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Semester 5 PMNM Exam 9 > Peds Standardized Exam Tools > Flashcards

Peds Standardized Exam Tools Flashcards

1
Q

When picking - what do you need to first decide

A

What is the reason for use of the measure

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2
Q

How does Tecklin categorize tests

A 
Screening
Motor function
Comprehensive
development
Function
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3
Q

Tecklin - Screening

A

Looks at differentiating those who are normal and healthy vs. those who are not

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4
Q

Tecklin - Motor function

A

Assess gross and fine motor

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5
Q

Tecklin - Comprehensive Development

A

Looks at whole child throughout all development - including language, personal/social, fine motor, gross motor, self help, cognition

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6
Q

Tecklin - Functional capabilities

A

Skills essential for child to perform - score child on overall functional abilities

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7
Q

Factors to consider in choice of standardized tool

A 
Cost
Time to administer
Training required
Appropriate for age, dx, setting
Valid/Reliable
Responsiveness (detect meaningful change)
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8
Q

Methods of collecting information

A

Interviews
Observation
Conducting performance measures
Measure by age equivalent scores or developmental quotients

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9
Q

Methods of collecting information - measure by age equivalent scores

A

Age that the child is performing at

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10
Q

Methods of collecting information - measure by developmental quotient

A

A scale of a child’s developmental compared to other children (1 would mean they are on target with peers)
(Functional age/Chronological age) x 100

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11
Q

Disadvantages of standardized tests

A

Doesn’t explain why pt was unable to perform task
Quality of movement - compensations, strategy chosen
Observed one time in one place
Most functional limitations are the result of several impairments

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12
Q

Harris Infant Neuromotor Test (HINT) - what kind of test is it

A

Observationl, norm referenced neuromotor, bx screening tool

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13
Q

HINT - purpose of the test

A

Screen infants for risk of developmental delays

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14
Q

HINT - age group

A

2.5 to 12.5 months

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15
Q

HINT - population

A

Infants at risk for developmental delays

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16
Q

HINT - what is being tested

A

Infant motor bx
Bx state
Head circumference
Parent/Caregiver concerns about infant’s development

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17
Q

HINT - What are the 4 sections

A

Background info
5 ? for caregiver perception, movement, play
21 items looking at motor skills in 5 positions
PT clinical impression of infant development

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18
Q

HINT - Motor in 5 positions assesses what

A 
Muscle tone
Movement against gravity
Cooperation
Stereotypical bx
Head circumference
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19
Q

HINT - limitation

A

Narrow age range can limit population that can be assessed

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20
Q

HINT - time to administer

A

15 to 30 minutes to administer and score

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21
Q

HINT - what type of measure

A

Screening!

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22
Q

Bayley Infant Neurodevelopment Screener - type of measure

A

Screening tool with established norms

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23
Q

Bayley Infant Neurodevelopment Screener - what does it do

A

Identifies those at risk for developmental and neuro-developmental delays

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24
Q

Bayley Infant Neurodevelopment Screener - population

A

3 to 24 months

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25
Q

Bayley Infant Neurodevelopment Screener - Scoring

A

1 is optimal
0 is non optimal
Tiered for risk being low, moderate, and high and is based off the scoring

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26
Q

Bayley Infant Neurodevelopment Screener - 4 areas of assessment include

A

Basic neuro function
Expressive function
Receptive function
Cognitive processes

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27
Q

Bayley Infant Neurodevelopment Screener - 4 areas of assessment include - basic neuro function looks at what

A

Posture
Tone
Movement symmetry

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28
Q

Bayley Infant Neurodevelopment Screener - 4 areas of assessment include - Expressive function

A

Gross/Fine and oral motor function

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29
Q

Bayley Infant Neurodevelopment Screener - 4 areas of assessment include - Receptive function

A

Visual, auditory, verbal

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30
Q

Bayley Infant Neurodevelopment Screener - 4 areas of assessment include - Cognitive processes

A

Object permanence, goal directedness, problem solving

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31
Q

Screening tools include

A

HINT (2.5 to 12.5 months)

Bayley (3 to 24 months)

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32
Q

Test of Infant Motor Performance (TIMP) - what kind of test is it

A

Norm referenced test

Motor function test

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33
Q

Test of Infant Motor Performance (TIMP) - What age group

A

34 weeks postconceptional age through 4 months corrected age

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34
Q

Test of Infant Motor Performance (TIMP) - What population

A

Infants born preterm and those at risk for poor motor outcomes based on perinatal medical conditions
Infants who may benefit from early intervention

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35
Q

Test of Infant Motor Performance (TIMP) - what is specifically being tested

A

Ability to orient and stabilize the head in space and in response to stimuli in S, P, SL
Body alignment when head is manipulated
Distal selective control of arm and leg mvmnts
Antigravity control of arm and leg mvmnts

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36
Q

Test of Infant Motor Performance (TIMP) - How many items and how is it scored

A

42 items
Scored based on observation of spontaneous bx and elicited items
Raw score ranges from 0 to 142 - then transformed into standard scores and compared to mean for each age group

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37
Q

Alberta Infant Motor Scale - purpose

A

Performance based observational assessment scale to measure the motor development for infants at risk of motor delay

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38
Q

Alberta Infant Motor Scale - what type of test is it

A

Motor Function Test

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39
Q

Alberta Infant Motor Scale - age

A

40 weeks post conception to 18 months

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40
Q

Alberta Infant Motor Scale - items

A

58 total

Prone (21), S (9), Sit (12), Stand (16)

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41
Q

Alberta Infant Motor Scale - each item has what

A

3 aspects of motor performance required for the infant to pass - weight bearing, posture, and anti-gravity movement

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42
Q

Alberta Infant Motor Scale - grading criteria

A

Rated as either observed or not observed

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43
Q

Alberta vs. TIMP

A

Alberta will give you more longevity to compare where they are in relation to their peers
TIMP more for a premature child that you are wanting to assess prior to dc from hospital - TIMP is valid and reliable without additional training though so is more available for use

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44
Q

Alberta is focused on

A

Attaining motor milestones and components necessary to attain the milestones

45
Q

Gross Motor Function Measure (GMFM) - what kind of test

A

Gross motor function test for children with CP

Test of Motor function

46
Q

Gross Motor Function Measure (GMFM) - what is the purpose

A

To evaluate changes in gross motor function

47
Q

Gross Motor Function Measure (GMFM) - Age group

A

5 months to 16 years

48
Q

Gross Motor Function Measure (GMFM) - population used with

A

Children with CP

49
Q

Gross Motor Function Measure (GMFM) - looks at function and skills typically seen in development until what age

A

5 years of age
Is used 5 m to 16 years but only looks at function and skills you would typically see in development up to 5 years of age

50
Q

Gross Motor Function Measure (GMFM) - classification system

A 
Each item is scored on a 4 point scale 
0, 1, 2, 3 
0 - does not initiate
1 - initiates
2 - partially completes 
3 - task completion
51
Q

Gross Motor Function Measure (GMFM) - Content/Items

A 
88 items assessing five dimensions
Lying and rolling
Sitting
Crawling and kneeling
Standing
Walking, running, jumping
52
Q

Gross Motor Function Measure (GMFM) - time to complete

A

45 to 60 min

53
Q

Gross Motor Function Measure (GMFM) - floor and ceiling effects

A

Floor for low motor ability

Ceiling for children older than 5 yrs

54
Q

Bruininks Oseretsky Test of Motor Performance (BOT 2) - what kind of measure

A

Norm referenced motor function test assessing motor proficiency

55
Q

Bruininks Oseretsky Test of Motor Performance (BOT 2) - What is the purpose

A

Used to assess gross and fine motor function
Support dx of motor impairments
Screen for motor deficits
Assist in educational placement
PLan and eval motor development curricula

56
Q

Bruininks Oseretsky Test of Motor Performance (BOT 2) - Age

A

4 to 21 years old

there are 12 standardized age groups

57
Q

Bruininks Oseretsky Test of Motor Performance (BOT 2) - what is specifically being tested

A 
Fine motor precision
Fine motor integration
Manual dexterity
Upper limb coordination
Bilateral coordination
Balance
Running speed and agility
Strength
58
Q

Bruininks Oseretsky Test of Motor Performance (BOT 2) - Target population

A

High functioning people diagnosed with autism, developmental coordination disorder, and mild to moderate intellectual disabilities

59
Q

Bruininks Oseretsky Test of Motor Performance (BOT 2) - Testing environment

A

Home
School
Clinic

60
Q

Bruininks Oseretsky Test of Motor Performance (BOT 2) - Equipment and materials

A

Have to purchase kit (1100) which includes all equipment

61
Q

Peabody Developmental Motor Scale - What kind of test is it

A

Motor function test

62
Q

Peabody Developmental Motor Scale - what is it assessing

A

Gross and fine motor skills
Gross - reflexes, stationary, locomotion, object manipulation (151 parts)
Fine - grasping and visual motor integration (98 parts)

63
Q

Peabody Developmental Motor Scale - time to administer

64
Q

Peabody Developmental Motor Scale - Scoring

A

0, 1, 2
2 is normal
Can score gross, fine or total

65
Q

Peabody Developmental Motor Scale - who can administer it

A

PT, OT, educator, psychologist, social worker

No formal training needed

66
Q

Peabody Developmental Motor Scale - cost

67
Q

Peabody Developmental Motor Scale - how is it completed (ex of 34 month old)

A

Start at section where says 34 m old and then go forwards from there until you get 3 0’s in a row and then go back to where you started and backwards from there until you get 3 2’s in a row

68
Q

Motor Function Tests include what:

A

1 Test of Infant Motor Performance (TIMP)
2 Alberta Infant Motor Scale
3 Gross Motor Function Measure (GMFM)
4 Bruininks Oseretsky Test of Motor Performance (BOT 2)
5 Peabody Developmental Motor Scale

69
Q

Bayley Scale of Infant and Toddler Development Third Edition - Designed to what

A

Measure the developmental functioning of infants and toddlers

70
Q

Bayley Scale of Infant and Toddler Development Third Edition - what kind of measure is it

A

Comprehensive Developmental Scale

71
Q

Bayley Scale of Infant and Toddler Development Third Edition - primary purpose

A

Identify children with developmental delay and provide info for intervention planning

72
Q

Bayley Scale of Infant and Toddler Development Third Edition - assesses what

A 
Development in 5 areas
Cognitive
Language
Motor
Social/Emotional
Adaptive Bx
73
Q

Bayley Scale of Infant and Toddler Development Third Edition - ages

A

1 - 42 months

74
Q

Batelle Development Inventory II - what type of test

A

Comprehensive Developmental Scale

75
Q

Batelle Development Inventory II - what is the purpose

A

Used to measure development in children with and without disability to screen fro risk of developmental delay and to assist in development of individualized service plans and education plans

76
Q

Batelle Development Inventory II - age

A

Birth to 7 years and 11 months (so birth and up to 8 years old)

77
Q

Batelle Development Inventory II - population

A

Children with and without disability

78
Q

Batelle Development Inventory II - what domains are being measured

A 
Adaptive 
Personal/Social
Communication
Motor
Cognitive
79
Q

Batelle Development Inventory II - scoring

A

2 - milestone achieved
1 - milestone emerging
0 - milestone not achieved

80
Q

Batelle Development Inventory II - Cons

A

Time to administer
High cost (1200)
Need more than one examiner (often 3 is recommended)

81
Q

Comprehensive developmental scales include:

A

Bayley

Batelle

82
Q

Pediatric Evaluation of Disability and Inventory - what type of measure

A

Assessment of functional capabilities

83
Q

Pediatric Evaluation of Disability and Inventory - what is purpose

A

Functional

Document functional delays and changes in functional ability over time/progress in therapy

84
Q

Pediatric Evaluation of Disability and Inventory - What age

A

6 months to 7.5 years

85
Q

Pediatric Evaluation of Disability and Inventory - population

A

Children with disabilities

86
Q

Pediatric Evaluation of Disability and Inventory - What is specifically being tested

A

Activities and participation in life tasks (self care, mobility, social function)
Each domain is assessed for functional skill, caregiver assistance, and modifications

87
Q

Pediatric Evaluation of Disability and Inventory - environment

A

This is not about their ability or ultimate performance - it is how they perform day to day so it evaluates what it is like when they are at school with friends or at home without therapist watching them

88
Q

Functional Independence Measure for Children - what kind of measure is it

A

Assessment of functional capabilities

WeeFIM

89
Q

Functional Independence Measure for Children - age

A

6 months to 7 yrs

Can be used for older children if mental age is less than 7 years old

90
Q

Functional Independence Measure for Children - Scoring

A

Different for each category

High score - less disability

91
Q

Functional Independence Measure for Children - what is specifically being measured

A

18 items, 3 domains
Domains - self care, mobility, cognition
Measures disability

92
Q

Functional Independence Measure for Children - advantages

A

10 to 15 min to administer

Helpful to describe ADL

93
Q

Functional Independence Measure for Children - Disadvantages

A

Require subscription fee (cost)

Must be accredited to use it

94
Q

School Function Assessment - what type of measure

A

Assessment of functional capabilities

95
Q

School Function Assessment - purpose

A

Identify strengths and needs in nonacademic functional tasks of elementary school students with disabilities
Can be used for collaboration with program planning

96
Q

School Function Assessment - Age

A

Kinder through 6th grade

97
Q

School Function Assessment - what is specifically being measured

A

Three scales

Participation, Task Supports, Activity Performance

98
Q

Examples of assessments of functional capability

A

1 Pediatric Evaluation of Disability and Inventory
2 Functional Independence Measure for Children
3 School Function Assessment

99
Q

Pediatric Quality of Life Inventory is what type of measure

A

Outcome measure

100
Q

Pediatric Quality of Life Inventory - measures what

A

QOL in healthy children, and adolescents and those with acute and chronic illnesses

101
Q

Pediatric Quality of Life Inventory - ages

A

Forms available for 2-4, 5-7, 8-12, 13-18

102
Q

Pediatric Quality of Life Inventory - Scoring

A

0 - never a problem
4 - always
Higher scores - better health related QOL (items are reverse scored)

103
Q

Pediatric Quality of Life Inventory - what categories are measured

A

Physical, emotional, social and school functioning

104
Q

Pediatric Outcomes Data Collections Instrument - what type of measure

A

Outcome measure

105
Q

Pediatric Outcomes Data Collections Instrument - What is is assessing

A

Changes in pediatric musculoskeletal patients after ortho interventions
Focuses on function and QOL

106
Q

Pediatric Outcomes Data Collections Instrument - ages

A

2 to 10 - kids with minimal to moderate impairments

AND kids with CP who are ambulatory

107
Q

Pediatric Outcomes Data Collections Instrument - what is assessed

A

7 dimensions - UE function, transfers/mobility, physical function/sports, comfort, happiness, satisfaction, expectations

108
Q

Examples of “outcome measures”

A

Pediatric Quality of Life Inventory

Pediatric Outcomes Data Collections Instrument

Semester 5 PMNM Exam 9 (6 decks)

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