Week 2- Pediatric Assessment (just some important information) Flashcards
Understanding the normal, orderly sequence of developmental achievement and patterns of integration the basis upon which significant deviation in maturation is gauged
ASSESSING AND TESTING OF INFANT AND CHILD DEVELOPMENT
PURPOSES OF DEVELOPMENT TESTING
Identifying risk of developmental delay
● Determining eligibility for services
● Intervention planning
● Documenting change over time
● Determining efficacy of treatment over time, or for research purposes
BASIC METHODS OF ASSESSMENT
Examination
Evaluation
Diagnosis
Prognosis
Intervention
● Obtaining patient/client history
● Performing a systems review
● Selecting and administering tests and measures
Examination
● Information about the family and its genetic history, the pregnancy, labor, and delivery of the child, and
the perinatal and neonatal events should be obtained
● Developing a rapport with the family and child, assuring comfort in the environment, and being flexible
and accommodating to the child’s temperament, behavior, or special needs is a necessary skill for the
pediatric physical therapist
Obtaining patient/client history
In order to choose an appropriate test, some guidelines by which to evaluate a test are needed. Stangler and associates have proposed six criteria for evaluating a screening test that can be applied to any
assessment test:
Tools for assessment
defined as acceptance to all who will be affected by the test, including the children and families
screened, the professionals who receive resulting referrals, and the community.
Acceptability
the ease by which a test can be taught, learned, and administered.
Simplicity
screening tests are based on the prevalence of the problem to be screened and on the
applicability of the test to the particular population.
Appropriateness
Includes the actual cost of equipment, preparation, and payment of personnel, the cost of
inaccurate results, personal costs to the person being screened, and the total cost of the test in
relation to the benefits of early detection
Cost
○ Consistency between measurements
○ as well as validity, or the extent
○ to which a test measures what it purports to measure
Reliability
○ the extent to which a test measures what it purports to measure
Validity
The target population of HINT
2.5 months-12.5 months of age
1, It is used as an early screening tool for potential developmental disorders in both high- and low-risk infants
2. Administration?
3. Scoring?
- Harris Infant Neuromotor Test
- 15-30 minutes
- 21 motor behavior items
- It contains an observed scale of 13 dichotomously scored items used to examine an infant’s
spontaneous movements such as head in midline and individual finger and ankle movements. - Administration?
- Scoring?
- Test of Infant Motor Performance (TIMP)
- 25 to 40 mins
- Total raw scores range from 0-142
The target population of TIMP?
34 weeks postmenstrual age through age 4 months corrected age
- The test is an assessment of gross motor performance designed for the identification and evaluation of motor development of infants from term (40 weeks after conception) through the age of independent walking (0 to 18 months of age).
- Scoring?
- Administration?
- Alberta Infant Motor Scale (AIMS)
- 58 items (21 prone, 9 supine, 12 sitting, 16 standing)
- 58 items- Observed/Not observed
- It is a clinical measure designed to evaluate changes in gross motor function in children with CP
- Administration?
- Scoring
- Gross Motor Function Measure (GMFM)
- 45 to 60 minutes
- GMFM-66 & GMFM-88- 0,1,2,3
The target population of GMFM?
5 months to 16 years old
The target population of AIMS?
(40 weeks after conception) through the age of independent walking (0 to 18 months of age)
- It comprises six subtests that measure the interrelated gross and fine motor abilities that
develop early in life. It was designed to assess motor skills in children from birth through 6 years of age. - Administration?
- Scoring?
- Peabody Developmental Motor Scales 2nd Ed (PDMS2nd)
- 45-60 mins
- GM-151 FM-98
The target population of PDMS2ndEd
Birth to 6 years of age
1, The test is appropriate for children aged 4 through 21.
2. Administration?
- Bruininks-Oseretsky Test of Motor Proficiency - 2nd ed (BOTMP)
- 40-60 mins with extra 10 mins needed to prepare the testing area.
Targe population for BOTMP2ndEd
aged 4 through 21
- The primary purpose of this assessment tool is to identify children with developmental delays and provide information for intervention planning.
- Administration?
- Bayley Scales of Infant and Toddler Development – 3rd ed (BSITD3Ed)
- For children aged 12 months and younger, administration time is approximately 50 minutes for
the entire battery
For children 13 months and older, the total administration time is 90 minutes
The target population for BSITD3rdEd
1 month and 42 months of age
- A comprehensive developmental assessment for children is used to measure development in children with and without disabilities
- Administration?
- Battelle Developmental Inventory 2nd Ed
- The complete BDI-2 can be administered in 60 to 90 minutes and 10 to 30 minutes for the
Screening Test
Target population of BDI2ndEd
Birth to 7 years and 11 months
- It measures both the capability and performance of functional activities in three content domains.
- What are the domains?
- PEDIATRIC EVALUATION OF DISABILITY INVENTORY (PEDI)
- Self-care, mobility, and social function
- It measures function in a developmental context and is intended to help monitor children with
disabilities as they grow into adults who function at a maximum level of independence. - Scoring?
- Functional Independence Measure for Children (WeeFIM)
- 18 items, self-care (8 items) Mobility (5items) Cognition (5 items)
Level of Function for the WeeFIM
No helper
7= Complete independence (timely, safe)
6= Modified Independence (device needed)
Helper
5= Supervision
4= Minimal assist (child=75%-99%)
3= Moderate assist (child= 50%-74%)
Complete Dependence
2= Maximal Assistance (child= 25%-49%)
1= Total Assistance (child=0%-24%)
The target population of WeeFIM
6 months and 7 years
It was developed by Coster, Deeney, Haltiwanger, and Haley in response to the need for an effective functional performance measure for children attending elementary school. A reliable and valid assessment tool specific to the student’s needs and abilities and performance within the school environment is necessary for effective evaluation and service planning
School Function Assessment (SFA)
The target population for SFA
kindergarten to grade 6 (4-12 years old)
The SFA consists of three sections
Participation
Task Supports
Activity Performance
- It is a modular instrument designed to measure health-related quality of life in healthy children
and adolescents and those with acute and chronic illnesses. - Scoring
- It pertains to?
- Pediatric Quality-of-Life Inventory (PedsQLI)
- 23 items
- Physical (8), Emotional (5) , Social school (5) , and functioning(5)
The target population of Peds-QLI?
Children 2 to 4, 5 to 7, 8 to 12, and 13 to 18
years of age.
Also known as the POSNA instrument, was
created by the American Academy of Orthopedic Surgeons (AAOS) and the Pediatric Orthopedic Society of
North America (POSNA) in 1997 as a comprehensive measure of musculoskeletal outcomes associated
with pediatric orthopedic problems.
● It was created to measure outcomes that orthopedic treatment could affect:
○ upper and lower extremity motor skills
○ relief of pain
○ restoration of activity.
Pediatric Outcomes Data-collection Instrument (PODCI)
The target population for PODCI?
2-10, 11-18 (self-repot questionnaire)
