Tests, Measures, & Classification Systems for Activity

Luca is a 7-year-old boy with Duchenne Muscular Dystrophy.  As his physical therapist, you are wondering about tests and measures that fit into the activity section of the ICF. Thinking of how to quantify his activity, you decide to use the North Star Ambulatory Assessment (NSAA) to measure transitions and mobility, the Timed Floor to Stand-Natural (TFTS-N) to time his rise from the floor, and the Six Minute Walk Test (6MWT) to measure distance walking.

  • Cerebral Palsy Classification Systems:
    • Gross Motor Function Classification System (GMFCS) 6 mo-18 yrs
    • Manual Ability Classification System (MACS) 4-18 yrs/ (MiniMACS) 1-4 yrs.
    • Communication Function Classification System (CFCS) 2-18 yrs
    • Eating and Drinking Ability Classification System (EDACS)
    • Bimanual Fine Motor Function Classification System (BFMF)
    • Functional Mobility Scale (FMS) 4-18 yrs, CP
  • Gross Motor Tests & Measures:
    • Gross Motor Function Measure-66 (GMFM-66) 5 mo-16 yr, CP
    • Functional Independence Measure for Children (WeeFIM) 6 mo-7 yr 
    • Functional Independence Measure (FIM) 8+ to adult *
    • Test of Infant Motor Performance (TIMP) 34 weeks posconceptual age – 5 mo.
    • Bruininks-Oseretsky Test of Motor Proficiency, Second Edition (BOT-2) (gait, functional mobility, UE function) 4-21.11 yrs
    • Peabody Developmental Motor Scale-2 (PDMS-2) Birth-5 yrs
    • Pediatric Evaluation of Disability Inventory (PEDI) Birth-8 yrs 
    • North Star Ambulatory Assessment (NSAA) specific to ambulatory children with Duchenne muscular dystrophy 
  • Timed Tests:
    • Timed Floor to Stand-Natural (TFTS-N) 5-14 yrs
    • Five Times Sit to Stand (FTSTS) 6-18 yrs w/CP
    • Supine to Stand Test (STST) 18+ yrs
    • Timed Up and Go-In Children (TUG-IC) 3-12 yrs 
    • 10 Meter Walk Test (10MWT2 yrs + ^
    • 30 Second Walk Test (30sWT) 5-17 yrs
    • 2 Minute Walk Test (2MWT) 3-17 yrs +
    • 6 Minute Walk Test (6MWT) 2 yrs + 
  • Gait:
    • Dynamic Gait Index (DGI) 8-15 yrs
    • Gait Outcomes Assessment List (GOAL) 7-16 yrs, CP 
  • Fine Motor Tests & Measures:
    • Children’s Hand Use Experience Questionnaire (CHEQ2.0) 6-18 yrs / (Mini-CHEQ) 3-8 yrs.
    • ABILHAND-KIDS 6-17 yrs
    • Assisting Hand Assessment (AHA) 18 mo-12 yrs /Mini Assisting Hand Assessment (MiniAHA) 8 mo-18 mo.
    • Both Hands Assessment (BoHA)  18 mo-12 yrs
    • Box and Block Test (BBT)- unilateral gross manual dexterity 6 yrs +
  • Observational Assessments:
    • Test of Playfulness (ToP) Observation of free play by skilled observer: children with and without disabilities, 6 mo-18 yrs. 
    • Developmental Assessment of Young Children- 2nd Edition (DAYC-2) Observation/Direct Assessment: birth-5.11 years 
  • Questionnaire: 
    • Activities Scale for Kids-Capability (ASKc) questionnaire looks at what children could do in the last week. (There is an ASK-performance version) Self-report by children 5-15 yrs.
  • Wheelchair Skills:
    • Wheelchair Skills Test (WST)
    • Powered Mobility Program (PMP)

Many of the tests and measures in the activity domain quantify capacity while tests and measures in the participation category quantify performance.  See this post for a discussion about capacity vs performance.

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