Pediatric Assessments

Question 1

What does HINT stand for?

Answer 1

Harris Infant Neuromotor Test

Question 2

What is the age group for the HINT?

Answer 2

2.5-12.5 months

Question 3

What does the HINT measure?

Answer 3

• locomotion
• posture
• movement
• stereotypical behaviors
• behavioral states
• head circumference
• parent/caregiver concerns about infant’s development

Question 4

How long does the HINT take to administer?

Answer 4

15-30 minutes

Question 5

What is the MAIN purpose of the HINT?

Answer 5

it is used as a screening tool for potential development disorders in both high and low risk infants

Question 6

What is the first section of the HINT?

Answer 6

infant’s background information

Question 7

What is the second section of the HINT?

Answer 7

5 questions of the caregiver’s perception of the infant’s movements

Question 8

What is the third section of the HINT?

Answer 8

20 items assessing infant’s motor skills in 5 positions (prone, supine, supine to prone, sitting, standing), Muscle tone, movement against gravity, cooperation, stereotypical behaviors, head circumference

Question 9

What do lower scores on the HINT indicate?

Answer 9

that the child is “typical”

- if the score is greater than 2 SD, they are considered atypical and may need further testing

Question 10

What are the advantages of the HINT?

Answer 10

• more family centered

- identifies motor deficits as well as cognitive delays or behavioral difficulties

Question 11

What is the age group for the BINS?

Answer 11

3-24 months

Question 12

What does BINS stand for?

Answer 12

Bayley Infant Neurodevelopmental Screener

Question 13

How long does the BINS take to administer?

Answer 13

15-20 min

Question 14

What does the BINS measure?

Answer 14

• Basic neurological function: posture, muscle tone, movement symmetry
• Expressive functions: fine, gross, and oral/verbal
• Receptive Functions: visual, auditory, verbal
• Cognitive Processes: object permanence, goal-directedness, problem solving

Question 15

How is the BINS administered and scored?

Answer 15

• Each subset has 11-13 items, depending on the child’s age
• Scored as “optimal” = 1 or “non-optimal” = 0
• Put into low risk, moderate risk, or high risk based on scores

Question 16

What are the advantages of the BINS?

Answer 16

• Psychometrically sound screening tests for infants and young children at risk for developmental delays
• Short administration time

Question 17

What does TIMP stand for?

Answer 17

Test of Infant Motor Performance

Question 18

What is the main function of the TIMP?

Answer 18

assess posture and movements

Question 19

What age group does the TIMP look at?

Answer 19

34 weeks to 4 months adjusted age

Question 20

How long does it take to administer the TIMP?

Answer 20

25-40 minutes

Question 21

What does the TIMP measure?

Answer 21

• Postural and alignment when head is manipulated
• Changes in position
• Moving against gravity - arm and leg movements
• Adjusting to handling
• Self-comforting
• Orienting the head and body for looking, listening, and interacting with caregivers in supine, prone, side lying and upright positions
• Distal selective control of the fingers, wrist, hands, and ankles

Question 22

What does AIMS stand for?

Answer 22

Alberta Infant Motor Scale

Question 23

What is the main function of the AIMS?

Answer 23

observational assessment scale to measure gross motor maturation from birth to walking

Question 24

What is the age group that the AIMS looks at?

Answer 24

0-18 months

Question 25

What does the AIMS measure?

Answer 25

- Infants whose motor performance is delayed or aberrant - Provide info to parents about motor activities the infant has mastered, those currently developing, and those not in infant’s repertoire - Measures poor motor performance over time of before and after intervention - Measures changes in motor performance that are quite small - Act as an appropriate research tool to assess efficacy of rehab programs - Assess motor milestones and motor aspects and mechanisms necessary to attain such milestones - Postural control in supine, prone, sitting, and standing - 58 measures in prone (21), supine (9), sitting (12), and standing (16) - Measuring weight bearing, posture, and antigravity movements

Question 26

How is the AIMS scored?

Answer 26

it is either observed or not observed

Question 27

What are the advantages of the AIMS?

Answer 27

- provides ability to detect any deviations from the norm | - permitting early intervention to minimize the effects of the dysfunction

Question 28

What does GMFM stand for?

Answer 28

Gross Motor Function Measures

Question 29

What is the main function of the GMFM?

Answer 29

evaluate changes in gross motor functions in children with CP over time

Question 30

What is the age group that the GMFM looks at?

Answer 30

5 months to 16 years

Question 31

What does the GMFM measure?

Answer 31

- motor function in 5 dimensions - lying and rolling - sitting - crawling and kneeling - standing - walking, running, and jumping

Question 32

How is the GMFM scored?

Answer 32

``` 0 = no initiation 1 = initiates 10% 2 = partially completes (10-99%) 3 = task completion ```

Question 33

What are the advantages of the GMFM?

Answer 33

only outcome measure to test CP children

Question 34

What does PDMS 2 stand for?

Answer 34

Peabody Developmental Motor Scales

Question 35

What is the age group for the PDMS 2?

Answer 35

0 - 6 years

Question 36

What does the PDMS 2 measure?

Answer 36

- Gross motor (151 items): Reflexes, stationary, locomotion, object manipulation - Fine motor (98 items): Grasping, Visual - motor integration

Question 37

What is the main function of the PDMS?

Answer 37

to measure gross and fine motor abilities in children

Question 38

How do they score the PDMS 2?

Answer 38

``` 0 = child cannot or will not attempt item 1 = child performs but is not mastered 2 = child performs item mastery ```

Question 39

What are the advantages to the PDMS 2?

Answer 39

- standardized, reliable, and valid assessment tool with a broad age range - ease of administration

Question 40

What does BOT 2 stand for?

Answer 40

Bruininks-Oseretsky Test of Motor Proficiency

Question 41

What is the main function of the BOT 2?

Answer 41

Comprehensive assessment of motor skills (fine and gross motor proficiency)

Question 42

What age group does the BOT 2 look at?

Answer 42

4-21 years

Question 43

How long does it take to administer the BOT 2?

Answer 43

40-60 min | short form: 15-20 min

Question 44

What does the BOT 2 measure?

Answer 44

- Fine manual control (precision and integration) - Manual coordination (dexterity and UE coordination) - Body coordination (bilateral coordination and balance) - Strength and agility (running speed/agility and strength) - Total motor composites

Question 45

How do they score the BOT 2?

Answer 45

Using the BOT 2 ASSISTTM Software

Question 46

What are the advantages of the BOT 2?

Answer 46

- Administration ease - pictures - Face validity - Current norms reflecting demographics of US

Question 47

What does BSID III stand for?

Answer 47

Bayley scales of infant and toddler development

Question 48

What is the main function of the BSID III?

Answer 48

Infant and toddler development

Question 49

What age group does the BSID III look at?

Answer 49

1-42 months

Question 50

What does the BSID III measure?

Answer 50

- Cognitive: sensorimotor development, exploration and manipulation, object relatedness, concept formation, memory - Language: receptive communication, expressive communication - Motor: fine motor skills, gross motor skills - Social-emotional Questionnaire: milestones - Adaptive Questionnaire: skills in functioning in daily life

Question 51

How do they score the BSID III?

Answer 51

``` "1" = meet criteria "0" = did not meet criteria ```

Question 52

What are the advantages of the BSID III?

Answer 52

Meets federal and state guidelines for early childhood development