PT 861 - Assessment of infant gross motor development: Down syndrome
Formal assessment
- A child's motor function can be assessed for very different clinical reasons:
- Evaluative measures are used to assess the change in performance over time as a result of growth and development and / or an intervention.
- Predictive measures are used to identify children who may exhibit delays or disorders of movement in the future or to predict the outcome of a delay or disorder of movement.
- Discriminative measures distinguish between children who do and do not have a delay, disability, impairment, functional limitation, or atypical development.
- Different types of assessments need to be used to reliably evaluate, discriminate and predict gross motor function.
- Norm-referenced assessments: scores reflect the degree of concordance between individual's performance and age-referenced population.
- Objective: to determine if a child performs like other children of the same age on that particular item / test. Example: AIMS, PDMS-2, growth curves
- Criterion-referenced assessments: scores reflect the degree of concordance between performance and a desired behaviour.
- Objective: to determine whether or not the child can perform the test-item as specified and provide a measure of 'skills mastery'. Examples: GMFM
- Observational: degree to which a specific item is present or not. Example: pain scales, EMI
THE AIMS
- The Alberta Infant Motor Scale (AIMS) is a 58-item norm-referenced, standardized, observational and performance-based measure to assess the gross motor development of infants from term age through independent walking.
- What does this mean?
- What would be the clinical application of the AIMS?