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Jul 15, 2023 •274 likes •557 views

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

  1. Can informal assessments be used in FASD diagnosis? Graphomotor examples from the Lililwan Project Dr Robyn Doney Occupational Therapist

  3. The Lililwan Project Aims Methods Findings Significance Background

  4. The Lililwan Project Stage 2 • Multidisciplinary May - October 2011 n = 108 assessment ➢ Paediatrician ➢ Speech pathologist ➔ ➢ Psychologist ➢ Occupational therapist ➢ Physiotherapist ➢ Audiologist ➢ Opthalmologist Aims Methods Findings Significance Background 4

  5. 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

  6. Methods • Handwriting • Drawing Informal assessments • Fine motor skills • Visual-motor integration Formal • Sensory processing assessments Background Aims Methods Findings Significance

  7. Assessment Tool: BOT2 Fine Motor Composite Fine Manual Manual Control Coordination Fine Motor Fine Motor Manual Upper-Limb Precision Integration Dexterity Coordination Background Aims Methods Findings Significance

  8. Bruininks-OseretskyT est of Motor Proficiency: Fine Motor Skills 60 No PAE PAE, no FASD FASD 50 Standard score 40 30 Fine Motor Fine Manual Control Manual Coordination FASD < No Composite FASD < No PAE PAE p < .05 Robyn Doney p < .05

  9. Assessment Tool: Beery VMI Background Aims Methods Findings Significance

  10. Beery-Buktenica Developmental T est of Visual-Motor Integration 100 95 90 85 80 75 70 Visual-Motor Visual Perception Motor Coordination Integration FASD < No PAE No PAE PAE, no FASD FASD p < .05 Robyn Doney

  11. Assessment Tool: Sensory Profile Background Aims Methods Findings Significance

  12. Informal Assessments Drawing Sentence Name of self Background Aims Methods Findings Significance

  13. Informal Assessments: Observations Core Concentration strength Following Sensory Pencil grasp instructions issues Tremor Handedness Sitting Writing Vision posture pressure BUILDING RAPPORT Background Aims Methods Findings Significance

  14. Informal Assessments: Analysis Evaluation T ool of Children’s Handwriting Miller Function and Participation Scales (ETCH) (M-Fun) Background Aims Methods Findings Significance

  15. Handwriting Results 85 80 75 70 65 60 55 50 45 Name: Letter Sentence: Letter Sentence: Word legibility legibility legibility No PAE PAE, no FASD FASD Background Aims Methods Findings Significance

  16. Drawing Results 14 12 10 8 6 4 Body awareness Motor accuracy Total score No PAE PAE, no FASD FASD Background Aims Methods Findings Significance

  17. Sentences No prenatal alcohol exposure (No-PAE) Prenatal Alcohol Exposure (PAE) Background Aims Methods Findings Significance

  18. Sentences No PAE PAE Background Aims Methods Findings Significance

  19. Sentences No PAE PAE

  20. Drawings PAE No PAE Background Aims Methods Findings Significance

  21. Drawings No PAE PAE Background Aims Methods Findings Significance

  22. Drawings No PAE PAE Background Aims Methods Findings Significance

  23. Drawings No PAE PAE Background Aims Methods Findings Significance

  24. Drawings No PAE PAE Background Aims Methods Findings Significance

  25. Background Aims Methods Findings Significance

  26. Conclusions CLINICAL REASONING Background Aims Methods Findings Significance

  27. Thankyou ☺

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