Tests & Measures of Body Structures and Body Functions

JoLee is a four-year-old girl with mixed spastic/dystonic cerebral palsy, GMFCS III.  Her physical therapy progress report is due and you would like to use objective tests and measures that are appropriate for her age.  After looking through this list, you decide on the ECAB for balance, the SATCo for trunk control, and the HAT for hypertonia/dystonia.   Of course you will also do traditional range of motion testing and an Adam’s forward bend test.  What’s unfamiliar on the list?  The MPST for anaerobic performance looks interesting, and you make a note to do a search to find out more about it. 

Wondering about tests and measures that fit into the body structures and body functions section of the ICF?  The tests and measures listed below can objectively measure.  I’ve included links for quick reference.

  • Blood pressure
  • Heart rate
  • Oxygen saturation
  • Range of motion
  • Spinal Alignment and Range of Motion Measure (SAROMM)
  • Structural integrity tests
  • Adams forward bend test with scoliometer
  • Posture grid documentation
  • Manual muscle testing/Functional Strength Assessment (FSA)
  • Standing Heel Rise Test 
  • Five Times Sit to Stand (FTSTS) 6-18 yrs w/CP (measure of strength)
  • 2-Minute Walk Test (2MWT) (measure of endurance) 3-17+ yrs
  • 6-minute walk test (6MWT) (measure of endurance) 2 yrs +
  • Bruininks Oseretsky Test of Motor Proficiency Second Edition (BOT-2)(measure of balance, coordination, dexterity, strength & agility, vestibular) 4 yrs-12.11 yrs
  • Measures of Balance
    • Pediatric Balance Scale (PBS) 5-15 yrs
    • Early Clinical Assessment of Balance (ECAB) 18 mo-5 yrs. *
    • Functional Reach Test (FRT)/Pediatric Reach Test (PRT)– limits of stability, anticipatory control. 5-15 yrs FRT/ 3-12.5 yrs PRT
    • Multidirectional Reach Test- limits of stability (MRT) 3-8 yrs.
    • Five times sit to stand- anticipatory postural responses (FTSTS) 6-18 yrs, CP
    • Activities Specific Balance Scale (ABC Scale) 18+ yrs. Measure of confidence in balance
    • 30 second sit to stand (18+)anticipatory postural responses (30CST) 18 yrs+, arthritis & joint conditions
    • Four square step test-anticipatory postural responses (FSST) 5-12 yrs CP, Down syndrome
    • Mini-BESTest (18+) – kidsBEST7-17 yrs. in development – multi balance domain test.
    • Dynamic Gait Index (DGI)- reactive postural control. 8-15 yrs.
    • Modified Test of Sensory Integration and Balance (MTSIB-M)-test of balance under different sensory conditions. 2 yrs +
    • Snellen standard eye chart- visual acuity 6 yrs +
    • Tumbling E chart- visual acuity 3-5 yrs
    • Semmes Weinstein Monofilament testing- assessment of cutaneous sensation.

    • Proprioceptive tests
    • Dix Hallpike Maneuver (DHM)- Vestibular: benign paroxysmal positional vertigo (BPPV).
    • Skull Vibration-Induced Nystagmus Test (SVINT)
    • Dynamic Visual Acuity Test- Non-Instrumented (DVAT-NI)- vestibulo-ocular reflex function (VOR)
  • Sensory Profile 2  birth-14.11 yrs
  • Motor-Free Visual Perception Test-4 (MFVPT-4) 4+ yrs.
  • Muscle Power Sprint Test- (MPST) (measure of anaerobic performance children and youth that run or propel wheelchairs, CP/Non-specific)
  • Modified Tardieu Scale (MTS
  • Hypertonia Assessment Test (HAT) 4-19 yrs.
  • Dyskinesia Impairment Scale (DIS) 5-22 yrs
  • Barry Albright Dystonia Scale (BADS) Secondary dystonia secondary to CP/brain injury.  Age not specified.
  • Segmental Assessment of Trunk Control (SATCo) 9 mo-16 yrs in CP (4-9 mo. study in infants)
  • Trunk Control Measurement Scale (TCMS) 5-18.11 yrs
  • Hammersmith Infant Neurological Examination (HINE) 2 mo – 24 mo
  • General Movements Assessment (GMA) birth- 20 wks of age
  • Non-Communicating Children’s Pain Checklist-Revised (NCCPC-R) can be used in all GMFCS levels, but mostly IV & V. 3-18 yrs
  • PROMIS Pediatric Pain Interference Scale- Interference by pain on daily activities. Best GMFCS levels I-III. 7 day recall report.  5-18 yrs
  • Gait Outcomes Assessment List (GOAL) 7-16 yrs- pain/discomfort section parent report, ambulant w/ CP 
  • Numeric Pain Rating Scale (NPRS) 18 yrs +
  • Faces Pain Scale, Revised (FPS-R) 4-17, best >7 yrs
  • Color Analog Scale (CAS) 4-17, best >7 yr
  • Beighton score– joint hypermobility 6-12 yrs 

 

 

 

 

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