1. Examination / Evaluation
Margo Prim Haynes, PT, DPT, MA, PSC
Mary Rose Franjoine, PT, DPT, MS, PSC PT

2. Data Collection Referral Medical History Overview of function Family
Environment
March 2009
Haynes and Franjoine

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

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

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

6. 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

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

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

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

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

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

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

13. 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

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