT tool appropriate for?
The HINT tool is a developmental screen for children 3-12 months.
What is the primary method for administering the HINT test?
Primarily an observational test
What is wrong with the Denver Developmental Screening Test II?
It has poor specificity and a high over referral rate
If you do a developmental screen and there is something wrong, what is the next step?
Do a full evaluation.
How do you adjust for premature birth for many of these tests?
Chronological age in weeks-(40-estimated gestational age)
What is the estimated gestational age?
Time in utero, reported in weeks
What type of test is the TIMP and what age range is it best used for?
It is a norm-referenced infant motor assessment best used for high risk infants 32 weeks EGA-4 months post term
How are the psychometric properties of the TIMP?
Very strong.
High sensitivity to change with maturation by discriminating among infants with differing risk for poor motor outcome
What will the TIMP test with high accuracy at 3 months?
It will predict motor outcome at 12 months, pre-school and early school age with high accuracy
What does the AIMS stand for?
Alberta Infant Motor Scale
Who is the AIMS test used for? Who is is best used for?
Infants 0-18 months.
Best for infants between 4-10 months who have suspected movement abnormalities
How is the AIMS referenced?
Norm referenced
What are some developmental screeing assessments?
APGAR HINT New Bayley TIMPSI Denver Developmental screen
What are some infant motor screens (not specifically functional screens)?
TIMP AIMS Help Peabody TGMD-2 M-ABC BOT-2
What are some functional movement screens for peds?
PEDI
Wee FIM
SFA
GMFM
What infant motor screens are Norm referenced?
TIMP AIMS Peabody TGMD-2 M-ABC BOT-2
What infant motor screens are criterion referenced?
Help
What functional movement screens are norm referenced?
PEDI
What functional movement screens are criterion referenced?
PEDI
WeeFIM
SFA
GMFM
Population for the TIMPSI.
34 weeks post conception–> 4 months post term
What does the TIMPSI assess?
risk for poor motor outcome based on perinatal medical conditions and will help predict 12 month motor performance
Age range the New Bayley assesses?
1-42 months
What does the New Bayley assess?
Screens cognition, language and motor
What qualities does the Denver developmental screening test assess for?
Personal/social
language
GM
FM
What population is the TIMP motor assessment best for?
32 EGA–>4months post term (same as TIMPSI)
What population is the Help best for?
0-3 year olds
What does the Help assess?
everything. Help me help you GM FM cognitive Language Self-help Social
What population is the Peabody best for?
1 month-6 years
What does the Peabody assess?
Gross Motor and Fine Motor
sensitive to change over the timespan
What population is the TGMd-2 best for?
ages 3-10 to identify children who are significantly behind their peers in gross motor skill development
What population is the Movement ABC best for?
kids age 3-16 with mild movement disorders
Where is the Mivement ABC mostly used?
in schools
What population is the BOT-2 best used for?
Children age 4-21
What does the BOT-2 test?
Gross motor and Fine motor
What population is the PEDI best used for?
6.5 mo-7.5 years
Where is the PEDi used?
Across practice settings, especially inpatient
What are the 3 functional skill domains measured in the PEDI?
Self care
mobility
social function
Which disorders is the PEDi used for?
CP, TBI, myelo, OI, prematurity, SCI
What population is the WeeFIM used for?
Children 6 months-7 years with CP DS, Myelo, TBI and other disabilities
What setting is the WeeFIM primarily used in?
Rehab setting
What is the SFA used for?
Assess function of students in K-6 with disabilities in educational environment
what are the 3 parts of the SFA?
participation
task supports
activity performance
What is the GMFM used for?
to evaluate changes in gross motor function in children with CP
What age groups is the GMFM validated for?
5mo-16 years but best for 2-9 years
