Tests & Measures for Participation

Yasmin is a sixteen-year-old girl with athetoid cerebral palsy, GMFM IV.  She is passionate about her studies and has already gone to check out a few colleges.  She is thinking about living in a dorm.   As her PT, are there measures that will help you learn about her current level of participation?  You know about her activity capacity, but not as much about her current level of performance – and that is what will matter as she transitions to more independent living. After some thought, you decide to update the TRANSITION-Q for health management skills and the ACTIVLIM-CP for daily activities.  Additionally, you are going to update Yasmin’s COPM to prioritize her individual goals.

Here is a list of performance and participation measures.  They can begin to bridge the space between physical therapy appointments and higher participation and performance in daily life.  Also, some are specific to assessing global performance change after PT intensives, Botox or surgery.  Many of these are new to me, aside from the CHAQ,PEM-CY, COPM, and GAS.  It is exciting to think of the potential and I look forward to trying them out in the months to come.

  • Individualized Measures:
    • Canadian Occupational Performance Measure (COPM).  An individualized measure.  Self-report by 8 yrs +, possibly from 5 and older.  Parents are clients before age 5, or if child is unable to communicate. Here is a CP specific reference
    • Goal Attainment Scale (GAS) 0 yrs+ An individualized outcome measure.
  • Participation/Peformance Measures:
    • ACTIVLIM-CPUnidimensional scale measuring global activity performance/daily activities for children. It combines UE/LE performance. Useful for PT intensive/Botox followup. 2-18 yrs.
    • Pediatric Outcomes Data Collection Instrument (PODCI) Transfers, pain, mobility, sports, satisfaction with care, for disorders having a musculoskeletal impact , 2-10 yrs.  
    • Activities Scale for Kids-Performance (ASKp) child questionnaire performance version (Capacity version is listed here). Personal care, dressing, locomotion, play, standing skills & transfers. JRA, Spina Bifida, Muscular Dystrophy, CP.  5-15 yrs 
    • Gait Outcomes Assessment List (GOAL) 7-16 yrs- gait performance section parent report for kids who are ambulant w/ CP.  Includes Goal setting.
    • Caregiver Priorities & Child Health Index of Life with Disabilities (CPCHILD)GMFMCS IV & V / positioning, personal care, comfort & emotions, communication, health, quality of life reported by caregiver of > 6 mo usually for children 5-19 yrs
    • Child Health Assessment Questionnaire (CHAQ) 1-19 yrs. parent proxy before age 8. JRA specific.
    • Participation and Environment Measure-Children & Youth (PEM-CY) Participation & environmenal factors in home, school & community. 5-17 yrs
    • Children’s Assessment of Participation & Enjoyment (CAPE) & Preferences for Activities of Children (PAC) Recreational, physical, social, skill-based, self-improvement  6-21 yrs. (Packaged together) but PAC looks at child preferences in additon to performance.
    • School Function Assessment (SFA) Participation (also has task performance and activity performance sections). 6-12 yrs.
    • World Health Organization Disability Assessment Schedule-Child (WHODAS 2.0General assessment for measuring health and disability across cultures. Measures cognition, mobility, self-care, getting along, life activities, participation. 18+ yrs. Child version in development.
  • Quality of Life Measures:
    • Pediatric Quality of Life Inventory (PEDS-QL) Physical, emotional, social, school functioning.  Parent proxy report form 2+ years, or self report form 5-18 yrs.
    • Cerebral Palsy Quality of Life (CPQOL) 4-12 yrs/ teen version 13-18 yrs
    • Life Satisfaction Questionnaire-9 (LISAT-9) Life as a whole/relationships. 13 yrs +
    • Pediatric Symptom Checklist (PSC) Psychosocial screen for adolescents 11 yrs and up
  • Transition Scale:
    • TRANSITION-Q: Self management of health starting at 12 years




Author: spritelypt

Pediatric physical therapist

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