Flashcards in Pediatric Assessment Deck (46):
What are the 4 purposes of developmental testing?
- Early identification of delays
- Help determine diagnosis
- Facilitate treatment planning (where to begin)
- Re-testing provides concrete data about progress
What are the 4 basic methods of pediatric assessment?
- Parent/Child Interview
- History-review of medical records
- Clinical Observation in the child’s natural environment
- Standardized tests
75-85% of information can be obtained through what type of assessment method?
What can be defined as the mean chronological age represented by a certain test score?
What is criterion referencing based on?
The number of items completed correctly
What do norm-referenced compare?
one child with the “norm” of a group of other children
What are norm-reference tests aka?
If a child is said to be in the 75%ile what does that mean?
The child did better than 75% of children in the norm group
What can be defined as the total number of items passed or correct?
Tests are chosen based on what the clinician wants to assess, what are the 4 types of assessment tests?
- Tests of Motor Function
- Comprehensive Developmental Scales
- Assessment of Functional Capabilities
Describe screening assessment exams
They are used to identify typical and atypical development and the need for further assessment
What are 3 screening assessments?
- Denver II
- Harris Infant Neuromotor Test
- Bayley Infant Neurodevelopmental Screener
What age range is the Denver II used for?
birth to 6 years
What are the 4 general functions assessed on the Denver II? Give an example of each...
- personal social (such as smiling)
- fine motor adaptive (such as grasping and drawing)
- language (such as combining words)
- gross motor (such as walking)
When is the Harris Infant Neuromotor Test (HINT) typically used?
What age range is the HINT used for?
2.5 to 12.5 months
What 4 things does the HINT measure?
- infant motor behavior
- behavioral state
- head circumference
- parent concerns about the infant's development
In what setting type is the Bayley Infant Neurodevelopmental Screener (BINS) used?
in settings where high-risk infants are followed up
What age range is the BINS appropriate for?
What are the 4 conceptual areas of ability the BINS assesses? Give examples of each...
- basic neurological function/intactness (poture, muscle tone, movement symmetry)
- expressive functions (gross, fine, and oral motor/verbal)
- receptive functions (visual, auditory, verbal)
- cognitive processes (object permanence, goal-directedness, problem solving)
What are 5 assessment exams that specially test motor function?
- Test of Infant Motor Performance (TIMP)
- Alberta Infant Motor Scale (AIMS)
- Gross Motor Function Measure (GMFM)
- Peabody Developmental Motor Scales (PDMS-2)
- Bruininks-Oseretsky Test of Motor Proficiency (BOT-2)
What does the Test of Infant Motor Performance (TIMP) assess?
posture and movement
What age range is the TIMP appropriate for?
34 weeks post-conceptional age to 4 months corrected age
What does the Alberta Infant Motor Scale (AIMS) assess?
Motor milestones and the motor aspects and mechanisms necessary to attain such milestones
What age range is the AIMS appropriate for?
Term (baby cannot be premature) - 18 months (age of independent walking)
What is the only test specific to Cerebral Palsy?
Gross Motor Function Measure (GMFM)
What are the 5 dimensions of motor function assessed in the GMFM?
- lying and rolling
- crawling and kneeling
- walking, running, and jumping
What age range is the Peabody appropriate for?
Birth through 6 years
What age range is the BOT-2 appropriate for?
4 - 21 years
What are 2 assessment exams that look at the whole child across all areas of development?
- Bayley Scales of Infant and Toddler Development (BSID-III)
- Battelle Developmental Inventory (BDI-2)
What are the 5 domains that the Bayley Scales of Infant and Toddler Development (BSID-III) assesses?
What age range is the BSID-III appropriate for?
1 month to 42 months of age
What are the 5 domains that the Battelle Developmental Inventory (BDI-2) assesses?
What age range is the BDI-2 appropriate for?
birth to 7 years, 11 months
What do assessments of functional capabilities look at?
The skills that are essential in child’s natural environment
What are 3 exams that assess functional capabilities?
- The Pediatric Evaluation of Disability Inventory (PEDI)
- Functional Independence Measure for Children (WeeFim)
- School Function Assessment
What does the PEDI do?
Detects functional deficits or delays.
What are the 3 domains in which the Pediatric Evaluation of Disability Inventory (PEDI) measures?
- Social Function
What age range is the PEDI appropriate for?
6 months to 7.5 years
What does the WeeFIM do?
It is a measure of disability and what the child is able to do.
What are the 6 domains in which the WeeFIM measures?
2. Sphincter Control
6. Social Cognition
What age range is the WeeFIM appropriate for?
6 months to 7 years
What is a way to remember the WeeFIM has 6 domains whereas the PEDI only has 3?
WeeFIM has 6 letters and 6 domains
What is a way to remember the BOT age range?
BOT = Begin Older Testing
What age range is the School Function Assessment appropriate for?
Kindergarten through grade 6