Tests & Measures for Participation

Yasmin is a sixteen-year-old girl with athetoid cerebral palsy, GMFCS level 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.

I’ve recently discovered the world of performance and participation measures.  They can begin to bridge the gap between physical therapy appointments and higher participation in daily life.  Some measures are free and translated into many languages.   Other measures assess 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”

Tests, Measures, & Classification Systems for Activity

Luca is a four-year-old boy with Duchenne Muscular Dystrophy.  He has some difficulty with transitions and walking endurance.  What standardized tests and measures would describe his activity using the ICF framework?

Some options are the North Star Ambulatory Assessment (NSAA) to measure transitions and mobility,  the Peabody Developmental Motor Scales (PDMS II), or the Pediatric Evaluation of Disability Inventory-(PEDI-CAT) used as a parent-reported measure.

Continue reading “Tests, Measures, & Classification Systems for Activity”

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, but it isn’t valid for JoLee’s age. 

Continue reading “Tests & Measures of Body Structures and Body Functions”