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    Pediatric Outcome Measures

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    Maybelle Anne Zamora
    This document provides information on various pediatric outcome measures used in physical therapy. It discusses tools to measure body structure, activity, and participation as defined in the ICF model. Several commonly used pediatric outcome measures are described, including those that assess gross motor function, fine motor skills, balance, mobility, and health-related quality of life. Psychometric properties important for interpreting outcome measures are also outlined.

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    Pediatric Outcome Measures

    Uploaded by

    Maybelle Anne Zamora
    203 views40 pages
    This document provides information on various pediatric outcome measures used in physical therapy. It discusses tools to measure body structure, activity, and participation as defined in the ICF model. Several commonly used pediatric outcome measures are described, including those that assess gross motor function, fine motor skills, balance, mobility, and health-related quality of life. Psychometric properties important for interpreting outcome measures are also outlined.

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    This document provides information on various pediatric outcome measures used in physical therapy. It discusses tools to measure body structure, activity, and participation as defined in the ICF model. Several commonly used pediatric outcome measures are described, including those that assess gross motor function, fine motor skills, balance, mobility, and health-related quality of life. Psychometric properties important for interpreting outcome measures are also outlined.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    203 views40 pages

    Pediatric Outcome Measures

    Uploaded by

    Maybelle Anne Zamora
    This document provides information on various pediatric outcome measures used in physical therapy. It discusses tools to measure body structure, activity, and participation as defined in the ICF model. Several commonly used pediatric outcome measures are described, including those that assess gross motor function, fine motor skills, balance, mobility, and health-related quality of life. Psychometric properties important for interpreting outcome measures are also outlined.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 40
    At a glance
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    The key takeaways are that outcome measures are tools used to assess a patient's current status and provide justification for treatment. There are four main types of outcome measures: self-report, performance-based, observer-reported, and clinician-reported measures.

    The different types of outcome measures are self-report measures, performance-based measures, observer-reported measures, and clinician-reported measures.

    Self-reported outcome measures, also known as patient-reported outcomes, are questionnaires completed by the patient regarding their health or physical function. An example given is the Minnesota Community Measurement.

    COLLEGE OF

    PHYSICAL THERAPY

    Pediatric Outcome
    Measures
    Maybelle Anne L. Zamora
    PTRP MSPT
    COLLEGE OF
    Outcome Measures PHYSICAL THERAPY

     Tool used to assess a patient’s current status


    May provide a score, an interpretation of results and at
    times a risk categorization of the patient.
    Provide credible and reliable justification for treatment
    on an individual patient level.
    COLLEGE OF
    Classification PHYSICAL THERAPY

    1. Self-report measures
    2. Performance-based measures
    3. Observer-reported measures
    4. Clinician-reported measures
    COLLEGE OF
    Self Reported Outcome Measures PHYSICAL THERAPY

    Questionnaire
    Paper or electronic based
    where the patient reports on health or physical function
    are known as patient-reported outcomes (PRO)
    Example: Minnesota Community Measurement (MNCM) 
    COLLEGE OF
    Performance-based Measures PHYSICAL THERAPY

    Require the patient to perform a set of movements or


    tasks.
    Scores for performance-based measures can be based on
    either an objective measurement (e.g., time to complete
    a task) or a qualitative assessment that is assigned a
    score (e.g., normal or abnormal mechanics for a given
    task).
    COLLEGE OF
    Observer-reported Measures PHYSICAL THERAPY

    measurements completed by a parent,


    caregiver or someone who regularly observes
    the patient on a daily basis.
    COLLEGE OF
    Clinician-reported Measures PHYSICAL THERAPY

    measurements that are completed by a health


    care professional.
    The professional uses clinical judgement and
    reports on patient behaviors or signs that are
    observed by the professional.
    COLLEGE OF
    PHYSICAL THERAPY

    Psychometric Properties
    COLLEGE OF
    Psychometric Properties PHYSICAL THERAPY

    valid and reliable and assist us in interpreting change in


    our patients to have clinical meaning
    • Floor and Ceiling Effect
    • Minimal Detectable Change (MDC)
    • Responsiveness
    • Minimal clinically important difference (MCID)
    COLLEGE OF
    PHYSICAL THERAPY

    SCREENING TOOLS
    DenveR DEVELOPMENTAL SCREENING COLLEGE OF
    PHYSICAL THERAPY
    TEST II

    • Quick screen for deviations from normal development of normal


    and near-normal children; pattern of functional deviations guides
    further evaluation
    • 2 weeks- 6 years old
    • Gross motor
    • Language
    • Fine motor-adaptive
    • Personal-social. 
    • ..\..\..\Downloads\DenverIItest_form_e.pdf
    COLLEGE OF
    Bayley Scale of Infant Development III PHYSICAL THERAPY

    • Separate mental and motor scales; well standardized; heavily


    weighted with motor based items, which limits predictive value in
    physically handicapped children
    • Aged 1–42 months
    • 45–60 min to administer
    • Cognitive
    • Language (receptive and expressive communication)
    • Motor (fine and gross motor) domain. 
    COLLEGE OF
    Gesell Developmental SChedules PHYSICAL THERAPY

    • Indicator of current developmental level


    • 4 wk to 6 yr
    • Developmental Quotient
    • = Developmental age x 100
    Chronological Age
    Gesell Developmental Observation- COLLEGE OF
    PHYSICAL THERAPY
    Revised (GDO-R).

    • Comprehensive multi-dimensional assessment


    system that assists educators, and other
    professionals in understanding characteristics of
    child behavior in relation to typical growth patterns
    • 2½ to 9 years of age.
    • Direct observation
    Gesell Developmental Observation- COLLEGE OF
    PHYSICAL THERAPY
    Revised (GDO-R).
    • Evaluate a child's cognitive, language, motor and social-
    emotional responses in five strands:
    • Developmental, Letter/Numbers, Language/Comprehension,
    Visual/Spatial, and Social/Emotional/Adaptive.
    • Performance Level Rating (Age Appropriate, Emerging or Concern)
    • a Developmental Age.
    • Developmental Age, determined by the calculating the results of the GDO-
    R, is an age in years and half-years that best describes a child's behavior
    and performance on a developmental scale; may be equal to, older or
    younger, than the child's actual chronological age.
    COLLEGE OF
    PHYSICAL THERAPY

    Common Outcome
    Measures for Pediatric
    Cases
    ICF MODEL
    COLLEGE OF
    PHYSICAL THERAPY

    BODY STRUCTURE
    COLLEGE OF
    Pain Assessment PHYSICAL THERAPY
    COLLEGE OF
    Posture and balance PHYSICAL THERAPY

    • Pediatric Balance Scale


    • Pediatric Functional Reach Test
    COLLEGE OF
    Pediatric balance scale PHYSICAL THERAPY

    • A 14 item criterion referenced measure that examines


    functional balance in the context of everyday tasks in the
    pediatric population
    • Scores 0-4 (Sum, maximum of 56 score)
    • Details:
    https://www.sralab.org/rehabilitation-measures/pediatric-
    balance-scale
    COLLEGE OF
    Pediatric functional REACH TEST PHYSICAL THERAPY

    ..\..\..\Downloads\bartlett2003.pdf
    COLLEGE OF
    PHYSICAL THERAPY

    ACTIVITY
    COLLEGE OF
    Gross Motor PHYSICAL THERAPY

    • Bayley Scale of Infant and


    Toddler Development-III has the
    best predictive validity
    • Good Test–retest reliability 
    •  Bruininks-Oseretsky Test of Motor
    Proficiency-2 (BOT-2)
    • Movement Assessment Battery for
    Children-2 (MABC-2)
    • Peabody Developmental Motor
    Scales-2 (PDMS-2)
    • Test of Gross Motor Development-2
    (TGMD-2) 
    COLLEGE OF
    Gross motor function 66 and 88 PHYSICAL THERAPY

    • Standardized observational instrument dsigned to measure change in gross


    motor function (CP)
    • Quantity of movement
    • Original version is 88 items reduce to 66
    • Lying and rolling (4), Sitting (15), Crawling and kneeling (10), standing (13)
    and walking, running & jumping (24)
    • 0- Does not initiate task
    • 1 Initiate task (<10%)
    • 2 Partially completes task (10-90%)
    • 3 Complete the tasks
    • NT not tested

    • https://www.sralab.org/rehabilitation-measures/gross-motor-function-measure
    -66
    COLLEGE OF
    High Level mobility assessment tool PHYSICAL THERAPY

    • 13 items (Walking and Running, Jumping and


    Balance, Stairs, Hopping and Skipping)
    • 5 point items scale
    • https://www.sralab.org/rehabilitation-measures/hig
    h-level-mobility-assessment-tool
    COLLEGE OF
    Peabody developmental motor scale PHYSICAL THERAPY

    • Reflex (8 items)
    • Stationary (30 items)
    • Locomotion (89- Items)
    • Object Manipulation (24 items)
    • Grasping (26 items)
    • Visual Motor Integration (72 items)

    • https://www.sralab.org/rehabilitation-measures/peabody-
    developmental-motor-scales-second-edition
    COLLEGE OF
    Nine-Hole Peg Test PHYSICAL THERAPY

    • Time to complete (seconds)


    • Alternative Scoring: Number
    of pegs per second

    • https://www.sralab.org/rehabil
    itation-measures/nine-hole-pe
    g-test
    COLLEGE OF
    Manual ability classification system PHYSICAL THERAPY

    • The MACS is a 5-level classification system for the


    manual ability of children with CP on the basis of self-
    initiated ability to manipulate objects in the home, school,
    and community.
    • ..\..\..\Downloads\MACS.pdf 
    COLLEGE OF
    Quality of upper extremity SKILL TEST PHYSICAL THERAPY

    • 3 Items for the tester to rate


    • Hand function
    • Spasticity
    • Cooperativeness
    • Scoring:1(Movement quality not achieved) an 2 (Movement quality
    achieved)
    • 33 Items separated among four domains
    • Dissociated movement
    • Grasp
    • Weight Bearing
    • Protective Extension
    COLLEGE OF
    PHYSICAL THERAPY

    PARTICIPATION
    COLLEGE OF
    Pediatric Quality of Life Inventory PHYSICAL THERAPY

    • Children and adolescents ages 2 to 18


    • 23-item generic health status instrument with parent and child
    forms that assesses five domains of health
    • Physical functioning
    • Emotional functioning
    • Psychosocial functioning
    • Social functioning
    • School functioning

    Https://www.Pedsql.Org/about_pedsql.Html
    Functional Independence Measure for COLLEGE OF
    PHYSICAL THERAPY
    Children (Wee FIM)
    • Instrument was developed in 1987 by a multidisciplinary
    team consisting of physicians, nurses, and therapists
    • measure of functional abilities and the “need for
    assistance” that is associated with levels of disability in
    children ages six months to seven years and older
    COLLEGE OF
    Vineland Adaptive Behavior Sales(3rd Edition) PHYSICAL THERAPY

    • A standardized measure of adaptive behavior--the things


    that people do to function in their everyday lives.
    • Whereas ability measures focus on what the examinee
    can do in a testing situation
    • Adaptive Behavior Composite
    • Communication
    • Daily Living Skills
    • Socialization
    • Motor skills
    • https://www.sralab.org/rehabilitation-measures/vineland-a
    daptive-behavior-scales
    COLLEGE OF
    PHYSICAL THERAPY

    PERSONAL FACTORS
    COLLEGE OF
    PHYSICAL THERAPY
    COLLEGE OF
    PHYSICAL THERAPY
    COLLEGE OF
    PHYSICAL THERAPY
    COLLEGE OF
    PHYSICAL THERAPY
    Kindly visit the link below for more COLLEGE OF
    PHYSICAL THERAPY
    information
    • https://www.sralab.org/rehabilitation-measures
    COLLEGE OF
    PHYSICAL THERAPY

    End of presentation

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