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

Child’s Function Attributes: Facilitators? Barriers? What ? How ? Why? Facilitators? Barriers? Potential for change March 2009 Haynes and Franjoine

Posture & Movement System Postural Control Balance Coordination March 2009 Haynes and Franjoine

Posture & Movement System Alignment BOS <-> COM Tone March 2009 Haynes and Franjoine

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

System Integrity & Impairments Musculoskeletal ROM, joint and soft tissue Skeletal abnormalities March 2009 Haynes and Franjoine

System Integrity & Impairments Sensory Somatosensory Sensory processing Vision Hearing Vestibular Multisystem effect (motor planning) March 2009 Haynes and Franjoine

System Integrity & Impairments Respiratory Rate, Patterns, Regulatory Arousal Emotions March 2009 Haynes and Franjoine

System Integrity & Impairments Cardiovascular Heart rate, Blood pressure Aerobic capacity March 2009 Haynes and Franjoine

Evaluation Strengths Needs Child’s abilities March 2009 Haynes and Franjoine

Evaluation Link Impairments to Function System impairments Ineffective postures and movement Functional limitations Barriers to participation March 2009 Haynes and Franjoine

Examine Child’s Motor Functions Synthesis & Analysis Impairments “The Laundry List” Reexamine Prioritize Key Impairments Based on Function Identify Primary & Secondary Impairments Develop Intervention Strategies Establish Outcomes Predicting Potential for Success Analyze Effectiveness of Intervention Strategy Implement Intervention Strategies March 2009 Haynes and Franjoine

Examination / Evaluation Modified from “NDT Assessment 05” MP Haynes & J Styer-Acevedo