Transcript Examination / Evaluation

Examination / Evaluation
Margo Prim Haynes, PT, DPT, MA, PSC
Mary Rose Franjoine, PT, DPT, MS, PSC PT
Data Collection
Referral
Medical History
Overview of function
Family
Environment
March 2009
Haynes and Franjoine
2
Child’s Function
Attributes:
– What ? How ? Why?
Facilitators? Barriers?
Potential for change
March 2009
Haynes and Franjoine
3
Posture & Movement System
Postural Control
Balance
Coordination
March 2009
Haynes and Franjoine
4
Posture & Movement System
Alignment
BOS <-> COM
Tone
March 2009
Haynes and Franjoine
5
System Integrity & Impairments
Neuromuscular
– Muscle activation and execution
– (initiate, sustain, terminate)
– (force generation)
– (Co-activation & Reciprocal
inhibition)
– (intra and interlimb dynamics)
March 2009
Haynes and Franjoine
6
System Integrity & Impairments
Musculoskeletal
– ROM, joint and soft tissue
– Skeletal abnormalities
March 2009
Haynes and Franjoine
7
System Integrity & Impairments
Sensory
– Somatosensory
– Sensory processing
– Vision
– Hearing
– Vestibular
– Multisystem effect (motor planning)
March 2009
Haynes and Franjoine
8
System Integrity & Impairments
Respiratory
– Rate, Patterns,
Regulatory
– Arousal
– Emotions
March 2009
Haynes and Franjoine
9
System Integrity & Impairments
Cardiovascular
– Heart rate,
– Blood pressure
– Aerobic capacity
March 2009
Haynes and Franjoine
10
Evaluation
Strengths
– Child’s abilities
Needs
March 2009
Haynes and Franjoine
11
Evaluation
Link Impairments to Function
– System impairments
– Ineffective postures and movement
– Functional limitations
– Barriers to participation
March 2009
Haynes and Franjoine
12
Examine Child’s Motor Functions
Impairments
Reexamine
“The Laundry List”
Prioritize
Key
Impairments
Based on
Function
Identify
Primary
&
Secondary
Impairments
Establish Outcomes
Predicting Potential for Success
Analyze Effectiveness of Intervention Strategy
March 2009
Synthesis
&
Analysis
Haynes and Franjoine
Develop
Intervention
Strategies
Implement
Intervention
Strategies
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Examination / Evaluation
Modified from
“NDT Assessment 05”
MP Haynes & J Styer-Acevedo