What are the measures that you use frequently in pediatric neurorehabilitation?
Answer
In kids over the age of 12, we will do a SCIM. For kids under the age of 12, we will do a WeeFIM. At this point, we do a box and blocks test or a 9-hole peg test. Kids that were injured really young and therefore having developmental issues, we will do the Peabody. I always say that I want to try and use the COPM more, but I will be honest, I do not use the COPM often and I think that is because it is a time issue. We do always complete strength testing, manual muscle testing, pinch test, and dynamometer. That is across the board for all of our kids. After these tests are completed and depending on a child's level of function, we will also do something more or less specific. For example, with our upper extremity patients we will do things that will cue the capabilities of the upper extremity and for the kids who are walking, we will do a 6-minute walk. These things are not validated in kids but are the best option right now.
Rebecca Martin, OTR/L, OTD, CPAM, CKTP
Rebecca Martin, OTR/L, OTD, is the manager of Clinical Education and Training with the International Center for Spinal Cord Injury at Kennedy Krieger Institute, where she has been since 2005. Rebecca received a bachelor’s degree in occupational therapy from Boston University in 2001 and her Doctor of Occupational Therapy degree from Rocky Mountain University in 2009. She is certified in physical agent modalities and Kinesiotaping. Her experience spans inpatient and outpatient therapy for both children and adults with a variety of neurological diagnoses. Prior to joining the center, Rebecca worked in pediatric neurorehabilitation with the May Institute in Boston, MA. Her research interests are in the restoration of UE function with FES. She has presented her research in ABRT and training materials nationally and internationally.
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