Standardized Assessments for Pediatrics, Examination & Documentation Flashcards
Guide to PT Practice vs. ICF Model for exam/evaluation
Guide to PT practice - guided by DIAGNOSIS
ICF model - guided by EVIDENCE and ABILITIES of patient (not medical diagnosis)
Components of PT exam (4)
- History (subjective)
- Systems review
- Tests/measures (obj tests)
- Observation
ROM in newborns
Full-term newborns will have limited hip and knee extension and greater DF due to fetal position
Strength assessment in pediatrics
MMT - must be able to follow instructions
- reliable in children w/ DMD and DS but NOT CP
Dynanometer - reliable as young as 2 years
Isokinetics - reliable as young as 6 years
Functional strength testing based on milestones
Example of documentation of a goal
- 5 key components
Who What Under what condition Criteria for success By when
Goals should be focused on participation and activities and related to functional skills
Premature birth
less than 37 weeks
Low birth weights
low birth weight (LBW) = less than 2500g
very low birth weight (VLWB) = less than 1500g
extremely low birth weight = less than 1000g
small for gestational age (SGA) = less than 10th percentile
APGAR scores
activity, pulse, grimace, appearance and respirations
- performed 1 min and 5 min after birth
- score each item from 0-2
Highest possible score = 10
8-10 at 1 min = normal
0-3 at 1 min and 5 min = risk of neonatal death
Precautions/CI for Neonatal PT exam (4)
tolerance to handling - physiological instability
inc/dec in HR
dec RR
inc BP
dec O2
Muscle tone in preemies
usually hypotonic
no opportunity to develop physiological flexion, inability to overcome the effects of gravity
important to include/promote normal newborn flexion in interventions b/c vital to development of body movement
Developmental Screening
- 5 components
- adequate evaluation of all developmental domains
- curriculum based assessments
- observation at informal or structured play
- parental interview
- review of child/family health records
Norm Referenced Standardized Assessments
- what are they
- kind of measure?
- what is it used for
child’s performance is compared to that of the skill level of a group of “normal” children of their age-matched group
Discriminative measure - used to determine if the child displays deviations from the norm; can ID those w/ delays
Used to determine eligibility for programs (EI or SBT)
Criterion referenced Standardized Assessments
- what are they
- kind of measure
- what is it used for
consists of a series of skills measured against a set of criteria for performance, the child is always compared to HIMSELF
Evaluative & progress measure - used to determine child’s performance against previous performance of same measure
used to evaluate effectiveness of interventions, program planning and change over time
INFANIB
- purpose
- age
- criterion/norm
infant neurological international battery
purpose - ID normal/abnormal neuromotor function
age - 1-18 mo
Criterion
AIMS
alberta infant motor scales
purpose - ID gross motor delay and gross motor maturation
age - birth to 18 mo
Norm
BSID-III
bayley scales of infant and toddler development, 3rd edition
purpose - ID developmental delay
age - 1-42 mo
Norm
PDMS-2
peabody developmental motor scales
purpose - assess gross & fine motor skills; motor quotient to estimate overall motor abilities; used to determine EI eligibility
age - birth - 6years
Norm
GMFM
gross motor function measure
purpose - assess quality of mvmt and chagne in GM function in children w/ CP
age - 5 months to 16 years
Criterion
PEDI
pediatric evaluation of disability inventory
purpose - parent interview to determine self-care, mobility, social function and need for modification and assistance
age - 6 mo to 7.5 years
Norm
BOT-2
bruininks-oseretsky test of motor proficiency
purpose - assess fine and gross motor skills; higher level motor skills, evaluate motor training programs
age - 4-21 years
Norm
SFA
school function assessment
purpose - assess activity and function in school setting
age - children w/ disabilities in grades K-6
Criterion
GMFMCS
- what is it
- highest level vs. lowest
gross motor functional classification system
- classify gross motor function in children w/ CP; ages 1-18
- must know to perform GMFM
- must adjust age for prematurity if less than 24 mo old
HIGHEST level of function = I
LOWEST level of function = V
Score of I-V based on functional limitations, use of AD’s and quality of movement
