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. Continue reading “Tests & Measures for Participation”
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.
Continue reading “Tests, Measures, & Classification Systems for Activity”
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.
Continue reading “Tests & Measures of Body Structures and Body Functions”