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
Bayley Infant Neurodevelopment Screener - Scoring
1 is optimal 0 is non optimal Tiered for risk being low, moderate, and high and is based off the scoring
26
Bayley Infant Neurodevelopment Screener - 4 areas of assessment include
Basic neuro function Expressive function Receptive function Cognitive processes
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Bayley Infant Neurodevelopment Screener - 4 areas of assessment include - basic neuro function looks at what
Posture Tone Movement symmetry
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Bayley Infant Neurodevelopment Screener - 4 areas of assessment include - Expressive function
Gross/Fine and oral motor function
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Bayley Infant Neurodevelopment Screener - 4 areas of assessment include - Receptive function
Visual, auditory, verbal
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Bayley Infant Neurodevelopment Screener - 4 areas of assessment include - Cognitive processes
Object permanence, goal directedness, problem solving
31
Screening tools include
HINT (2.5 to 12.5 months) | Bayley (3 to 24 months)
32
Test of Infant Motor Performance (TIMP) - what kind of test is it
Norm referenced test | Motor function test
33
Test of Infant Motor Performance (TIMP) - What age group
34 weeks postconceptional age through 4 months corrected age
34
Test of Infant Motor Performance (TIMP) - What population
Infants born preterm and those at risk for poor motor outcomes based on perinatal medical conditions Infants who may benefit from early intervention
35
Test of Infant Motor Performance (TIMP) - what is specifically being tested
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
36
Test of Infant Motor Performance (TIMP) - How many items and how is it scored
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
37
Alberta Infant Motor Scale - purpose
Performance based observational assessment scale to measure the motor development for infants at risk of motor delay
38
Alberta Infant Motor Scale - what type of test is it
Motor Function Test
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Alberta Infant Motor Scale - age
40 weeks post conception to 18 months
40
Alberta Infant Motor Scale - items
58 total | Prone (21), S (9), Sit (12), Stand (16)
41
Alberta Infant Motor Scale - each item has what
3 aspects of motor performance required for the infant to pass - weight bearing, posture, and anti-gravity movement
42
Alberta Infant Motor Scale - grading criteria
Rated as either observed or not observed
43
Alberta vs. TIMP
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
44
Alberta is focused on
Attaining motor milestones and components necessary to attain the milestones
45
Gross Motor Function Measure (GMFM) - what kind of test
Gross motor function test for children with CP | Test of Motor function
46
Gross Motor Function Measure (GMFM) - what is the purpose
To evaluate changes in gross motor function
47
Gross Motor Function Measure (GMFM) - Age group
5 months to 16 years
48
Gross Motor Function Measure (GMFM) - population used with
Children with CP
49
Gross Motor Function Measure (GMFM) - looks at function and skills typically seen in development until what age
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
Gross Motor Function Measure (GMFM) - classification system
``` 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
Gross Motor Function Measure (GMFM) - Content/Items
``` 88 items assessing five dimensions Lying and rolling Sitting Crawling and kneeling Standing Walking, running, jumping ```
52
Gross Motor Function Measure (GMFM) - time to complete
45 to 60 min
53
Gross Motor Function Measure (GMFM) - floor and ceiling effects
Floor for low motor ability | Ceiling for children older than 5 yrs
54
Bruininks Oseretsky Test of Motor Performance (BOT 2) - what kind of measure
Norm referenced motor function test assessing motor proficiency
55
Bruininks Oseretsky Test of Motor Performance (BOT 2) - What is the purpose
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
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Bruininks Oseretsky Test of Motor Performance (BOT 2) - Age
4 to 21 years old | there are 12 standardized age groups
57
Bruininks Oseretsky Test of Motor Performance (BOT 2) - what is specifically being tested
``` Fine motor precision Fine motor integration Manual dexterity Upper limb coordination Bilateral coordination Balance Running speed and agility Strength ```
58
Bruininks Oseretsky Test of Motor Performance (BOT 2) - Target population
High functioning people diagnosed with autism, developmental coordination disorder, and mild to moderate intellectual disabilities
59
Bruininks Oseretsky Test of Motor Performance (BOT 2) - Testing environment
Home School Clinic
60
Bruininks Oseretsky Test of Motor Performance (BOT 2) - Equipment and materials
Have to purchase kit (1100) which includes all equipment
61
Peabody Developmental Motor Scale - What kind of test is it
Motor function test
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Peabody Developmental Motor Scale - what is it assessing
Gross and fine motor skills Gross - reflexes, stationary, locomotion, object manipulation (151 parts) Fine - grasping and visual motor integration (98 parts)
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Peabody Developmental Motor Scale - time to administer
45 to 60
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Peabody Developmental Motor Scale - Scoring
0, 1, 2 2 is normal Can score gross, fine or total
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Peabody Developmental Motor Scale - who can administer it
PT, OT, educator, psychologist, social worker | No formal training needed
66
Peabody Developmental Motor Scale - cost
$530
67
Peabody Developmental Motor Scale - how is it completed (ex of 34 month old)
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
Motor Function Tests include what:
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
Bayley Scale of Infant and Toddler Development Third Edition - Designed to what
Measure the developmental functioning of infants and toddlers
70
Bayley Scale of Infant and Toddler Development Third Edition - what kind of measure is it
Comprehensive Developmental Scale
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Bayley Scale of Infant and Toddler Development Third Edition - primary purpose
Identify children with developmental delay and provide info for intervention planning
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Bayley Scale of Infant and Toddler Development Third Edition - assesses what
``` Development in 5 areas Cognitive Language Motor Social/Emotional Adaptive Bx ```
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Bayley Scale of Infant and Toddler Development Third Edition - ages
1 - 42 months
74
Batelle Development Inventory II - what type of test
Comprehensive Developmental Scale
75
Batelle Development Inventory II - what is the purpose
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
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Batelle Development Inventory II - age
Birth to 7 years and 11 months (so birth and up to 8 years old)
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Batelle Development Inventory II - population
Children with and without disability
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Batelle Development Inventory II - what domains are being measured
``` Adaptive Personal/Social Communication Motor Cognitive ```
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Batelle Development Inventory II - scoring
2 - milestone achieved 1 - milestone emerging 0 - milestone not achieved
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Batelle Development Inventory II - Cons
Time to administer High cost (1200) Need more than one examiner (often 3 is recommended)
81
Comprehensive developmental scales include:
Bayley | Batelle
82
Pediatric Evaluation of Disability and Inventory - what type of measure
Assessment of functional capabilities
83
Pediatric Evaluation of Disability and Inventory - what is purpose
Functional | Document functional delays and changes in functional ability over time/progress in therapy
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Pediatric Evaluation of Disability and Inventory - What age
6 months to 7.5 years
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Pediatric Evaluation of Disability and Inventory - population
Children with disabilities
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Pediatric Evaluation of Disability and Inventory - What is specifically being tested
Activities and participation in life tasks (self care, mobility, social function) Each domain is assessed for functional skill, caregiver assistance, and modifications
87
Pediatric Evaluation of Disability and Inventory - environment
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
Functional Independence Measure for Children - what kind of measure is it
Assessment of functional capabilities | WeeFIM
89
Functional Independence Measure for Children - age
6 months to 7 yrs | Can be used for older children if mental age is less than 7 years old
90
Functional Independence Measure for Children - Scoring
Different for each category | High score - less disability
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Functional Independence Measure for Children - what is specifically being measured
18 items, 3 domains Domains - self care, mobility, cognition Measures disability
92
Functional Independence Measure for Children - advantages
10 to 15 min to administer | Helpful to describe ADL
93
Functional Independence Measure for Children - Disadvantages
Require subscription fee (cost) | Must be accredited to use it
94
School Function Assessment - what type of measure
Assessment of functional capabilities
95
School Function Assessment - purpose
Identify strengths and needs in nonacademic functional tasks of elementary school students with disabilities Can be used for collaboration with program planning
96
School Function Assessment - Age
Kinder through 6th grade
97
School Function Assessment - what is specifically being measured
Three scales | Participation, Task Supports, Activity Performance
98
Examples of assessments of functional capability
1 Pediatric Evaluation of Disability and Inventory 2 Functional Independence Measure for Children 3 School Function Assessment
99
Pediatric Quality of Life Inventory is what type of measure
Outcome measure
100
Pediatric Quality of Life Inventory - measures what
QOL in healthy children, and adolescents and those with acute and chronic illnesses
101
Pediatric Quality of Life Inventory - ages
Forms available for 2-4, 5-7, 8-12, 13-18
102
Pediatric Quality of Life Inventory - Scoring
0 - never a problem 4 - always Higher scores - better health related QOL (items are reverse scored)
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Pediatric Quality of Life Inventory - what categories are measured
Physical, emotional, social and school functioning
104
Pediatric Outcomes Data Collections Instrument - what type of measure
Outcome measure
105
Pediatric Outcomes Data Collections Instrument - What is is assessing
Changes in pediatric musculoskeletal patients after ortho interventions Focuses on function and QOL
106
Pediatric Outcomes Data Collections Instrument - ages
2 to 10 - kids with minimal to moderate impairments | AND kids with CP who are ambulatory
107
Pediatric Outcomes Data Collections Instrument - what is assessed
7 dimensions - UE function, transfers/mobility, physical function/sports, comfort, happiness, satisfaction, expectations
108
Examples of "outcome measures"
Pediatric Quality of Life Inventory | Pediatric Outcomes Data Collections Instrument