Gross motor and fine motor module directions

1. All tests should be performed in an area that has good lighting and is free of distractions.
    Tests may be video taped.
2. Subject should wear bathing suit (preferred) or shorts and short sleeve or sleeveless T-shirt.
3. Place athletic armband on right wrist and right ankle. These should stay on for the duration of testing and will assist the evaluator in distinguishing right from left sides for several tasks.
4. Gross Motor and Timed Tasks: Use of shoes, socks and braces is item specific. No shoes, socks, or braces should be used unless item specifies that these items are allowed. No assistive devices allowed unless specified under test item.
    Fine Motor: Items are performed sitting in an appropriate size chair and table. Feet should be touching the floor. Adjust benches and Table-mate (adjustable table) appropriately or use foam blocks to accommodate sitting posture for individual subject. Elbows and forearms may be resting/supported on the table. For tasks that are tested at the tabletop may use wheelchair if needed and/or chest strap. Please note on CRF and on CE Reminder Sheet if wheelchair is used. No assistive devices or upper extremity splints allowed unless specified under test item. The only exception is a TLSO, which may be worn only if required by a post-op protocol for a child that may have had a recent spinal fusion. If TLSO used please mark on CRF and CE Reminder Sheet.
5. Demonstrations by the Clinical Evaluator (CE) are allowed. If the person being tested does not understand directions, the evaluator may demonstrate the task.
6. For fine and gross motor, if the subject does not perform the task by the third trial, discontinue and move on to the next item. For timed tasks time to perform is measured in seconds with a stopwatch. All test scores are reflective of the task achievement, not the motor performance process.
7. Safety: Sound judgment by the subject and clinical evaluator (CE) must be used to determine the safety risks involved with each task. If the subject feels uncomfortable with a task, reports pain that will limit performance of a task or the risk of falling during task performance is significantly increased, the test should not be performed. Falls can result in serious injuries in this subject population, especially in those persons with inadequate strength and function of upper extremities. If a parent/guardian says the subject may fall, do not attempt task. All subjects must be guarded appropriately for safety during all tasks, but especially during upright and timed task performance.
8. No physical assist or physical prompting that supports the trial should be given by the CE or family/guardian. Verbal encouragement may be provided using suggested directional cues. Specific, detailed directions as to how to move limbs or body to complete tasks are not allowed.
9. If a subject cannot or does not physically attempt a task, record as a 0 on the CRF.

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