can informal assessments be used in fasd diagnosis?€¦ · can informal assessments be used in...
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Can informal assessments be used in
FASD diagnosis?
Graphomotor examples from the
Lililwan Project
Dr Robyn Doney
Occupational Therapist
The Lililwan Project
Background Aims Methods Findings Significance
4
The Lililwan Project
Stage 2•Multidisciplinary assessment ➢ Paediatrician➢ Speech pathologist➢ Psychologist➢Occupational therapist➢ Physiotherapist➢Audiologist➢Opthalmologist
May - October 2011n = 108
➔
Background Aims Methods Findings Significance
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
Methods
Informal assessments
• Handwriting
• Drawing
Formal assessments
• Fine motor skills
• Visual-motor integration
• Sensory processing
Background Aims Methods Findings Significance
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
Bruininks-Oseretsky Test 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
Stan
dar
d s
core
FASD < No
PAE
p < .05 Robyn Doney
Assessment Tool: Beery VMI
Background Aims Methods Findings Significance
Beery-Buktenica Developmental Test 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
Assessment Tool: Sensory Profile
Background Aims Methods Findings Significance
Informal Assessments
Name Sentence Drawing of self
Background Aims Methods Findings Significance
Informal Assessments: Observations
Pencil grasp
Vision
Core strength
Tremor
Sensory issues
Sitting posture
Concentration
Handedness
Following instructions
Writing pressure
BUILDING RAPPORTBackground Aims Methods Findings Significance
Informal Assessments: Analysis
Evaluation Tool of Children’s Handwriting
(ETCH)
Miller Function and Participation Scales
(M-Fun)
Background Aims Methods Findings Significance
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
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
Sentences
No prenatal alcohol exposure (No-PAE) Prenatal Alcohol Exposure (PAE)
Background Aims Methods Findings Significance
Sentences
No PAE PAE
Background Aims Methods Findings Significance
Sentences
No PAE PAE
DrawingsNo PAE PAE
Background Aims Methods Findings Significance
DrawingsNo PAE PAE
Background Aims Methods Findings Significance
DrawingsNo PAE PAE
Background Aims Methods Findings Significance
DrawingsNo PAE PAE
Background Aims Methods Findings Significance
DrawingsNo PAE PAE
Background Aims Methods Findings Significance
Background Aims Methods Findings Significance
Conclusions
CLINICAL REASONINGBackground Aims Methods Findings Significance
Thankyou ☺