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Pediatrics > Standardized Testing > Flashcards

Standardized Testing Flashcards

1
Q

What are the 7 purposes of standardized tests?

A
  • Screening tool
  • Determining a diagnosis
  • Facilitate planning of a treatment program
  • Help the parents understand the child’s limitations
  • ID areas that may need further evaluation
  • Monitor progress and determine goal achievement
  • Research
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2
Q

What are 10 common pediatric assessment tools?

A
  • Gross motor functional classification system
  • Gross Motor Functional Measure (GMFM)
  • Peabody Developmental Motor Scales-2
  • Bruininks-Oseretsky Test of Motor Proficiency 2
  • Movement ABC-2
  • MUllen Scales of Early Learning
  • PEDI
  • WEEFIM
  • Pediatric BERG balance scale
  • Six Minute Walk Test
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3
Q

What are the 5 levels of the gross motor function classification system (expanded and revised)?

A

1: Walks without limitations
2: Walks with limitations
3: Walks Using a hand Held Mobility Device
4: Self-Mobility with Limitations; may use power mobility, manual wheelchair, tilt in space
5: Transported in a manual wheelchair

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4
Q

What populations is the GMFCS - E & R used to classify?

A

Children with cerebral palsy

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5
Q

What populations does the Gross Motor Function Measure evaluate?

A
  • Children with CP and DS
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6
Q

What does the GMFM describe?

A
  • Current level of motor function

- (determines treatment goals)

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7
Q

What age ranges is the GMFM validated for?

A

5 months - 16 years

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8
Q

What functional mobility and/or ambulation is measured by the GMFM?

A
  • Lying and rolling
  • Sitting
  • Crawling
  • Standing
  • Walking
  • Running
  • Jumping
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9
Q

If a child scores a 100% on the GMFM, what level are they at least functioning at?

A

The level of a normal 5 year old

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10
Q

How long does the GMFM take to administer?

A

45 - 60 minutes

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11
Q

What is the administration procedure of the GMFM?

A
  • Each section administered individually (demonstration with 3 trials)
  • Scored based on 4 point scale that measures how much of the item the child completes
  • Dimension scores and total scores are achieved and then converted into the percentage of the max score for that dimension
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12
Q

What are 3 pros of the GMFM?

A
  • Developed for children with CP
  • Concerned with quantity of movement, not quality
  • Measures change over time
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13
Q

What are 3 cons of the GMFM?

A
  • No normative data
  • Directions regarding support with arms are not clear
  • Many items scored based on length of time in a position or length of the movement which may not correlate to functional movement
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14
Q

How is quality of movement scored in GMFM?

A

Not; make notes using observation

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15
Q

What is the purpose of the PEabody Developmental Motor Scales (PDMS) 2nd edition?

A
  • Determine motor skill level, detect small changes over time, assist in pOC
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16
Q

What is the age range of the PDMS?

A

1 - 72 months

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17
Q

What are the 4 components of the general motor scale of the PDMS?

A
  • Reflexes
  • Sationary
  • Locomotion
  • Object manipulation
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18
Q

What are the 2 components of the fine motor sclae of the PDMS?

A
  • Grasping

- VIsual-motor integration

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19
Q

Do OTs or PTs administer the fine motor scale portion of the PDMS?

A
  • Either can administer
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20
Q

How much time is required to administer PDMS-2?

A
  • 45 - 6 minutes
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21
Q

How is the PDMS-2 administered?

A
  • 3 point scale
  • Start at age level indicated in test, and score to basal of 3-2’s and ceiling of 3-0’s
  • Raw scores convert to age equivalent percentiles, and standard scores
  • Standard scores convert to composite scores of motor performance: GM, FM, and total motor quptients
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22
Q

What are the 6 pros of the PDMS-2?

A
  • General guidelines for modifying test
  • Distinguishes between GM and FM skills
  • Test broken down into different areas to ID strengths and needs
  • Accounts for emerging skills
  • Subtest standard scores can be displayed on chart
  • Scoring booklet has abbreviated directions and scoring criteria for each item
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23
Q

What are the 4 major cons of the PDMS-2?

A
  • Does not include quality of movement
  • Majority of testing materials are provided by the examiner
  • Some materials are not easily acquired and descriptions can be vague
  • Motor activities program book may encourage teaching test items
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24
Q

What is the purpose of the movement assessment battery for children (movement ABC)-2?

A
  • Identify and describe impairments of motor function in children
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25
Q

What is the age range for the ABC-2?

A

3 - 12 years

26
Q

What are the 3 areas tested in the ABC-2?

A
  • Manual dexterity
  • Ball skills
  • Static and dynamic balance
27
Q

What is found on the checklist of the movement ABC-2?

A
  • ADLs, movement within the environment, gameplay
  • Behavioral attributes
  • Context of performance
28
Q

Who administers the movement ABC-2 checklist?

A
  • Parents
  • Teachers
  • Other professionals
29
Q

How long does it take for the movement ABC-2 checklist to be completed?

A

1 - 2 weeks

30
Q

How long does administration of the performance portion of the movement ABC-2 take?

A

20 - 40 minutes

31
Q

How many age bands are in the movement ABC-2? Does it use chronological or developmental age?

A

3 bands; chronological age

32
Q

What are the 7 pros of the movement ABC-2?

A
  • Qualitative and quantitative data
  • Tasks are interesting to the child
  • Ability to record behavioral factors that may interfere with evaluation
  • One kit houses majority of materials
  • Intervention guidelines are provided
  • Checklist gives info about how child functions in group setting
  • Photos for each item clarify written instructions
33
Q

`What are 6 cons of the movement ABC-2?

A
  • Scoring varies with each task
  • Limited number of items administered
  • Expensive
  • Limited validity studies
  • Does not identify incremental changes in function
  • Unable to purchase replacement pieces
34
Q

What is the purpose of the Bruinks Oseretsky Test of Motor Proficiency-2 (BOT-2)?

A
  • Assess development of motor skills in children
35
Q

What is the age range of the BOT-2?

A

4 - 14 years of age

36
Q

What is the time of administration of the BOT-2?

A

45 - 60 minutes

37
Q

What are the 8 areas tested in the BOT-2?

A
  • Bilateral coordination
  • Balance
  • Running speed and agility
  • Strength
  • Fine motor precision
  • Fine motor integration
  • Manual dexterity
  • Upper-limb coordination
38
Q

What are the 7 pros of the BOT-2?

A
  • Norm referenced
  • Standardized kit with all equipment needed
  • Pictures of items for demo
  • Strong interrater reliability & test-retest reliability
  • Large normative samples which included children with disabilities
  • Short form of the BOT-2 available
  • Separate gross and fine motor composite scores for comparisons
39
Q

What are the 2 cons of the BOT-2?

A
  • May be difficult to administer to younger children

- Instructions are difficult for some children

40
Q

What age ranges does the Mullen Scales of Early Learning: AGS edition test?

A
  • Infants and pre-school children

birth - 68 monthsa

41
Q

What 5 areas does the Muellen scale of early learning: AGS provide normative scores for?

A
  • Gross motor
  • Visual reception
  • Fine motor
  • Receptive language
  • Expressive language
42
Q

What is the purpose of the Mullen scale of early learning: AGS?

A
  • Single composite representing general intelligence
43
Q

What is the method of administration of Mullen scales?

A
  • Suggested starting points for different ages
  • Basal level - 1 point on 3 consecutive items
  • Credit child with maxmium points for all items below basal level
  • Ceiling level- zero points on 3 consective items
44
Q

What are the 3 standard methods of interpretation of mullen scales?

A
  • T-scores
  • Percentile ranks
  • Age equivalents
45
Q

What are the 5 pros of the Mullen scales?

A
  • Distinguishes between GM and FM skills
  • Provides clear instruction for administering
  • Test broken down into different areas to ID strengths and needs
  • Can be used as screening tool
  • Easy to administer
46
Q

What are 4 cons of the Mullen scales?

A
  • Need to use test items provided
  • Gross motor section - limited number of items
  • Screening tool - further evaluation needed
  • Does not include quality of movement, especially gross motor section
47
Q

What is the purpose of the Pediatric Evaluation of Disability Inventory (PEDI)?

A
  • Determine functional capabilities and performance
  • Monitor progress
  • Evaluate outcomes in children with disabilities
48
Q

`What is the age range of the PEDI?

A

6 months to 7 years, 6 months

49
Q

What are the 4 areas tested in PEDI?

A
  • Self care
  • Mobility
  • Social Function
  • Modification scale and caregiver assistance scale
50
Q

How is the PEDI administered?

A
  • Via parent report, structured interview, or observation of child’s function
  • For functional skills - binary scoring system
  • For caregiver assistance - 6 point scale (independent to total assistance)
  • Modification scale - frequency count of adaptations used
  • For the first 2 above, able to obtain standard and scaled scores
51
Q

How long does it take to administer the PEDI?

A

20 - 60 minutes

52
Q

What are the 5 pros of the PEDI?

A
  • Reliable and valid assessment of function in children with cognitive and physical disabilities
  • The focus is on function and level of independence
  • Looks at amount of assistance to accomplish task
  • Children receive credit for mastery of components of the complex skills
  • Scoring assistance available via computer program
53
Q

What are the 2 cons of the PEDI?

A
  • Differences may exist between caregiver and therapist on some items
  • Requires additional research on larger samples with more diverse disabilities
54
Q

What is the purpose of the functional independence measure for children (WEEFIM)?

A

Determine severity of the child’s disability, measures caregiver assistance to perform functional activities

55
Q

What is the age range of the WEEFIM for children without disabilities?

A

0.5 - 8 years

56
Q

What is the age range of the WEEFIM for children with developmental disabilities?

A

0.5 months - 12 years

57
Q

What is the mental age of a children to qualify for the WEEFIM regardless of age?

A

7 years

58
Q

What areas are tested by the WEEFIM?

A
  • Motor
  • Self-care
  • Spinchter control
  • Transfers and locomotion
  • Cognitive - communication
  • Social interactions
59
Q

How is the WEEFIM administered?

A
  • Each subdomain scored from total assist to complete independence
  • Performed through observation or report from caregiver
60
Q

How long does the WEEFIM take to administer>?

A

10 - 20 minutes

61
Q

What are the 6 pros of the WEEFIM?

A
  • Potential to provide continuity between pediatric and adult functional measures
  • Easy to administer
  • Facilitates communication between those involved in the child’s care re:function
  • Considers caregiver assistance
  • Training tape
  • Certification process
62
Q

What are the 5 cons of the WEEFIM?

A
  • Does not account for environmental modifications
  • Focus is on completion of daily activities - no credit for portions of this
  • Caregiver assistance alone may not be enough to guide clinical decision making
  • Based on an adult view of disability
  • Users must agree to use data collection and outcome reporting system

Pediatrics (3 decks)

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