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Pediatrics > Standardized tests > Flashcards

Standardized tests Flashcards

1
Q

what is the purpose of standardized tests?

A

screening tool

determining a dx

facilitate planning of a tx program

help the parents understand the child’s limitations

ID areas that may need further eval

monitor progress and determine goal achievement

research

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2
Q

what are some 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

PEDI

WEEFIM

Pediatric berg balance scale

6 minute walk test

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3
Q

Gross Motor Functional Classification System (GMFCS):

purpose?
age range?
areas tested?

A

Purpose:

  • evaluate change in GM in children w/ CP and DS
  • describe a current level of motor function
  • determine tx goals

Age range: 5 mo - 16 yrs

Areas tested:

  • lying and rolling
  • sitting
  • crawling
  • standing
  • walking, running and jumping

**not normed– instead made into a percentage based on the child’s own ability.

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4
Q

GMFCS grading:

A

Level I: walks w/out limitations

Level II: walks w/ limitations

Level III: walks using a hand held mobility device

Level IV: self-mobility w/ limitations; may use power mobility

Level V: transported in a manual w/c

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5
Q

administration for Gross motor functional scale (GMFM)?

A

each section is administered individually. with a demonstration and 3 trials

scored based upon a 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

time required: 45-60 min

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6
Q

what are pros to GMFM?

A

developed for children with CP

concerned w/ quantity of movement, not quality

measures change over time

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7
Q

what are cons to GMFM?

A

no normative data

directions regarding support with arms are not clear

many items are 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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8
Q

Peabody Developmental Motor Scales 2 (PDMS2):

purpose?
age range?

GM scale?
FM scale?

A

Purpose:

  • determine motor skill level
  • detect small changes over time
  • assist in POC

Age range: 1-72 months

GM scale:

  • reflexes
  • stationary
  • locomotion
  • object manipulation

FM scale:

  • grasping
  • visual-motor integration
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9
Q

administration of the PDMS2?

A

3point scale

start at age level indicated in test and score to base of 3-2s and ceiling of 3-0’s

raw scores converted to age equivalent, percentiles and standard scores

Std scores convert to composite scores of motor performance: GM, FM, and total motor quotients

time required: 45-60 min

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10
Q

what are pros to PDMS2?

A

general guidelines provided for modifying test

distinguishes b/w 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 a chart

scoring booklet has abbreviated directions and scoring criteria for each item

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11
Q

what are cons to PDMS2?

A

does not include quality of movement

majority of testing materials to be provided by 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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12
Q

Movement assessment battery for children (movement ABC2) :

purpose?
age range?
areas tested?
checklist?

A

purpose: to identify and describe impairments of motor function in children

age range: 3-12 years

areas tested:

  • manual dexterity
  • ball skills
  • static and dynamic balance
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13
Q

administration of ABC2:

A

Checklist:

  • ADLs, movement w/in environment, game play, etc
  • behavioral attributes
  • takes into consideration the context of the performance

administration of checklist:
-by parents, teachers or other professionals over 1-2 weeks

Administration of performance test:

  • 3 age bands that correlates to their chronological age
  • scoring varies with the tasks
  • Norm referenced- the raw scores are converted to standard scores for each section. the total standard score in conveyed into a percentile norm

time: 20-40 min

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14
Q

what are pros of movement abc-2?

A

looks at qualitative and quantitative data

tasks are interesting to the child

ability to record behavioral factors that may be interfering with the eval

one kit that houses the majority of materials

intervention guidelines are provided

checklist gives info about how that child is functioning w/in a group setting

photos for each item clarify written directions

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15
Q

what are cons of movement abc2?

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

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16
Q

Bruinks Oseretsky test of motor proficiency 2 (BOT-2):

purpose?
age range?
time required?
areas tested?

A

PURPOSE: to assess development motor skills in children

Age range: 4-14 years

Time required: 45-60 min

Areas tested: 
-bilateral coordination
-balance
-running speed and agility
-strength
-fine motor precision
-fine motor integration
-manual dexterity
upper limb coordination
17
Q

what are pros of BOT2?

A

norm referenced

standardized kit with all equipment needed

pics of items for demo

strong inter-rater reliability and test-retest reliability

large normative sample which included children with disabilities

short form of the BOT2 available

separate gross and fine motor composite scores for comparisons

18
Q

what are cons of BOT2?

A

may be difficult to administer to younger children

instructions are difficult for some

19
Q

Mullen scales of Early Learning :

purpose?
areas tested?
age range?

A

used for infants and preschool children

provides normative scores for 5 areas of development:

  • gross motor
  • visual reception
  • fine motor
  • receptive language
  • expressive language

provides single composite representing general intelligence

objective means of identifying a child’s strengths and weaknesses

20
Q

Mullen administration?

A

suggested starting points for different ages provided

basal level at least 1 point on 3 consecutive items

credit the child with max points for all items below the basal level

ceiling level- - points on 3 consecutive items

T scores

percentile ranks

age equivalents

21
Q

Mullen pros?

A

distinguishes b/w GM and FM skills

provides clear instructions for administering

test broken down into different areas to ID strengths and needs

can be used as a screening tool

easy to administer

22
Q

Mullen cons?

A

need to use test items provided

GM section- limited number of items

screening tool- further eval needed

does not include quality of movement esp GM section

23
Q

Pediatric evaluation of disability inventory (PEDI):

purpose?
age range?
areas tested?

A

Purpose:

  • determine functional capabilities and performance
  • monitor progress
  • evaluate outcomes in children with disabilities

Age range: 6 months to 7 years

Areas tested:

  • self care
  • mobility
  • social function
  • modification scale and caregiver assistance scale
24
Q

PEDI administration?

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 assist)

modification scale- frequency count of adaptations used

for the first 2 above, able to obtain standard and scaled scores

time: 20-60 minutes

25
Q

PEDI pros?

A

reliable and valid assessment of function in children with cognitive physical disabilities

the focus is on function and level of independence

looks at the amount of assistance to accomplish a task

children receive credit for mastery of components of the complex skills

scoring assistance available via computer program

26
Q

PEDI cons?

A

differences may exist b/w the caregiver and the therapist on some items

requires additional research on larger samples with more diverse disabilities

27
Q

Functional independence measure for children (WEEFIM)

purpose?
age range?
areas tested?
administration?

A

Purpose:

  • determine severity of child’s disability
  • measure caregiver assistance to perform functional activities

Age range:

  • children w/out disabilities: 6 mo-8 yrs
  • child w/ developmental disabilities: 6 mo-12 yrs
  • children w/ developmental disabilities and mental ages younger than 7 yrs

Areas test:

  • motor- self care, sphincter control, transfers and locomotion
  • cognitive- communication and social interactions

Administration:
-each subdomain is scored from total assist to complete independence. this is done through observation or report form caregiver on an ordinal rating scale

Time: 10-20 minutes

28
Q

WEEFIM pros?

A

potential to provide continuity b/w pediatric and adult functional measures

easy to administer

facilitates communication b/w those involved in the child’s care (Function)

considers caregiver assistance

training tape

certification process

29
Q

WEEFIM cons?

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 (11 decks)

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