PEABODY DEVELOPMENTAL MOTOR SCALE (PDMS-2) Prepared by Nadia Wasila bt Md Noor. 22.7.2021 PDMS-2 Overview Purpose 1. Evaluates children with disabilities/and or atypical motor development 2. Evaluates Fine and Gross Motor Developmental Skills 3. To evaluate progress 4. Estimate child’s performance comparison to peers Subtests 6 No of items 225-241 Age 0 – 5 years Duration 60 mins 45-60: entire PDMS 20-30: GM/FM composites separately Condition Cerebral palsy Developmental delay/GDD Down syndrome Used by Diagnostic, OT,PT, psychologist, early intervention specialists, PE teacher. PDMS-2 Test kits Equipment Test Kit (Forms) Desk/table 2 chairs Stopwatch Manual Test kits:. 1 black shoelace 6 square beads 12 cubes 1 bottle with screw-on cap 1 large button strip 1 pegboard 3 pegs 1 formboard 3 forms 1 lacing card 1 measuring tape 1 roll 2-inch wide masking tape Blackline masters Three shape cards Item to prepare: Rattle Soft plush toy Small toy on string Empty soft drink can 8-inch ball Tennis ball Cup Spoon Washcloth 10-15 sheets of paper (8 1/2 X 11inch) Pencils, crayons and markers Blunt scissors Large pull toy (e.g., wagon) Book with thick cover pages Food pellets (e.g., cereal) 4 to 5 feet of heavy string or rope Stairs with 7-inch rise Sturdy object (16 to 21 incheshigh) Mat Stopwatch PDMS-2 Subtests For age No of Items Quotients Subtest Gross motor 1. Reflexes (Re) 8 2. Stationary (St) 30 Sustain body control within COG and retain equilibrium. 89 Transport body from 1 BOS to another. 24 Throw, catch, kick balls. 26 Hand and finger skills. 72 Integrate & use visual perceptual skill to do eyehand coordination. 0-12 mo 3. Locomotion (Lo) 1y-5y 4. Object manipulation (Ob) Fine motor 5. Grasping (Gr) 6. Visual Motor Integration (Vi) All age Automatic reaction. PDMS-2 Administration 1. Refer to: Guide to Item Administration Examiner’s Manual Scoring Criteria: Score items: 2, 1, 0 2= Mastered, 1= Not Fully, 0= cannot or will not attempt. 2. Record the score in the Examiner Record Booklet (Blue). 3. Profile/Summary Form (Red PDMS-2: Where To Start 1. Entry Point- child’s age or item child can successfully complete 2. Basal Level- child receives score of 2 on three items in a row 3. Ceiling Level- child receives score of 0 on three items in a row 4. Note: Anything below the basal level is given a 2 and added to the subtest raw score. PDMS-2: Basal Level – scored 2 in a row PDMS-2: Ceiling Level – scored 0 in a row 1. Raw Scores: Add scores from each subtest 2. Age Equivalents: 1. Raw scores are converted to age equivalents 3. Standard Scores compare across subtests 4. Quotients: GMQ, FMQ, TMQ (gross, fine, total motor) 5. Percentile Score are values that are equal to or below standard sampled. Derived from subtests and quotients. PDMS-2: Raw score to Std Score & %ile Appendix A Converting raw scores to Std score and Percentile Page 73 PDMS-2: Age equivalent Age Equivalent: 1. In months, for each raw score. 2. Compare the age equivalent to the child’s age 3. Needs to be 25% delayed to qualify for services Appendix C Converting raw scores to age equivalent Page 117 PDMS-2: Quotient & Percentile Derived from Sum of Std Score GMQ: Gross Motor Quotient FMQ: Fine Motor Quotient TMQ: Total Motor Quotient Appendix B Converting Sum of Subtest Scores to Percentile & Quotient Page 111 PDMS-2: Interpret result Using Standard score Child is 30 months old Stationary Raw Score is 30 Standard Score= 8 (Examiner’s Manual pg. 31) Interpretation: Average Using Quotient Score To summary 1. Get the child chronological age (Eg, child age 44mo) 2. To begin: Look at the black highlight (Start: At 43-46 mo) 3. Can go backward until, scored 2 (for 3 times). Proceed forward a bit after the starting age, until scored 0 (for 3 times) 4. Count raw score. The item before (3 consecutives “2”), automatically become 2 (so scored 2 all the way to number 1. 5. Count all the scores. Raw score obtain, the rest of other score to refer tables from book. 6. Assess child by observing doing the activity. Scored 0/1/2. 7. Fill up all the scores, graph. 8. Interpretation (may refer to standard/quotient score): • • Child A perform average for locomotion and stationary Child A scored below average…. Bailey Scale of Infant & Toddler Development Bayley Scale of Infant and Toddler Development Observation checklist Bayley Scale of Infant and Toddler Development Screener Domains Bayley Scale of Infant and Toddler Development Overview 5 domains Administration • • • • • • Individual Cognitive Language Motor Social – emotional Adaptive behaviour • Paper/pencil • Duration: 30-90 min • Age: 1 mo – 42 months Scores Purpose • • • • • • • Identify infants & toddlers with developmental delay • Assist in intervention planning • Monitor child’s progress following Intervention • Conduct research Scales scores Composite scores Percentile ranks Confidence intervals Developmental age equivalent Growth scale values Overview Condition Cerebral palsy Developmental delay/GDD Down syndrome Autism Spectrum Disorder Pervasive developmental disorder Specific language impairment Premature Prenatal alcohol exposure Used by Diagnostic specialist, school psychologist, OT, PT, speech pathologist, Manual kits - Administration manual Technical manual Stimulus manual Cog, Lang/Motor Booklet Social Emo/Adaptive Beh. Booklet Caregiver Report Cognitive, Language, Motor Direct observation Social-emotional and adaptive behaviour Structured parent/caregiver questions Cognitive • Infant: interest, attention/habituation , play Domains • Toddler: exploration, problem solving, puzzle • Preschool: pretend play, building blocks, colour matching, counting, complex puzzles. Language • Receptive Communication (RC) • Infant: recognize sound. Object, people • Toddler: identify object and pictures, identify action pictures, understand basic grammar • Preschool: follow more complex directions, play peek-a-boo, byebye • Expressive communication (EC) • Infant: non-verbal expression • Toddler: use word to identify pictures, answer questions • Preschool: more complex stimuli than toddler Motor • FM • Infant: following with eyes, hand to mouth, reaching/grasping • Toddler: stacking blocks, draw simple shapes, place coins in slots • Preschool: draw complex shapes, build simple structure, use scissors. • GM • Infant: head control, roll, sit, crawl. • Toddler: crawl, stepping, support own weight, stand w/o assistance • Preschool: climb stairs, run, maintain balance, kick a ball Socialemotional • (Feedback by caregiver) • Infant: interest, getting attention, calming, responsiveness • Toddler: means/ends behaviour, imitation play, imagination, word use • Preschool: interactions with peers/adults, describe feelings, use emotions. Adaptive behaviour • Communication • Community use • Functional preacademics • Home living • Health and safety • Leisure • Self-care • Self-direction • Social • Motor Ways to Administration 1. 2. 3. 4. 5. 6. 7. 8. Individual Play-based format Direct observation of behaviour & milestone Child’s developmental history Interview caregiver/parent Observation of child at play Observation of parent-child interaction Observation of child’s responses to evaluator Administration 1. Identify start point - child’s age, or adjusted age. 2. The reverse rule is followed if the child is unable successfully to complete any of the first three consecutive items from the start point, resulting in the clinician administering items from the start point for the previous age. 3. After the child obtains a score of 1 on all of the first three items from the start point, 4. Additional items are administered in order until the child receives scores of 0 on five consecutive items - subtest is discontinued. 5. Level of difficulty- early appearing items are easier than laterappearing items. Start point 1. Use Table B.1 (Age Equivalent) in Administration Manual for starting point. How to administer Cognitive test Motor Test - FM Score Report 1. Score/Interpretation – index score and subtest scaled score Bailey Infant Neurodevelopment Screener Record Form (2 sided page only) Overview Purpose - A screening tool Identify infant with developmentally delay or have neurological impairments. Area Basic neurological function/intactness Receptive fx Expressive fx Cognitive process Standard procedure Any change in item (become more difficult/easier) will diminish the validity of the test. Subtests 6 items (Each set contain 11-13 items) Age 3 mo – 24 mo Duration 10 mins Depend on infant age, behaviour and emotional state. Should be administered in single session. Scoring 0 point = nonoptimal 1 point = optimal Low risk Moderate risk – recommended to re-evaluate after 3 month High risk – need further diagnostic test Used by Developmental paediatric, psychologist, paediatric nurse practitioner, OT, PT, early childhood specialist Test material Condition 1. Premature 2. Low birth weight 3. Respiratory distress syndrome 4. Apnea 5. Intrauterine exposure to drugs 6. Bronchopulmonary dysplasia 7. Seizures 8. Small for gestational age 9. Asphyxia 10. HIV Administration Item title Same with BSID-II on both tests, the scoring maybe different. Position • • • • • • Materials Can include personal items that the infant likes Administration Item may need to be administered max no of times/trials – can discontinue the item when the infant meet the criteria. If infant not attending to the stimuli (attention wanders), readminister the stimuli. Some item need to be timed (approximation, no need the stopwatch) All item should be administered (cannot skip any) Starting position at the right of item title. Supine: infant should be lying on her/his back, with head in midline unless otherwise indicated. Prone: infant should lie on the stomach Seated: infant seated on exam table, in caregiver’s lap, child-sized chair, or on exam surface. Standing: standing alone or with support. Upright: lifted in vertical position, with feet several inches above exam surface. Therapist hand under infant’s armpits and spread fingers across infant’s back to support. Record form Demographic data Name, caregiver’s name, daycare/nursery, Teacher’s name, examiner’s name, reason for referral, comment Date Term date: DOB: Date of testing: DOB: Chronological age: Adjustment for prem: Corrected age: Rounded the age Eg: 1y 0mo 23days 1 y 1mo 0days ( becoz > 16 days) Eg: 1y 0 mo 14 days 1y 0 mo 0day (becoz <15days) Score box Enter 1 (optimal performance) or 0 (nonoptimal performance) in score box. Sum the items score in the box. Total score (ability scores) Summary (Total Score) Cut score – Low, Moderate, high