PT for the Pre-School and School Aged Child Flashcards
Pre-Schooler age
3 -5 y/o
center based
school age
5 - 18/21 y/o
home or school
true or false, in the 1930’s, teachers used to provide physical therapy
true
Most recent update to laws regulating school PT was in
2004
Individuals with Disabilities Education Act date
1991
Individuals with Disabilities Education Act – 1991, Part A states that
(General Provisions): All Children with disabilities have available to them a free and
appropriate public education that emphasizes special education and related services designed to meet their unique needs and prepare them for further education, employment and independent living.
Individuals with Disabilities Education Act – 1991: Part B
- (Pre-School and School Aged)
- Provides for services from 3 – 21
- 3-5 is a grey area: Some states keep IFSP, others (such as NY State) transition to IEP (individualized education plan)
Under IDEA (1991), ages 3-5 is a gray area. The options are:
- Some states keep IFSP,
- others (such as NY State) transition to IEP (individualized education plan)
IDEA part C
Early Intervention
IDEA applicable laws
- Evaluation completed within 60 days of referral
- Goals must be SMART
- Evidence based (peer reviewed) practice
Education of All Handicapped Children Act - 1974 stated that
▪ Institution of the IEP (individualized Education Plan)
▪ Free and appropriate public education including related services for ages 5-21
▪ Zero reject
▪ Least restrictive environment
▪ Parent participation
▪ Non-discriminatory evaluation
Not all children who need Physical Therapy qualify for school-based services under IDEA
Section 504 of the Rehabilitation Act: Broader definition of “qualified handicapped person”
QUALIFYING FOR SCHOOL PHYSICAL THERAPY Testing assessment tools:
- Peabody Developmental Motor Scales, 2nd Edition (PDMS-2) – covered last time
- Bruninks Oswestery Test of Motor Performance, 2nd Edition (BOT-2)
- School Function Assessment (SFA)
- Gross Motor Function Measure (GMFM) (to be covered in the Cerebral Palsy lecture)
Quilifying for school PT, delay is based on age specific norms
- >33% in any one area
- >25% in 2 or more areas
how long are the school physical therapy programs?
10 mo or 12 mo (depending on the child)
This tests assesses children age 4 – 21 with motor problems not related to an “obvious neurological disorder” (such as CP)
Bruninks Oswestery Test of Motor Performance, 2nd Edition (BOT-2)
This test is best used for children between 4-21 with:
▪ Developmental Coordination Disorder
▪ High-Functioning Autistic Spectrum Disorders/Asperger’s
▪ Moderate Mental Retardation
Bruninks Oswestery Test of Motor Performance, 2nd Edition (BOT-2)
what sub-test of the BOT-2 allows for observation of gait
RUNNING SPEED AND AGILITY
which standarized, norm-referenced test used included an administration easel?
BOT-2
Examiner side of easel:
▪ Number of trials
▪ Equipment needed
▪ Procedure
▪ Scoring
▪ Scripted administration
Examinee side of easel:
▪ Large, clear pictures of required task
ADVANTAGES OF BOT-2:
- Graded Scoring: Most examinees will achieve some level of success on every task
- Sex Specific Norms: Accounts for differences between boys and girls
- Engaging, game-like activities
- Variety of methods for administration
- Large age range, one of very few assessment tools covering school-aged children
DISADVANTAGES OF THE BOT-2
- May not accurately identify gross motor vs. fine motor skills – best for “general motor proficiency”
- 50 feet required for running tasks
Which test for qualyfing for school PT (norm-referenced) is basically a questionare that compares children to theirs peers?
SCHOOL FUNCTIONAL ASSESSMENT (SFA)
METHODS OF GATHERING SCHOOL FUNCTIONAL ASSESSMENT (SFA) INFORMATION
-
Coordination method
- Coordinator circulates SFA
- Coordinator oversees or performs scoring and interpretation
-
Collaborative method
- Team meets and discusses
- Completes together
- May be helpful when there are differences of opinion about a student
- Single Respondent
in school physical therapy documentation must be written in _____
parent-friendly language
in school physical therapy, Goals are focused on
access to educational curriculum and independence in school
school setting goals lenght
Annual (school year) and short-term (quarterly) goals
in school based PT, following evaluation, who decides need for, frequency and duration of services.
the IEP team (not MD) decides
in scholl PT setting, where does therapy take place?
Therapy takes place in the natural environment (classroom, playground, hallways, cafeteria, bussing) through “push in” sessions
The student will be able to transfer to and participate in circle time independently for 30 minutes for five consecutive days as reported by the classroom teacher.
school setting LTG
IN ONE YEAR, JASON WILL MOVE FROM HIS HOMEROOM TO SCIENCE CLASS USING HIS POWER WHEELCHAIR WITHIN THE ALLOTTED 3 MINUTES BEFORE THE BELL RINGS AT LEAST 3 DAYS EACH WEEK.
school setting LTG
Responsible parties: homeroom teacher, science teacher, and PT
at what age running mechanics are refined
5 y/o
at what age true run full flight phase emerges in running
3 yr
at what age can a child mount and dismount a tricycle?
3 yr
at what age the child can kicks a ball with aim
3 yr
Catches a ball with hands only
5 yr
Roller skates and rides bike
5 yr
gallops
4 yr
skips
5 yr
Stands on tiptoes
4 yr
Planning the transtion out of school based PT must begin at
16 years
Representative from transitional service providers at IEP meeting
access the educational environment considerations
- Bussing
- Stairs
- Time between classe
- Carrying books
- Getting in and out of desks
- PE participation
This is the only one that tests school age children
BOT-2
