-
Tests and Measures
- Analysis of posture/postural control
- Analysis of motor skills
- Activity participation
- Body structure and function
-
Categories of Tests
- Discriminative: is the child normal or not
- -- Bayley, AIMS, Peabody, BO, PEDI, WEEFIM
- Evaluative: magnitude of change over time
- -- GMFM
- Predictive: what is believed/expected to be their future status
- -- MAI, TIMP, GMFM Motor Curves
-
Scoring
- Norm-based (normative values to interpret)
- Criterion-referenced (scores interpreted on absolute mastery)
-
Fitness Tests for Children
- AAHPRED
- Chrysler AAU
- FITNESSGRAM
- National Children & Youth Fitness Study
- Presidential Physical Fitness Program
-
Eligibility for Early Intervention
Each state has it's own criteria based on:
- Amount of developmental delay (25% in 1+ area of development)
- Diagnosis (CP, autism)
- Informed Clinical Opinion
-
Individualized Family Service Plan (IFSP)
- Coordinated plan required by IDEA put together by parents/service providers
- States the outcomes/goals for EI services as a whole
- Plan for transition after 3 (or 5 in MD) years
-
NICU Designations
- Level 1: basic neonatal care
- Level 2: specialty care nursery
- level 3: subspecialty care
-
High Risk Signs (pt may benefit from post NICU follow-up)
- Atypical movement patterns
- Developmental delay
- Sensory impairments
- Feeding problems
- Poor state control/behavioral organization
-
Synactive Theory of Development (Risk Factors)
- Biological
- Established
- Environmental
-
Biological Risk Factors
- Pregnancy: maternal diabetes, poor maternal nutrition, drug exposure, HTN
- Delivery: prematurity, fetal distress, abnormal presentation (i.e. breech)
- Neonatal: neuropathic conditions, pulmonary conditions, and system immaturity
-
Established Risk Factors
- Born w/ disorders/dysfunction
- i.e. Trisomy 21/chromosomal deletions and anomalies, cardiac problems, brachial plexus injuries, arthrogryposis
-
Environmental Risk Factors
- Low SES
- Adolescent pregnancy
- Lack of social support
- Maternal depression
-
Neonatal Complications: Neuropathic Conditions
- Intraventricular Hemorrhage (IVH)
- Periventricular Leukomalacia (PVL)
- Seizures
-
Neonatal Complications: Pulmonary Conditions
- Respiratory Distress Syndrome (RDS)
- Bronchopulmonary Dysplasia (BPD)
-
Neonatal Complications: System Immaturity
- Hyperbilirubinemia
- Necrotizing Enterocolitis (NEC)
-
Tools for Infants Post Discharge
- Peabody
- E-Lap
- Early Intervention Developmental Profile
- Bayley
|
|
