STANDARDIZED ASSESSMENTS IN PEDIATRICS Flashcards

(61 cards)

1
Q

What are the 4 aspects of communication ability in a systems review?

A

✓ affect
✓ cognition
✓ language
✓ learning style

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2
Q

What is a test?

A

A procedure or set of procedures that is used
to obtain data (measurements); the
procedures may require the use of
instruments

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3
Q

Measurement requires an attribute, property,

dimension or variable to be…

A

quantified or

qualified

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4
Q

What is an aerobic capacity/ endurance test (definition)?

A

ability to
perform work or participate in activity over
time

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5
Q

What are anthropometric characteristics?

A

height, weight, girth and body fat composition

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6
Q

True or False: It is always a PT’s job to assess arousal, attention, and cognition

A

False: Other disciplines
(psychologists and teachers) usually address these areas in testing but PTs should read reports and document observations

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7
Q

Which test would you use to assess the need for assistive and adaptive devices?

A

PEDI

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8
Q

Two tests that assess gait, locomotion and balance?

A

Peabody Developmental Motor Scales-2 (PDMS-2),

Bruiniks–Oseretsky Test of
Motor Proficiency BOTMP

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9
Q

pediatricians check for hip dysplasia associated

with hip subluxaction or dislocation…

A

Barlow and Ortolani tests

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10
Q

What are some of the things you look for with posture screenings?

A

■ Assess positioning of body in relation to gravity, center of mass, base of support
■ Spinal alignment using posture grids, inclinometer or angle finder (rib hump)
■ Resting and/or dynamic posture
■ Descriptive language gives an image i.e. crouched gait, “C” or “S” curve
■ Immobile children asses posture in all positions
■ Conditions: head and facial asymmetry, flattening of
occiput, scoliosis, kyphosis, torticollis

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11
Q

Which tests assess self-care and home management?

A

PEDI (Pediatric Evaluation of Disability Inventory),
Canadian,
Occupational Performance Measure (COPM)

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12
Q

Which tests assess play and school?

A

SFA (School Functional Assessment),

Transdisciplinary Play-Based Assessment,

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13
Q

Neuromotor development is ______________ and

________________ throughout the lifespan.

A

the acquisition and

evolution of movement

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14
Q

Sensory integration is …

A

the ability to integrate

information from the environment.

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15
Q

What are the benefits of standardized tests?

A
• Objectivity 
• Measurability 
• Reliability 
• Enhanced communication among
professionals
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16
Q

What are the factors for selecting a test?

A
  • Purpose of the test
  • Population to be tested
  • Areas or skills needing testing
  • Psychometric properties of the test
  • Time needed to administer & score
  • cost of test
  • Qualifications needed to administer and interpret test results
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17
Q

What are the aspects of standardization?

A
  • A uniform testing procedure
  • Directions for administration and scoring
  • Materials and equipment specified
  • Specified testing conditions (instructions, environment, # of trials)
  • Guidelines for interpretation
  • The MANUAL: an attempt at standardization
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18
Q

What is a discriminative measure?

A

distinguish between
individuals with and without a specified
characteristic or function

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19
Q

What is an evaluative measure?

A

monitor progress on
specified attributes, characteristics, or
variables… Measure magnitude of change over time or after treatment

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20
Q

What is instructional planning?

A

Curriculum based
assessment which is typically developmentally
based which allows the examiner to establish an IEP

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21
Q

What is a norm referenced measures?

A

compare how one individual’s measurement
compares with respect to measurements from a relevant population (compare the tested individual to “normals” in a category, age group)

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22
Q

At what age do you stop correcting a child’s age?

A

2 years

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23
Q

What are criterion referenced measures?

A

measure a child’s development of
particular skills in terms of absolute level of mastery
(compare the child to themselves)

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24
Q

What age uses Milani-Camparetti-Gidoni Motor Developmental

Screening Test?

A

Birth- 2 years

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25
What age uses Denver Developmental Screening Test (DDST)?
Birth-6 years
26
What age uses Revised Gesell Development Screening Inventory (DSI)?
1-36 months
27
What age uses the Movement Assessment of Infants (MAI)?
Birth- 12 months
28
What age uses the Pediatric Evaluation of Disability Inventory (PEDI)?
6 months - 7 years
29
What age uses the School Function Assessment (SFA)?
Kindergarten - 6th grade
30
What does the Gross Motor Performance Measure (GMPM) assess?
Quality of movement
31
What age uses the Wee Functional Independence Measure (WeeFIM)?
6 months- 7 years
32
What are the tests used for preterm, infant, and young children?
● Brazelton Neonatal Behavioral Assessment Scale (BNAS): infants 34-44 weeks gestational age ● Test of Infant Motor Performance (TIMP): preterm infants ● Wolanski Gross Motor Evaluation (WGME): 3-13 months ● Alberta Infant Motor Scales (AIMS): 1-19 months or walking ● Bayley Scale of Infant Development (BSID): 1-42 months ● Toddler and Infant Motor Evaluation (T.I.M.E): birth-42 months
33
Which tests do you use on children and adolescents?
● Vulpe Assessment Battery (VAB): birth-6 years ● Peabody Development Motor Scales-II (PDMS-II) birth-6 years ● Movement ABC: 4-10 years ● Test of Gross Motor Development-2nd ed. (TGMD-2): 3-11 years ● Bruiniks-Oseretsky Test of Motor Proficiency (BOTMP): 4.5-14.5 years ● Hughes Basic Gross Motor Assessment (BGMA): 6-12 years ● Gubbay Test of Motor Proficiency: 8-12 years
34
What is the purpose, procedure, and benefits of a screening?
■ Purpose: to identify children who are in need of further evaluation ■ Procedure: Norm referenced (Denver Developmental Screening test 2) ■ Quick, easy to administer (10-20 minutes, by a layperson)
35
What is the purpose of an evaluation?
● To assess current specific skills ● To establish long and short term goals and objectives ● To monitor progress
36
What's reliability?
Consistency of scores across different | occasions of measurements or different examiners, or of items within the instrument.
37
Whats validity?
determination of whether a measurement actually measures what it purports to measure; how well does it measure what it was designed to measure.
38
What is construct validity?
the consistency to which a construct (concept) is actually measured (PEDI: construct- change in functional behaviors is age related)
39
What's content validity?
the accuracy with which an instrument | measures the factors under study; the instrument measures what it is supposed to measure
40
What is concurrent validity?
``` comparing the instrument with a known accepted instrument (PEDI vs. Batelle) ```
41
What is a developmental delay/ disorder?
A significant delay or disorder in one or more functional areas
42
What are the functional areas assessed in developmental delays/ disorder?
``` ● Cognitive ● Language and communicative ● Adaptive ● Social emotional ● Motor development ```
43
A _____% delay in one functional area or a _____% delay in each of 2 (or more) functional areas (fallacy)
33 % for one | 25 % for two
44
A score of _____ SD below the mean in one functional area or a score of _____ SD below the mean in each of 2 functional areas
2. 0 for one | 1. 5 for two
45
What is the purpose of the PDMS-2/ Peabody?
● Identify children whose gross and fine motor skills are delayed or aberrant relative to a normative group ● Permit an in depth analysis of a wide range of gross and fine motor skills that may have been identified as questionable by prior screening or by observation ● Enable the examiner to obtain knowledge about the skills a child has mastered, those currently developing, and those not in the child’s repertoire
46
Who can administer a Peabody/ PDMS-2?
● “variety of personnel,” interested in examining the motor abilities of young children (birth-6) ● individuals skilled in administering educational and psychological test to children
47
What are the attributes tested in the Peabody/ PDMS-2?
● Gross motor skills: 4 categories, 151 GM items • GM categories: reflexes, stationary, locomotion, object manipulation ● Fine motor skills 2 categories, 98 items • FM categories: grasping, visual-motor integration
48
How do you score a Peabody/ PDMS?
Item scoring: specified on score sheet ---“0”: child cannot or will not attempt item, or attempt does not show that skill is emerging --- “1”: performance shows clear resemblance to item criterion but doesn’t fully meet criterion ---“2”: child performs item according to specified criterion in the normal, typical way
49
What is the Albert Infant Motor Scales (AIMS)?
* Norm referenced * 0-18 months * Observational (half hour) * “window” indicating highest and lowest skills observed - -- Credited 1 point for each item performed in window - --Credited 1 point for each item below window * 4 positional categories, child placed in each position * Score sheet resembles growth chart, percentile ranks included * Photos and line drawings included in manual along with criteria for each item * Levels off at 15.5 months with one skill differentiating between 5th and 90th percentiles * Only includes percentile ranking for scores as low as 5th percentile (1.5 SD from mean) * Skill criteria require normal positioning of the limbs (very NDT based) * not recommended for children with severe motor disorder * Average age of skill acquisition provided for each item (age of 50% achievement, 90% achievement
50
True or false: The PEDI has a caregiver interview component
True
51
True or false: the PEDI can be used on children 6 moths- 7.5 years and no older.
False: it can be used 6 months-7.5 years AND evaluation of older children whose abilities fall below that expected of 7.5 y.o. children
52
What is the GMFM and what does it do?
* Criterion referenced * Measure GM function in children with CP (how much can they do?) * Measure magnitude of change in GM function over time or after treatment in children with CP * Assess the effectiveness of intervention/treatment on motor function outcomes for children with CP * Developed for use in children with CP * All items can be completed by a 5 year old with normal GM function
53
What does the GMFM look at?
``` 88 items assigned to 1 of 5 dimensions ■ Lying and rolling (17) ■ Sitting (20) ■ Crawling and kneeling (14) ■ Standing (13) ■ Walking, running and jumping (24) ```
54
True or False: The GMFM is assessed on a 0-10 scale
``` False: 0-3 scoring key ■ 0= does not initiate ■ 1 = initiates, less than 10% completion ■ 2=partially completes (10-100%) ■ 3= 100% completion ```
55
IDEA legislation had the greatest influence on educational and related services for children ______ to ______.
Birth to 21 years old
56
Part ___ mandated educational and related | services for children 3 to 21 years old.
B
57
Part ___ mandated EI services for children | birth to 3 years old.
C
58
What are the IDEA eligibility for services?
13 categories of disabilities that meet the eligibility criteria for special education and related services (PT) for individuals 3-21 years old
59
What are the 13 categories of disability?
* Autism * Deaf-blindness * Deafness * Hearing impairment * Mental retardation * Multiple disabilities * Traumatic brain injuries * Visual impairments including blindness * Orthopedic impairments (not really) * Other health impairments * Serious emotional disturbance * Specific learning disability * Speech or language impairments
60
Individualized Family Service Plan (IFSP) is...
a written plan for providing early | intervention services, IDEA, Part C.
61
Individualized Educational Plan (IEP) is ...
a written plan for providing educational and | related service, IDEA, Part B.