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Can informal assessments be used in FASD diagnosis?
Graphomotor examples from the Lililwan Project
Dr Robyn Doney Occupational Therapist
be used in FASD diagnosis? Graphomotor examples from the Lililwan - - PowerPoint PPT Presentation
be used in FASD diagnosis? Graphomotor examples from the Lililwan - - PowerPoint PPT Presentation
Can informal assessments be used in FASD diagnosis? Graphomotor examples from the Lililwan Project Dr Robyn Doney Occupational Therapist The Lililwan Project Aims Methods Findings Significance Background The Lililwan Project Stage 2
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The Lililwan Project
Background
Aims Methods Findings Significance
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4
The Lililwan Project
Stage 2
- Multidisciplinary
assessment ➢ Paediatrician ➢ Speech pathologist ➢ Psychologist ➢ Occupational therapist ➢ Physiotherapist ➢ Audiologist ➢ Opthalmologist
May - October 2011 n = 108
➔
Background
Aims Methods Findings Significance
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Neurodevelopmental Impairment
- 1. Soft neurological signs
a) Fine motor skills b) Gross motor skills c) Visual-motor integration d) Visual perception e) Sensory function f) Articulation g) Phonology h) Motor speech
Background Aims Methods Findings Significance
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Methods
Informal assessments
- Handwriting
- Drawing
Formal assessments
- Fine motor skills
- Visual-motor integration
- Sensory processing
Background Aims Methods Findings Significance
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Assessment Tool: BOT2
Fine Motor Composite Fine Motor Precision Fine Motor Integration Manual Dexterity Upper-Limb Coordination Fine Manual Control Manual Coordination
Background Aims Methods Findings Significance
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Bruininks-OseretskyT est of Motor Proficiency: Fine Motor Skills
30 40 50 60
Fine Motor Composite Fine Manual Control Manual Coordination No PAE PAE, no FASD FASD
FASD < No PAE p < .05 Standard score FASD < No PAE p < .05 Robyn Doney
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Assessment Tool: Beery VMI
Background Aims Methods Findings Significance
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Beery-Buktenica Developmental T est of Visual-Motor Integration
70 75 80 85 90 95 100
Visual-Motor Integration Visual Perception Motor Coordination No PAE PAE, no FASD FASD
FASD < No PAE p < .05
Robyn Doney
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Assessment Tool: Sensory Profile
Background Aims Methods Findings Significance
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Informal Assessments
Name Sentence Drawing
- f self
Background Aims Methods Findings Significance
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Informal Assessments: Observations
Pencil grasp Vision Core strength Tremor Sensory issues Sitting posture Concentration Handedness Following instructions Writing pressure
BUILDING RAPPORT
Background Aims Methods Findings Significance
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Informal Assessments: Analysis
Evaluation T
- ol of Children’s Handwriting
(ETCH) Miller Function and Participation Scales (M-Fun)
Background Aims Methods Findings Significance
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Handwriting Results
45 50 55 60 65 70 75 80 85
Name: Letter legibility Sentence: Letter legibility Sentence: Word legibility
No PAE PAE, no FASD FASD
Background Aims Methods Findings Significance
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Drawing Results
4 6 8 10 12 14
Body awareness Motor accuracy Total score
No PAE PAE, no FASD FASD
Background Aims Methods Findings Significance
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Sentences
No prenatal alcohol exposure (No-PAE) Prenatal Alcohol Exposure (PAE)
Background Aims Methods Findings Significance
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Sentences
No PAE PAE
Background Aims Methods Findings Significance
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Sentences
No PAE PAE
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Drawings
No PAE PAE
Background Aims Methods Findings Significance
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Drawings
No PAE PAE
Background Aims Methods Findings Significance
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Drawings
No PAE PAE
Background Aims Methods Findings Significance
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Drawings
No PAE PAE
Background Aims Methods Findings Significance
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Drawings
No PAE PAE
Background Aims Methods Findings Significance
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Background Aims Methods Findings Significance
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Conclusions
CLINICAL REASONING
Background Aims Methods Findings Significance
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