Pedi PT Exam: Tests and Measures Part 2 Flashcards
what is important to keep in mind when interpreting objective test results
consider WHOLE PT exam
- one score shouldn’t be only factor in PT eval, PT dx, & POC
what are 4 things to consider when selecting a test
- based on ICF level
- based on purpose
- consider characteristics of tool and validity/reliability
- characteristics of child: dx, age, setting
what are 3 ways to measure impairments
goniometry
VS
pain scale
what are ways to measure activity limitations (6)
functional reach
TUG
GMFM
PDMS-2
SFA
PEDI-CAT
what are ways to measure participation restrictions (3)
CAPE
SFA
PEDI-CAT
what is main reason that ROM norms are so different in infants and toddlers
newborn is in physiologic flexion
- ms biased in inc flexor tone than ext -> translates into ROM
how does hip flex/ext ROM change and what facilitates this
1mo - 10-140
1-5yo - 0-125
as gain exposure to gravity, inc tummy time, inc strength/motor control -> hip will ext to 0deg
how does DF ROM change and what facilitates this
1mo - 0-55deg
- newborn can touch dorsum of foot to tibia
1-5yo: 0-15deg
13-19yo: 0-10deg
as connective tissue tightens, inc strength, ROM will dec
how does shoulder ER ROM change
0-2yo - 0-125deg
1-5yo - 0-110deg
13-19yo - 0-105deg
what are the 3 main motions that there are significant changes in ROM from infant to adult
hip flex/ext
DF
shoulder ER
what are 2 developmental tests that are more comprehensive and how so
Bayley scales of infant toddler dev
batelle dev instrument
includes social, communication, gross/fine motor, cog
what type of tests are included in the activity domain and what are 5 examples
developmental
- GMFM
- PDMS-2
- BOT-2
- Bayley scales of infant todd dev
- Batelle dev instrument (BDI-2)
when do you utilize functional measures tests and what are 2 examples
when developmental test isn’t appropriate or incomplete
weeFIM
PEDI-CAT
PEDI-CAT: purpose, age range, population, domains, what does it measure
discriminative, outcome
birth-21yrs
multiple clinical dx
activity (3 domains), participation (RCAT)
measures functional skills in 3 domains:
- ADLs
- mobility
- social/cog
responsibility domain (RCAT)
- participation
what is the CAT part of the PEDI-CAT
artificially select objects that correlate to level of difficulty that can adjust based on pt choices
what are 2 benefits to the PEDI-CAT
good psychometric properties
norm and scaled scores
- enabled PT to examine function when examine dev wasn’t possible
- measure over time & compare performance
what are 3 pieces of info obtained from participation measures
involvement
interests
satisfaction
what technology can measure the involvement in participation
physical activity monitors
- accelerometers
- pedometers
what is a drawback when trying to measure participation in peds
can’t always tell what activity they like doing
what are 4 participation measures of interests/involvement
- school function assessment
- child assessment of participation and enjoyment (CAPE)
- preference of activities for children (PAC)
- canadian occupational performance measure (COMP)
CAPE: purpose, age range, population, domains, what does it measure
discriminative, day to day planning
6-21yo
participation
participation in formal & informal activities
- 5 dimensions of participation
- 55 activities
what is the key to using the CAPE
getting child/family/primary caregiver perspective
what is a benefit to using the CAPE
child self identifies activities they like to do per activity type
- child then asked frequency, level of enjoyment, etc.
what does the preference of activities for children (PAC) measure
measures child’s preferences for involvement in activities
