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PEDIATRIC ASSESSMENTS

Type Assessments Age/Population Purpose Method

N Assessment of Premature Premature infants Assess patterns of developing Behavior checklist & scale
E Infants & Behavior (APIB) behavioral organization in response
O to ↑ sensory & environmental stimuli
N
A Neuro Assessment of Pre- Premature and full Brief neuro exam incorporated into a Rating scale administered in a
T term and Full-term Newborn term infants routine exam sequence:
A Infant (NAPFI) 1) Quite sleep state
L 2) Items not influenced by sleep
3) Awake state

D Hawaii Early Learning Birth - 3 yrs w/ 6 areas of function in natural Nonstandardized scale of
E Profile Revised (HELP) developmental environment: developmental levels
V delays, ● Cognition Administered in natural
E disabilities or at risk ● Language environment
L ● GM Protocol – warm-up, structure
O 3 – 6 years w/ & ● FM play and snack time
P w/out delays ● Social-emotional
M ● Self-help
E
N Battelle Developmental Birth - 7.11 yrs Looks at early childhood Norm Referenced
T Inventroy developmental milestones (adaptive, Determines eligibility in special
A personal-social, communication, education services
L motor, & cognitive)

Denver Developmental 1mo - 6 yrs Early identification of kids at risk for Standardized task performance
Screening Test II developmental delays in 4 areas: observation
● Personal-social, 125 test items
● Fine motor-adaptive Administered in sequential
● Language progression under child’s
● Gross motor skills age toward higher level until child
fails 3x

Bayley Scales of Infant 1 - 42 mo Assess cognitive, language, Standardized rating scale


Development, 3rd ed. motor, social-emotional and Parents compete two part survery
(BSID-III) adaptive behavior skills w/ child performing tasks

Posture and Fine Motor 2-6 mo (I) Looks at an infant’s developmental Criterion Referenced
Assessment of Infants 6-10 mo (II) motor milestones that would help Assessed at home with caregiver
(PFMAI) develop intervention and treatment present.
plans.

Pediatric Evaluation of 6 mo - 7.5 yrs Assess capabilities & detects Standardized behavior checklist &
Disability Inventory (PEDI) functional deficits to determine rating scale
developmental level, monitor child’s Observation, interview and
progress, & complete program eval scoring of self-care, mobility, and
social skills

First Step Screening Test 2 yrs 9 mo - 6 yrs 2 Identifies preschool students at-risk Table-top tasks administered
for evaluating preschoolers mo (3-6) and in need of a motor Optional social-emotional rating
comprehensive evaluation scale (based on
Assesses domains identified by IDEA behavior)
● Cognition, Optional Adaptive Behavior
● Communication Checklist (rated according to info
● Physical obtained from parent)
● Social Optional Parent-teacher scale
● Emotional & adaptive functioning (additional info not
obtained with testing)

Miller Assessment for 2 yrs, 9 mo - 5 yrs, 8 Assess sensory & motor Standardized task-performing
Preschoolers (MAP) mo abilities consisting of screening tool
foundation and coordination
indexes, cognitive abilities
(verbal/nonverbal) and
combined abilities (complex
tasks)
M Toddler & Infant Motor Birth - 3 yrs, 6 mo Assesses quality of movement w/ 5
O Evaluation (TIME) subtests:
T ● Mobility
O ● Stability
R ● Motor organization
● Social/emotional
● Functional performance

Peabody Developmental Birth - 6 yrs w/ Looks at GM and FM development Standardized rating scale
Motor Scales (PDMS) motor, speech, or ● Reflexes
hearing disorders ● Sustained control,
● Locomotion
● Object manipulation
● Grasping
● Visual motor integration

Gross Motor Function 5 mo - 16 yrs Assesses a child’s change in GM Norm Referenced


Measure (GMFM) skills.

Miller Function & 2.6 to 7.11 yrs Assess how a child VM, FM, & GM in Standardized, norm referenced
Participation Scales (M- school and at home. Performance-based & context-
FUN) based

Bruininks- Oserteskyy Test 4 – 21 yrs Assess and provides index of overall Standardized assessment
of Motor Proficiency (BOT- motor proficiency, FM & GM Long/short form w/ 8 subtests:
2) composites ● FM precision
Consideration of speed, ● FM integration
duration, accuracy and ● Manual dexterity
hand/foot preferences ● Coordination
● Balance
● Running speed/agility
● UE coordination
● Strength

Clinical Observation of 5 - 15 yrs Identifies motor coordination deficits Performance-based screening


Motor and Postural Skills with a postural tool
(COMPS-2) Component. Addresses play & Norm referenced
functional mobility

Erhardt Developmental Children w/ Assesses three clustered areas: Observation checklist based on
Prehension Assessment neurodevelopmental ● Involuntary arm-hand patterns performance
(EDPA) disabilities ● Voluntary movements of 341 test components categorized
approach
● Prewriting skills
Charting/monitoring of prehensile
development
ID’s developmental gaps in
prehensile development and
need for further assessment

V Erhardt Developmental Birth to 6 mo Visuomotor development Behavior rating scale


I Vision Assessment (EDVA) ● Involuntary visual patterns, 271 test items organized
S and Short Screening Form ● Eyelid reflexes developmentally into 7
U (EDVA-S) ● Pupillary reactions clusters
A ● Doll’s eye responses, Findings determine indications for
L ● Fixation ophthalmic
● Localization eval
● Ocular pursuit
● Gaze shift

Test of Visual-Motor Skills TVMS: 2 - 13 yrs Drawing geometric forms increasingly


(TVMS) TVMS-UL: 12 - 40 more complex
Test of Visual-Motor Skills: yrs Hand eye coordination skills for
Upper Level (TVMS-UL) copying geometric designs

Beery-Buktenica 2 - 100 yrs Copy 24 shapes ranking from easy to Standardized assessment
Developmental Test of difficult
Visual Motor Integration-
VMI
Preschool Visual Motor 3.5 - 5.5 yrs VM integration & VP skills Observation checklist
Integration Assessment ● Perception in space, 2 performance subtests
(PVMIA) ● Awareness of spatial 1) Drawing subtest-
relationships recognize/reproduce lines &
● Color & space discrim shapes
● Matching two attributes 2) Block Patterns subtest-
● Reproduce what is seen and recognize color/shape &
interpreted reproduce using 3-D blocks

Developmental Test of 4 - 10 yrs VP skills & VM integration for levels of Standardized assessment
Visual Perception (DTVP-3) performance & for designing
interventions
Developmental Test of ● 8 subtests for children
Visual Perception - 11 - 74 yrs ● 4 subtests for adults
Adolescent and Adult

Test of Visual-Perceptual 4 - 19 yrs Visual discrimination, visual memory, Multiple choice format questions
Skills (TVPS-3) visual-spatial relationships, visual
form constancy, visual sequential
memory, visual figure-ground and
visual closure

P Coping Inventory & Early ECI: 4-36 mo. Assess coping habits, skills, & Coping: questionnaire assessing
S Coping Inventory CI: 15+ yrs behaviors including coping styles
Y effectiveness, style, strengths, & (productive, active, flexible)
C vulnerabilities to develop plan ECI: questionnaire assessing
H sensorimotor

Childhood Autism Rating 2+ yrs w/ autism Determines severity of autism (mild, Observation and rating of
Scale (CARS) mod, severe), distinguishes autism behavior
from developmental delay

Child Occupational Self 8 - 13 yrs Child assesses their own perception Nonstandardized self-report
Assessment (COSA) on how well they perform certain Based on MOHO theory
occupations.

P Revised Knox Preschool Birth to 6 yrs Looks at play skills to differentiate Useful for children who are not
L Play Scale (RKPPS) developmental play abilities, appropriate for standardized
A strengths, weaknesses, & interest testing
Y ares Observation in natural
4 dimensions indoor/outdoor environment
● Space management, 2 30-minute periods of play
● Material management
● Pretense/symbolic
● Participation

Transdisciplinary Play- Birth - 6 yrs Measures child's development, Play assessment employing team
Based Assessment (TPBA) learning style, interaction patterns, observation
behaviors to determine need for
service

Test of Playfulness (ToP) 6 mo - 18 yrs Assesses child’s playfulness based Observation


on intrinsic motivation, internal
control, disengagement from
constraints of family, and framing

Play History children & teens Looks at play behavior and play Interview of caregiver
opportunities

S School functional K - 6th grade Assesses & monitors functional Criterion referenced questionnaire
C Assessment (SFA) performance in order to promote assess level of participation, type
H participation in school environment of
O support required and performance
O on school related tasks
L
Handwriting Without Tears K - 4th grade Whole class assessment that looks at RTI Tier 1
(HWT) Screener a student’s handwriting skills. Identifies students who struggle
with handwriting

McMaster Handwriting K - 6th grade Assesses handwriting along with the Criterion referenced
Assessment Protocol classroom workstation, behavior,
postural control, workbook review
● Writing from memory,
● Near point copying
● Far point copying,
● Dictation
● Composition.

Evaluation Tool of 1st - 6th grade Assesses a student’s legibility and Criterion referenced
Children’s Handwriting speed of handwriting tasks similar to Performance-based observation
(ETCH) those required in class

School Setting Interview 10+ yrs w/ a Determines a student- environment fit Nonstandardized semi-structured
(SSI) physical motor in relation to activity participation at interview
dysfunction who’s school. Based on MOHO
verbal

AIR Self Determination All school-aged Profile level of self- determination & Criterion Referenced- Self-report
Scale students develop plan to improve this skill,
identify strengths & needs, and
identify goals at school

S Sensory Profile Birth – 36 mo Measures reactions to daily sensory Caregiver questionnaire based on
E experiences judgement and observation of
N child’s sensory processing
S
O Test of sensory functions in 4-18 mo Looks to see if an infant has sensory Criterion Referenced
R Infants processing deficits
Y
DeGangi-Berk Test of 3-5 yrs Looks at a child’s postural control, Standardized performance
Sensory Integration (TSI) bilateral motor integration, and reflex assessment
integration

Sensory integration practice 4 - 9 yrs Measures visual & touch perception & Standardized performance
test (SIPT) discrimination, VM skills, bilateral assessment w/ 21 subtests
integration & sequencing, praxis

Sensory processing 5 - 12 yrs Gathers information about a child's Norm Referenced


measure (SPM) behavior, coordination, and
participation at home, in the
community, and/or at school

A Toddler-Parent Mealtime Birth - 3 yrs Assesses feeding interactions Questionnaire filled out by parent
D Behavior Questionnaire between toddler & parent.
L
‘S The Roll Evaluation of 2 - 18 yrs w/ CP Assess children’s self-care abilities at
Activities of Life (REAL) home, at school, and in the
& community along
with bimanual hand and motor skills
I
A BEARS Algorithm 2 - 18 yrs Looks at a child’s bedtime issues, Quick screening tool
D excessive daytime
L sleepiness, night awakenings,
‘S regularity & duration of sleep, and
snoring.

Pediatric Activity Card Sort 5-14 yrs Helps children identify which activities Nonstandardized, self-report
(PACS) with the Daily they would like to perform and if they
Activity Log are able
to do it
● Chores
● Hobbies
● Sports
● Personal care

ABILIHAND- Kids 6 - 15 yrs w/ upper Measures a person’s ability to Norm referenced questionnaire
Quesitonnaire limb impairments manage daily activities that require
(CP) the use of the upper limbs, whatever
the strategies involved.
Pediatric Quality Life 2 - 18 yrs Measures a person’s quality of life Report done by child or caregiver
Inventory (PedQL) despite his/her condition.
● Physical functioning
● Emotional functioning,
● Social functioning
● School functioning
ADOLESCENT ASSESSMENTS

Assessment Age/Population Purpose Method

Adult/Adolescent 11 - 65 yrs Identify personal & behavioral 60-item questionnaire


Sensory Profile responses to daily sensory ● Sensory sensitivity
experiences & develop strategies for ● Sensation avoiding
enhanced participation ● Low registration
● Sensory seeking

Adolescent Leisure Interest 12-21 yrs Looks at a person’s interest in play, Self-report questionnaire
Profile leisure, and social activities

Adolescent Role 13-17 yrs Assess the development of Semi-structured interview to


Assessment internalized roles within family, generate discussion in
school and social settings areas of family, school performance,
peer
interactions, occupational choice and
work

Performance Assessment of 13 - 21 yrs Looks at a client’s ability to perform self- Criterion referenced
Self Care Skills (PASS) care tasks: 5 functional mobility, 3 Done at home or in a clinic
personal
self-care, 14 IADL with cognitive
emphasis, and 4 IADL with a physical
emphasis.

Participation Scale (P scale) 15+ yrs with Assesses restrictions in social 18-item questionnaire addressing 9
physical disabilities participation related to community domains of
mobility, work, recreation, social participation
interactions with family, peers,
neighbors

Jacob’s Prevocational Pre-adolescents & assessment of work related areas in 14 Complete 15 brief tasks
Assessment (JPVA) adolescents w/ major areas *money mgmt., filing
learning disabilities *cognitive perceptual, motor skills, etc.

Vocational Interest Inventory High school Measurement of student interest in 8 Questionnaire


students employment areas
ADL & IADL ASSESSMENTS

Assessment Age/Population Purpose Method

Barthel Index Adults w/ chronic Measures independent in BADLS and Direct observation of task performance
illness or disabilities functional mobility before and after Interview
intervention & the level of personal care Review of medical records
needed by the individual
● Feeding, transferring, personal
grooming, toileting, bowel/bladder
control, bathing, dressing, walking
on level ground, climbing stairs

KATZ index of ADL Older adults w/ Looks at level of independent function Observe activity performance or
chronic illness ● Bathing interviews about performance
● Dressing
● Toileting
● Tansferring
● Continence
● Feeding

Functional Independence Adults w/ disabilities Measures independence in ADL & IADL Observation
Measure (FIM) activities Each ADL is scored from 1 - 7

(Wee Fim: children 6 mo-7 yrs)

Assessment of Motor and 2+ years with any dx Assess effectiveness, efficiency, or Interview, observation, and
Process Skills (AMPS) that cause functional safety of a person’s ADL task administration
limitations in ADL’s performance, including PADL, Requires special training
IADL and some leisure

Arnadottir Occupational Adults w/ cognitive or Document underlying performance Structured observations of BADL and
Therapy perceptual components that have a direct impact on mobility skills
Neurobehavioral (neurobehavioral) daily living skills
Evaluation (A-ONE) deficits Detect underlying dysfunction
● Neglect
● Spatial dysfunction
● Body scheme disorder
● Apraxia

Cognitive Performance Test Adults w/ psychiatric Assess 6 ADL tasks that require Do a task, providing demonstration,
(CPT) or cognitive cognitive processing skills based on reassurance, cueing
dysfunction Allen’s Cognitive disability model

Kitchen Task Adults w/ senile Measurement of the judgement, Pre-test of washing hands (baseline
Assessment (KTA) dementia planning, & organizational skills used to abilities)
perform a simple cooking task Observe pt in making pudding from
mix

Klein-Bell Activities of 6 mo. – elderly w/ Assessment of independent functioning Observation


Daily Living Scale (K-B any diagnosis in ADLs
Scale) ● Dressing
● Elimination
● Mobility
● Bathing
● Eating
● Emergency telephone
communication

Kohlman Evaluation of Adolescents – adults Determination of individual’s knowledge Standardized assessment w/


Living Skills (KELS) in acute psychiatric & performance of 17 basic living skills instruction and scoring card
hospitals needed to live independent in 5 main Observation of pt performing task
areas
● Self-care
● Safety & health,
● Money management
● Community mobility
● Telephone, employment & leisure
participation
Milwaukee Evaluation of 18+ yrs, w/ chronic Assessment of actual or Screening form w/ standardized
Daily Living Skills (MEDLS) illness and have simulated performance of BADLs instructions and time limit for task
resided needed to function in individual’s
for at least 6 mo in expected environment
psychiatric hospital,
halfway house, SNF,
group home or 2 yrs
at an outpatient day
tx program

Routine Task Inventory Adults & elders w/ Measurement of an individual’s Observation, self-report or caregiver
cognitive level of impairment in ADL’s and IADL’s report
impairments according to Allen’s model

Scoreable Self-Care Adolescents or Measurement of functional Motivational Questionnaire


Evaluation adults w/ psychiatric performance and identification Evaluator then administered each task
illness of difficulties in 18 basic living
tasks in 4 main areas:
● Personal care,
● Housekeeping chores
● Work/leisure,
● Financial mgmt.

Test of Grocery Shopping Mental illness, Assesses ability to grocery shop in Measures accuracy, time &
Skills (TOGSS) cognitive impairment natural environment. redundancy thru observation.
2/2 TBI, CVA, ID, Pt is given grocery list of 10 items and Self-report
PDD, dementia, etc asked to locate items by lowest price

Sexual Expression/Activity Adults *ID potential obstacles for attainment & Typically not included in ADL eval
Eval maintenance of safe, satisfying sexual unless specified by pt
expression/activity

Executive Function 13+ yrs w/ CVA or Assess executive function deficits Structured cueing/scoring system to
Performance Test (EFPT) MS Ex. Cooking oatmeal, making a phone assess initiation, organization, safety
call, managing medications, paying a bill and task completion

Multiple Errands Test- Pts w/ an ABI or CVA Evaluates the effect of executive Nonstandaradized
Revised (MET-R) function deficits on everyday functioning Performance-based, observation
through 6 real-world tasks
BALANCE/GAIT ASSESSMENTS

Assessment Age/Population Purpose Method

Get Up and Go Anyone at risk for Measures balance when getting up from Screening tool
falls chair

Timed Up and Go Elderly, CVA, TBI, Test risk factor for falls, balance, and Standardized, norm referenced
vestibular walking ability Score is how much time it took pt. to
disorders, CP, MS, Get up and walk 3 meters & back to chair complete (14 s = fall risk)
Parkinson’s,
arthritis

Tinetti Performance- Adults w/ gait Measures gait and balance during ADL’s Measured on a 3-point ordinal scale w/
Oriented Mobility impairments to determine mobility status and changes 28 task-oriented items
Assessment (POMA) over time.

Functional Reach Test 18+ years old w/ With a yardstick, measure how far the pt Screening performance tool
vestibular issues can reach forward
and are a fall risk

CTSIB Children or adults Allows for assessment of how Use balance machine w/ computer
w/ impaired well a pt. can integrate difference program that calculates score
balance due to ↓ senses with balance and
sensory system compensate for loss of senses
4 conditions: eyes open, eyes closed,
both on firm and foam surfaces for 30
seconds

Dynamic Gait Index Elderly at risk for Developed to assess likelihood of Graded on a 4-point ordinal scale.
falls falls in older adults.
Pt walk at normal pace then
examiner states “go” for faster and “slow”
for slower

Balance, Evaluation, 65+ yrs w/ balance Assesses fall risk and balance during: Observation and score patient
Systems Test (BESTest) deficits Biomechanical constraints, Stability 36 items
Limits, Transitions/Anticipatory, Reactive,
Sensory Orientation, and Gait Stability

Berg Balance Scale Adults at risk for Measures static balance, dynamic 14-item scale rated on a 5-point ordinal
falls & balance balance, & fall risk in clinical setting. scale
impairments

Community Balance and Adults who are Pt will walk up and down stairs w/ Screening tool
Mobility Scale high functioning & laundry basket
mobile, but at risk
for falls

Four Step Square Test 18+ yrs w/ CVA, Assesses client's ability to step over low Screening tool
vestibular issues, obstacle and change directions for fall
Parkinson’s, & limb risk.
loss

St. Thomas STRATIFY Adults at risk for Identify risk factors for falls in Questionnaire tool
falls hospitalized patients. Proxy report or via interview

Trunk Control Test Older adults v/ Assesses bed mobility & trunk movement Nonstandardized
CVA.

Activities-Specific Balance 18+ yrs w/ MS, Subjective measure of confidence in Self-administered or administered via
Confidence Scale (ABC- TBI, CVA, performing various ambulatory activities personal or telephone interview
Scale) vestibular issues, w/out falling or LOB
Parkinson’s
COGNITON ASSESSMENTS

Assessment Age/Population Purpose Method

Allen cognitive level screen Adults w/ cognitive Assess the cognitive level of the Standardized screening tool based on
(ACLS) or psychiatric Individual by performance of several the Allen Cognitive Disabilities Model
disorders leather lacing stiches following
instruction and/or demonstration

Mini-Mental State Exam Adults w/ dementia Measures cognitive function Quick screening tool
or at risk for (orientation, memory, attention, multi-
dementia step directions, etc.)

MoCA Older adults at risk Detects mild cognitive impairment (MCI) Quick screeening tool
of a cognitive in clients Nonstandardized
impairment. Pt and OT fill out a worksheet

Short Portable Mental Status Adults w/ cognitive Brief way to assess pt’s orientation, Short screening questionnaire
Questionnaire or psychiatric memory, and calculation
disorders

Cognistat Neurobehavioral Older adults Explores, quantifies and describes Screening tool
Cognitive Status performance in central areas of brain- Can be done when pt changes
Examination behavior relations medication
● Language,
● Spatial skills
● Memory
● Calculation
● Reasoning

Lowenstein Experienced a Measures basic cognitive function that Standardized screening tool
Occupational Therapy stroke, TBI are prereqs for managing everyday 20 subtests
Cognitive Assessments or tumor tasks in 5 areas
(LOTCA) ● Orientation
● Visual
● Spatial perception
● Vsual motor organization
● Thinking operations

Rivermead Behavioral Persons w/ Monitors memory skills through rehab Initial eval of memory function
Memory Test memory program 11 categories w/ 9 subtests
dysfunction

Saint Louis University Adults at risk of Used to identify persons who have Nonstandardized
Mental Status Exam dementia dementia or Mild Neurocognitive 30-point assessment.
(SLUMS) Impairment.

Test of Everyday Attention 18+ yrs old w/ Identify attention-related problems in Performance-based test
(TEA) brain injury, CVA, daily task performance (TEA-Ch for children)
dementia, psych
illness

Contextual Memory Test Adults w/ cognitive Assesses awareness of memory Standardized


(CMT) issues capacity, strategy use, and recall. Used
to screen for memory impairment and to
monitor changes in status.

Cognitive Assessment of Adult with neuro Assesses cognitive skills from simple to Standardized
Minnesota (CAM) injury compllex Identify general problem areas, guide
(level IV and ● Fund of knowledge, treatment, measure change, and
↑ on the RLA) ● Manipulation of old knowledge indicate
● Social awareness areas for more in-depth investigation
● Judgment, and abstract thinking

Toglia Category Assessment 18-86 yrs w/ a Assess deductive reasoning. Uses standardized questions
(TCA) brain injury, CVA, Establish categories and switch
or schizophrenia between conceptual sets.

Clinical Dementia Rating Older adults at risk Based on domains of cognition and 5-point scale categorizes levels of
for demntia functional performance, including dementia. Scale ranges from normal
memory, orientation, judgment and cognition to severe dementia.
problem solving, community affairs,
home and hobbies, and personal care.

Cognitive Linguistic Quick Adults with 5 cognitive domains (attention, memory, assessment battery
Test neurological executive functions, language, and
impairment visuospatial skills).
It includes a clock drawing test.

Neurobehavioral Cognitive Adults w/ Assesses the domains of Brief screening tool


Status Examination neuorcognitive consciousness, orientation, attention Available in paper- and computer-based
impairments span, language, constructional ability, formats
memory, calculation, and reasoning and
judgment

Short Blessed Test Older adults w/ or Identify cognitive function related to Brief 6-item assessment
at risk for dementia dementia. The test assesses the
domains of memory, orientation, and
concentration

Trail Making Test, Parts A Measures cognitive flexibility, motor Paper-and-pencil assessment
and B control, perceptual complexity, visual
scanning, and executive function
NEURO ASSESSMENTS

Assessments Age/Population Purpose Method

Glasgow Coma Scale Acute TBI Determines severity of TBI and predict Traditional assessment typically done
outcome by clinicians
● Motor
● Verbal
● Eye Opening

Ranchos Los Amigos Scale TBI Determines gross cognitive functioning Standardized
(RLA) Indicates behavior & progression of Measured on a scale from 1 - 10
function throughout the pt’s treatment

JFK Coma Recovery Scale TBI, CVA, brain Assesses a pt’s consciousness and may Standardized
tumor be used to differentiate between 23 items w/ 6 subscales
vegetative state & minimally conscious
state RLA levels I - IV
● Auditory
● Visual
● Movement
● Oral Movement
● Communication
● Arousal

Galveston Orientation and 15+ yrs old w/ TBI Evaluates Orientation & Memory prior to Administrator asks questions at pt’s
Amnesia Test (GOAT) and post injury bedside

ASIA Impairment Scale SCI Classifies the severity of an SCI Physical examination
Used to predict neurological recovery

Behavioral Inattention Adults w/ Examines presences of neglect & impact 9 activity-based subtests
Test unilateral neglect on functional task performance 6 pen/paper subtests
(CVA)

Catherine Bergego Scale Adults w/ Detect presence/degree of unilateral Observation of 10 items related to
unilateral neglect neglect neglect in everyday life
Self-awareness of behavioral neglect

Motor Assessment Scale CVA Measures the motor recovery of stroke Standardized
(MAS) victims using functional tasks. Performance-based assessment

Modified Ashworth Scale 6+ yrs old w/ CNS Measures abnormality in tone or the Ordinal scale that ranges from 0 (no
lesions resistance to passive movements increase in tone) to 5 (rigid).

Fugl Meyer Assessment of Post-CVA Measures arm & hand motor impairment Each subtest scored on a 3-point scale
Motor Recovery hemiplegic pt’s in 5 domains: Often combined w/ Brunnstrom’s
● Motor function Stages of Recovery to mark pt at a
● Sensory function certain stage (1 = flaccid → 7 =
● Balance normal)
● Joint range
● Joint pain

Chedoke Arm and Hand Measures recovery of the arm and hand Functional assessment w/ 13 items
Activity Inventory (CAHAI) post-CVA Different versions availiable depending
on the items assessed (ex- CAHAI-7
assesses the first 7 items)
Scored on a 7-point quantitative scale,
similar to the FIM
MENTAL HEALTH ASSESSMENTS

Assessment Age/Population Purpose Method

Beck Depression Adolescents & Measurement of the presence Interview or questionnaire – rate
Inventory (BDI-II) adults w/ and depth of depression feelings relative to 21 characteristics
depression (mood, pessimism, failure, social associate with depression
withdrawal, etc.) Scored 0-3 w/3 most severe

Elder Depression Scale Older adults w/ Somatic concerns, affect, cognitive 30-list checklist looking at presence of
depression impairment, feelings of characteristics associated with
discrimination, impaired motivation, depression
lack of future orientation, lack of
self-esteem

Hamilton Depression Dx of mood Measures severity of illness & Interview/consultation with family
Rating Scale disorder changes over time in ppl diagnosed Rate info obtained to 17 symptoms or
with a characteristics
depressive illness

Empowerment Scale Adults w/ Measures central component of Rating scale from 1 (strongly agree) to
mental health recovery, including: 4 (strongly disagree)
impairments Self-esteem, power, activities,
control and anger

Bay Area Functional Adults w/ Assesses cog, affective, Interview prior to assessment
Performance Evaluation psychiatric, performance + social interaction *TOA and SIS are not combined for a
(BAFPE) neurological, or skills required for ADL total BAFPE score → used as overall
developmental functional performance
dx
Task Oriented Measures skills thru tasks Observation and rating of performance
Assessment (TOA) (sorting shells, bank deposit slip,
house floor plan, block design,
draw-a-person)

Social Interaction Scale Assess general ability to relate Observations of individual in 5


(SIS) appropriately to other people situations
within the environment
(1:1, meal time, unstructured group,
structured activity group, structured
verbal group)

Comprehensive Adults w/ acute Structured method for observing Behavior is observed and rated during
Occupational Therapy psychiatric dx and rating behaviors and behavioral session doing a task selected by
Evaluation Scale (COTE changes in the areas of general, therapist
Scale) interpersonal, and task skills

House-Tree-Person Children & Assesses a person’s drawing Used by diverse professionals


Draw-A-Person Kinetic adults
Family Drawings

Magazine Picture Children, Pt is given craft supplies and asked Observation of FM skills, attention
Collage adolescents, to make a collage span, organization, etc
survivors of
traumatic
events

Goal Attainment Scaling Older children, Facilitates active participation in the Personal interview having the individual
(GAS) adolescents, goal setting process and/or caregiver identify desired
adults & intervention outcomes that are
caregivers of personally relevant to them
younger
children and/or
adults who are
unable to
participate

Occupational Adults & older Nature and extent of occupational Interview format → then scored 1-4
Circumstances adults with adaptation; based on MOHO →
Assessment Interview psychiatric dx personal causation, self-perception 3 versions specific to: physical
Rating Scale (OCAIRS) of past experiences, social disabilities, mental health, forensic
environment, physical environment, mental health
values, interests, roles, habits,
skills, readiness for change.

Occupational Adolescents & Gathers info from life history, Comprehensive interview
Performance History adults occupational performance, &
Interview-II (OPHI-II) impact of disability, illness, or other
traumatic event in persons’ life
LEISURE ASSESSMENTS

Assessment Age/Population Purpose Method

Activity Card Sort (ACS) Adults through Plevel & involvement with IADL, leisure & Person looks at cards w/ someone
elders w/ dementia social activities completing activity and they rate how
involved they are (never done, gave
up, do less than in the past, do the
same, do more)

Activity Index 65+ yrs old Determination of individual’s perception of Questionnaire w/ 23 activities
the meaning of leisure and extent the
individual participates in leisure activities

Activities Health Assessment Older adults w/ Time usage, patterns & configurations of Schedule, questions, & interview
dementia activities, roles and underlying skills and
habits

Canadian Occupational 7+ yrs old Identifies individual’s perception of Semi-structured interview w/ rating
Performance Measure satisfaction w/ performance and changes scale of problem areas
(COPM) over time in areas of self-care,
productivity, and leisure

Interest checklist Adolescents – Assessment of person’s level of interest in 80 item checklist – check level of
elderly 80 leisure activities, additional leisure interest in each activity
interests and perspective on how leisure Interview
interests and involvement has evolved
over time

Leisure Diagnostic Battery Adults Measurement of individuals leisure Questionnaire


(LDB) experience and motivational and Adapted scales = 9 – 14 yrs w/ no
situational issues that influence leisure cognitive deficits or mental retardation

Leisure Satisfaction Adults – elderly Measurement of individual’s perception Questionnaire and respond on 5-point
Questionnaire that leisure pursuits are meeting personal scale
needs in 6 needs categories

Meaningfulness of Activity Adults – elderly Measurement of level of enjoyment, Questionnaire and mark responses on
Scale motivational source, perception of rating scale
competence and participation in leisure

Minnesota Leisure Time Adults Measurement of energy expended by a Interview using list of 63 physical
Physical Activity person during engagement in leisure activities
Questionnaire activities

Occupational Self- 18+ yrs Assesses a person’s occupational 2-part self-report checklist of 21
Assessment performance & their importance everyday activities

Quality of Life Interview Measures the person’s level of function Uses subjective-based questions
using objective-based questions and life
satisfaction
DRIVING ASSESSMENTS

Assessment Age/Population Purpose Method

Assessment of Driving Adults & older Looks at: Uses different screening & assessment
Related Skills adults ● Vision: Visual acuity testing tools under the 3 domains
(Snellen), Confrontation testing
● Cognition-Perception: Trail making
test B, Clock Drawing test
● Motor Functions: Rapid walking
(e.g., TUG), ROM and MMT

Driving Health Inventory Assesses the domains of vision, Computer-based assessment battery
cognition, and motor function as they
pertain to increased crash risk

Occupational therapy driver Find pts’ strengths & weaknesses and Battery of assessments
off-road assessment pinpoint areas on which to focus during
rehabilitation without going on road

Simulator Sickness Adults & older Measures symptoms of simulator Questionnaire


Questionnaire adults at risk of car sickness. Awareness of symptoms can
sickness help with implementation of mitigation
strategies.

Driving Habits Questionnaire Older Adults Captures info about avoidance Questionnaire
behaviors that are often identified as
compensatory strategies

SAFER Driving: The Adults w/ a variety Helps pts look at their driving Self-assessment
Enhanced Driving Decisions of medical knowledge and skill in relation to their Workbook
Workbook conditions health conditions and medications.

Fitness-to-Drive Screening Older Adults Enables OT’s and family members, 54 item measure
Measure caregivers, and significant others of
older drivers to screen at-risk older
drivers

Useful Field of View Adults w/ visual- Assesses 3-part computer-based cognitive


cognitive ● Central vision loss and cognitive assessment
impairments processing speed Categorized according to a 5-point rating
● Divided attention scale ranging from very low crash risk to
● Selective attention. very high crash risk.

Cognitive Behavioral Driver’s TBI Assess cognitive and behavioral skills Computer-based neurocognitive battery
Inventory required for driving.

DriveABLE Determine driver competence consists Standardized


of two parts:
● Computer-based DriveABLE
Cognitive Assessment Tool
● DriveABLE On Road Evaluation

Porteus Maze Test 3+ yrs old Person solves a series of mazes Paper-and-pencil tracing activity
(16+ to assess for Correlated with on-road driving Not timed
driving purposes) performance.

Assessment of rules of the Assesses the areas of symbolic


road and sign recognition recognition, reasoning, and judgment
pertaining to driving rules and statutes.

Brake reaction timer Adults w/ motor Measures the time required to move Options are available to expand to
impairments the foot from the accelerator to the complex or choice reaction times in
brake in response to a stimulus such responding to multiple stimuli requiring
as a red light. choice of response.
VISUAL ASSESSMENTS

Assessments Age/Population Purpose Methods

Clock Drawing Test 18+ years old with Assesses visuospatial and praxis Nonstandardized screening tool
CVA, spatial deficits, abilities by drawing a clock Take off points for missing numbers or
and/or cognitive visual neglect
issues.

Ishihara Color Test With or at risk of Measure of color perception tests for
colorblindness red or green color deficiencies

Pelli-Robson Contrast Measures how well a person can Nonstandardized


Sensitivity Test discern objects with fuzzy, poorly Uses a chart
defined edges or low-contrast objects
that may be only slightly brighter or
darker than their surroundings

Optec Functional Visual Assesses a variety of visual skills by Performance-based test


Analyzer providing a series of illuminated slides
addressing areas such as depth
perception, acuity, contrast sensitivity,
phorias, glare recovery, and color
perception and recognition.

Letter–number cancellation Test visual scanning and selective Observation, performance-based


(Cancellation H) tests attention as pt scans a group of letters
and has to select and draw a line
through the targeted letter (H).

Motor-Free Visual Perception 4 - 95 yrs Spatial relationships, visual Quick standardized assessment
Test (MVPT-3) Visual field cuts or discrimination, figure grouond, visual Ages 4 – 10 years: Items 1- 40
w/out visual closure, & visual memory 10+ years: Items 14 – 65
impairments
Brain injuries

Symbol Digit Modalities Assesses neurocognitive function Timed test in which clients are asked to
underlying many substitution tasks, match numbers to a series of symbols
including attention, visual scanning, & according to a reference key using
motor speed. paper and pencil.

Snellen Chart Children & adults at Measures clearness of vision from far Nonstandardized screening tool
risk or have issues away
w/ visual acuity

Melbourne Low Vision ADL Assesses the impact of a person’s


Index visual impairment on ADLs and IADLs

Confrontation testing Children or adults w/ Provides a gross measurement of Performance-based


peripheral visual visual fields.
field loss “The client fixes on a central target and
acknowledges the appearance of
stimuli” in the visual fields

Amsler Grid Pts w/ macular Maitenance tool that monitors visual Visual performance-based
degeneration (AMD) changes of each eye based on how the If the pt reports sudden onset of vision
or central visual field pt sees the grid. changes, they should be instructed to
loss contact the physician immediately as it
could be indication of wet AMD

Occupational Therapy Adult 16-97 yrs old w/ Pt completes a series of visual Standardized screening measure
Perceptual Screening Test CVA perceptual tasks including agnosia, 25 items in 7 subtest areas
body scheme, unilateral neglect,
apraxia, acalculia, constructional skills,
and functional tasks
WORK ASSESSMENTS

Assessment Age/Population Purpose Method

Work tolerance screening Employed adults Assess pt’s physical and cognitive If the client does not pass, he/she is
abilities to meet the general or specific evaluated for a disability, and the
demands of the essential job functions. employer then determines whether
Done after the client has received an reasonable accommodations will allow
offer of employment, and the client is the client to carry out the job duties
hired for the position only after passing
the screening.

Valpar Component Work Adults with and Assessment of group skills that Completion of up to 23 work samples
Sample (VCWS) without disabilities are required for specific employment
tasks and basic functional capabilities

Vocational Interest, 14+ years & adults Assessment of vocational interests, Completion of 22 work samples and
Temperament and temperament and aptitudes to assist vocational interest interview
Aptitude System (VITAS) with career guidance and vocational
placement

Worker Role Interview (WRI) Adults in work Determination of psychosocial and Structured interview
hardening program environmental factor related to an
person’s past work experience job
setting and ability to return to work

Testing, Orientation and Adults with physical Assessment of individuals ability to Focuses on 14 job training areas
Work Evaluation in and/or psychiatric complete specific work samples (clerical, assembly and manufacturing
Rehabilitation (TOWER) disorders jobs are main focus)
Pre-assembled work samples to
complete appropriate to individual’s
interest

Smith Physical Capacity Performance of real or simulated work Performance-based assessment


Evaluation tasks based on person’s interests

EPIC Functional Evaluation Adults Determination of individual’s 6 modules


System capacity for lifting, carrying, climbing,
industrial pulling and pushing, balance
while walking, motor coordination,
standing, whole body ROM and
finger/hand dexterity

Functional capacity eval Adults looking to Evaluates pt’s capabilities in relation to Review of medical and work records
(FCE) return to work one of of several dimensions → Work capacity eval using real or
physical demands, critical demands of simulated work tasks
specific job, critical demands of Physical exam
occupational group, demands of Job site analysis
competitive employment
Should be done by clinicians w/ several
years experience

McCarron-Dial System (MDS 16+ with Assessment of prevocational, Standardized


neurophysiological vocational, & educational abilities of Contains multiple different sections
or neuropsych those w/ disabilities or socio cultural
impairment disadvantages
MOTOR & COORDINATION ASSESSMENTS

Assessment Age/Population Purpose Method

Purdue Pegboard Test of fingertip dexterity and assembly job Performance-based observation
simulation
● 30 second test (R hand, L hand, both
hands)
● 1-minute test – assembly

O’Conner Tweezer Test Hand eye coordination using tweezers Number of seconds to place all pins in
board using tweezers

Minnesota Manual Dexterity Gross hand and arm movement → placing Placing test – rate of hand movement
(unilateral) + turning (b/l) Turning test – rate of finger
manipulation

Crawford Small Parts Motor dexterity using tweezers & screw Scoring = time completed to finish
Dexterity Test driver assessment

Jebsen Hand Function Test Assesses hand function using simulated Short, objective test
Adults w/ ADL’s Standardized
neurological or ● Writing, simulated page turning, picking
musculoskeletal up common objects, simulated feeding,
conditions stacking, picking up large light object,
involving hand picking up large
dysfunction
9 Hole Peg Test Measures finger dexterity Observation, performance-based test

Box & Block Test of Manual Assesses unilateral gross manual dexterity Observation, performance-based test
Dexterity

Functional Dexterity Test Measures manual dexterity skills (3 jaw


chuck) for functional fine motor coordination
task performance

Moberg Pickup Test Sensibility of hand and finger in median Completed sighted and blindfolded
nerve distribution.
Place 10 items into the container as fast as
possible. One hand holds container, other
hand picks up items

Arthritis Hand Function Test Adults w/ arthritis Measures hand strength and dexterity Performance based test
(AHFT) Used to measure progress in treatment or (buttoning/unbuttoning,
pre-post operative performance – outcome fastening/unfastening, lacing and
measure tying, cutting, lifting, pouring)

Action Response Arm Test Pts w/ brain Assesses changes in limb function (from Observation, performance-based test
injury, MS, CVA hemiplegia)
Assesses ability to handle objects differing
in size, weight, and shape

Wolf Motor Function Test Pt’s w/ TBI, CVA Quantifies upper extremity (UE) motor ability Items are rated on a 6-point scale
(WMFT) through timed and functional tasks

Disabilities of the Arm, Pts w/ UE Measures disability and symptoms of the Self-report questionnaire
Shoulder and Hand (DASH) musculoskeletal arm and hand injury/disorder
disorders

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