“Pierce” Active Functional Assessment (PAFA)

“Occupation/Activities Driven”

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“Pierce” Active Functional Assessment (PAFA)
  • Staff/Child Info
  • Teacher's Concerns
  • Grading
  • Play: 6(Good+)
  • Play: 5(Good)
  • Play: 4(Fair+)
  • Play: 3(Fair)
  • Play: 2(Poor+)
  • Play: 1(Poor)
  • Play: 0(Poor-)
  • Comm: 6(Good+)
  • Comm: 5(Good)
  • Comm: 4(Fair+)
  • Comm: 3(Fair)
  • Comm: 2(Poor+)
  • Comm: 1(Poor)
  • Comm: 0(Poor-)
  • Submit

Section 1


Child's Demographic Informaton
Copyright © 2016 Karen Tibbs, rights reserved. No part of this publication may be produced, reproduced, stored in a retrieval system, or transmitted in any form or means without prior consent of the publisher.

Section 2


Teacher's Concerns (Check all that apply):

Section 3


Fine Visual Motor
Play Developmental

Interface with toy(s)

Augmentative and Alternative Communication
Communication platforms/devices (Check all that apply):
Overlay Layout (Check all that apply):
Use of picture books?
Pre-Literacy/Written Expression
Written Expression (Check all that apply):
Educational Literacy
Literacy Interface (Check all that apply):
Copyright © 2016 Karen Tibbs, rights reserved. No part of this publication may be produced, reproduced, stored in a retrieval system, or transmitted in any form or means without prior consent of the publisher.

Section 4


Grading Scale and activities parameters

Grading Scale 

When assessing active visual motor movement, the tool can be placed in any position. Muscle tone and the level of physical/verbal engagement will vary at different grades. Ensure that visual contrast is addressed during testing and once you begin to engage the child/student in activities.

6 (Good+) - Intentional V/M skills: - The child can coordinate visual motor movements successfully and access the black space /small space on the push button buzzer or small tools (keyboard, pencil, iPad, and more) with or without setup and no physical and verbal cues. 

The child may require a setup to access the activity

5 (Good) – Lack of visual focus /awkward motor movement of (VM) skills- The child can coordinate visual motor movements to access the small, and medium space on the tool but lack visual attention. The child requires Verbal Cues only for redirection.  



4 (Fair +) - Deliberate Intentional VM skills:  The child can coordinate visual motor movements to access medium space on the tool. The child requires intermittent minimum physical support. 




3 (Fair) - Reflexive/hypertonic intentional V/M skills: The child can coordinate visual motor movements to access large objects exhibiting gross motor involuntary reflexive movement patterns. Visual motor skills are in sync. The movement is intentional, and goal directed. The muscle tends to increase in tone during the activity causing difficulty to control movement and target objects. Requires consistent minimum physical support and verbal cues.

2 (Poor+) –Physical guidance/ intermittently lack the visual focus for V/M skills - The child can coordinate visual motor movements to access the tool medium/large space once placed in an anti-gravity position exhibiting sporadic non-visual focus.  The child may be experiencing hypotonicity. 

Requires moderate physical and verbal guidance for push button and /or medium-large tools/objects when placed in an anti-gravity position targeting the medium/large space (communication cells) and or medium/large objects.   

1 (Poor) -Involuntary mixed movements of VM skills: The child moves body parts exhibiting no clear direction of visual motor focus. Severe physical and /or cognitive challenges. The child requires maximum physical and verbal guidance support.

0 ~ (Poor-) - Passive Movement: The student is unable to move one or more body parts requiring consistent passive movement support. The student sometimes randomly moves body parts with no clear direction and awareness of functional body movement. The student may present with severe rigidity and/or flaccidity resulting in severely limited active visual motor coordination and movements. The child requires consistent verbal and physical motor support to facilitate movement. 

Considerations of activities/occupations Parameters 

Use various size switches, writing tools, adaptive writing tools, small objects (keyboard, iPad, and more), electronic aids for daily living (EADL), 

Use small to medium-sized switches for occupations/activities requiring easy access and manipulation. Engage the child in activities such as cooking play, communication devices, sign language, and literacy. These activities should interface with medium-sized switches and other interfaces to ensure easy access.



Use activities that does not require several steps to complete with success, for example if using a switch for a toy car ensure it can be activated with one touch and an action form the toy is received. This will allow for the child to regain a sense of where his/her is in space as the car is moving.  

The child will require large specific objects/tools easy to manipulate.  Ensure that tools and activities are placed appropriately allowing for full access. The activities must be placed at a specific distance to compensate for the movement pattern (extension). Consider a table, wheelchair tray and more for child’s physical support during activities. Keep activities simple 

Use of large switches, large cell spaces, and large objects placed in anti-gravity positions. Place switches, materials, and more in a specific position that does not require a lot of movement against gravity. 

Provide the child with cause /effects, set-up is required. Ensure that the target area to access the switch is large and visually clear (bright color and good contrast). 

Provide child with simple activities that offers textures, contrast colors, easy to access and more. Easy to access with just a push/pull for example a switch. Toys that are cause and effects, books that child can press to hear, offer texture tools to touch and contrast color of toys, tools, objects and more. 

 

Section 5


Body Parts
Body Positions/Type of Assessment tool(s)
Active Functional Grades

Chin

Mouth

Head

Shoulder Right

Shoulder Left

Elbow Right

Elbow Left

Wrist/Hand Right

Wrist/Hand Left

Finger(s) Right Hand (thumb, index, middle, ring, and/or pinky)

Finger(s) Left Hand (thumb, index, middle, ring, and/or pinky)

Hip Right

Hip Left

Knee Right

Knee Left

Foot Right

Foot Left

Toe(s) Right Foot 

Toe(s) Left Foot 

Section 6

Results of Targeted Body Parts (Active Functional Visual Motor Skills)


Section 7


Copyright © 2016 Karen Tibbs, rights reserved. No part of this publication may be produced, reproduced, stored in a retrieval system, or transmitted in any form or means without prior consent of the publisher.

Section 8


PLAY
6 (Good+) - Intentional V/M Skills
Assume neurotypical vision objectives:
Goal: The student will develop/maintain active functional visual motor skills in an adaptive manner for play with or without set-up demonstrating progress in specific activities.
Low vision objectives:
Goal: The student will develop/maintain active functional visual motor skills in an adaptive manner for play with or without set-up demonstrating progress in specific activities.
Blind objectives:
Goal: The student will develop/maintain active functional motor skills in an adaptive manner for play with or without set-up demonstrating progress in specific activities.
Copyright © 2016 Karen Tibbs, rights reserved. No part of this publication may be produced, reproduced, stored in a retrieval system, or transmitted in any form or means without prior consent of the publisher.
PLAY
5 (Good) – Lack of visual focus /awkward motor movement of (VM) skills
Assume neurotypical vision objectives:
Goal: The student will develop/maintain active functional visual motor skills for play requiring only verbal cues demonstrating progress in specific activities.
Low vision objectives:
Goal: The student will develop/maintain active functional visual motor skills for play requiring only verbal cues demonstrating progress in specific activities.
Blind objectives:
Goal: The student will develop/maintain active functional motor skills for play requiring only verbal cues demonstrating progress in specific activities.
Copyright © 2016 Karen Tibbs, rights reserved. No part of this publication may be produced, reproduced, stored in a retrieval system, or transmitted in any form or means without prior consent of the publisher.
PLAY
4 (Fair +) - Deliberate Intentional movement of VM skills
Assume neurotypical vision objectives:
Goal: The student will develop/maintain active functional visual motor skills during play requiring intermittent minimum physical support demonstrating progress in specific activities.
Low vision objectives:
Goal: The student will develop/maintain active functional visual motor skills during play requiring intermittent minimum physical support demonstrating progress in specific activities.
Blind objectives:
Goal: The student will develop/maintain active functional motor skills during play requiring intermittent minimum physical support demonstrating progress in specific activities.
Copyright © 2016 Karen Tibbs, rights reserved. No part of this publication may be produced, reproduced, stored in a retrieval system, or transmitted in any form or means without prior consent of the publisher.
PLAY
3 (Fair) - Reflexive/hypertonic intentional V/M skills
Assume neurotypical vision objectives:
Goal: The child will develop/maintain active functional visual motor skills in play requiring minimum physical guidance/support and verbal cues demonstrating progress in specific activities.
Low vision objectives:
Goal: The child will develop/maintain active functional visual motor skills in play requiring minimum physical guidance/support and verbal cues demonstrating progress in specific activities.
Blind objectives:
Goal: The child will develop/maintain active functional motor skills in play requiring minimum physical guidance/support and verbal cues demonstrating progress in specific activities.
Copyright © 2016 Karen Tibbs, rights reserved. No part of this publication may be produced, reproduced, stored in a retrieval system, or transmitted in any form or means without prior consent of the publisher.
PLAY
2 (Poor+) –Physical guidance/ intermittently lack the visual focus for V/M skills
Assume neurotypical vision objectives:
Goal: The student/child will develop/maintain active functional visual motor skills in play requiring moderate physical guidance/support and verbal cues demonstrating progress in specific activities.
Low vision objectives:
Goal: The student/child will develop/maintain active functional visual motor skills in play requiring moderate physical guidance/support and verbal cues demonstrating progress in specific activities.
Blind objectives:
Goal: The child will develop/maintain active functional motor skills in play requiring moderate physical guidance/support and verbal cues demonstrating progress in specific activities.
Copyright © 2016 Karen Tibbs, rights reserved. No part of this publication may be produced, reproduced, stored in a retrieval system, or transmitted in any form or means without prior consent of the publisher.
PLAY
1 (Poor) - Involuntary mixed movements of VM skills
Assume neurotypical vision objectives:
Goal: The student/child will develop/maintain active functional visual motor skills in play requiring maximum physical guidance/support verbal cues demonstrating progress in specific activities.
Low vision objectives:
Goal: The student/child will develop/maintain active functional visual motor skills in play requiring maximum physical guidance/support verbal cues demonstrating progress in specific activities.
Blind objectives:
Goal: The child will develop/maintain active functional motor skills in play requiring maximum physical guidance/support verbal cues demonstrating progress in specific activities.
Copyright © 2016 Karen Tibbs, rights reserved. No part of this publication may be produced, reproduced, stored in a retrieval system, or transmitted in any form or means without prior consent of the publisher.
PLAY
0 (Poor-) -Passive Movement
Assume neurotypical vision objectives:
Goal: The child will develop/maintain active visual functional motor skills in play requiring continuous physical support for motor movement to occur.
Low vision objectives:
Goal: The child will develop/maintain active visual functional motor skills in play requiring continuous physical support for motor movement to occur.
Blind objectives:
Goal: The child will develop/maintain active functional motor skills in play requiring continuous physical support for motor movement to occur.
Copyright © 2016 Karen Tibbs, rights reserved. No part of this publication may be produced, reproduced, stored in a retrieval system, or transmitted in any form or means without prior consent of the publisher.
Communication and Literacy using AAC
6 (Good+) - Intentional V/M skills
Communication:
Goal: The student will develop active functional visual motor by adaptively engaging in daily communication activities with or without set-up demonstrated using specific activities.
Literacy Expression objectives:
Goal: The child will develop active functional visual motor by engaging in literacy expression activities daily in an adaptive manner with or without set-up demonstrated using specific activities.
Copyright © 2016 Karen Tibbs, rights reserved. No part of this publication may be produced, reproduced, stored in a retrieval system, or transmitted in any form or means without prior consent of the publisher.
Communication and Literacy using AAC
5 (Good) – Lack of visual focus /awkward motor movement of (VM) skills
Communication:
Goal: The student will develop active functional visual motor by adaptively engaging in daily communication activities requiring verbal Cues only for redirection demonstrated using specific activities.
Literacy Expression objectives:
Goal: The student/child will develop active functional visual motor by engaging in literacy expression daily in an adaptive manner requiring verbal Cues only for redirection demonstrated using specific activities.
Copyright © 2016 Karen Tibbs, rights reserved. No part of this publication may be produced, reproduced, stored in a retrieval system, or transmitted in any form or means without prior consent of the publisher.
Communication and Literacy using AAC
4 (Fair +) - Deliberate Intentional movement of VM skills
Communication:
Goal: The student/child will develop active functional visual motor by engaging in daily communication activities in an adaptive manner requiring intermittent minimum physical support demonstrated using specific activities.
Literacy Expression objectives:
Goal: The child will develop active functional visual motor by engaging in literacy expression activities daily in an adaptive manner with or requiring intermittent minimum physical support using specific activities.
Copyright © 2016 Karen Tibbs, rights reserved. No part of this publication may be produced, reproduced, stored in a retrieval system, or transmitted in any form or means without prior consent of the publisher.
Communication and Literacy using AAC
3 (Fair) - Reflexive/hypertonic intentional V/M skills
Communication:
Goal: The student will develop active functional visual motor skills by engaging in daily communication activities in an adaptive manner requiring consistent minimum physical and verbal cues demonstrated by engaging in specific activities.
Literacy Expression objectives:
Goal: The child will develop active functional visual motor by engaging in literacy expression activities daily in an adaptive manner with or requiring consistent minimum physical and verbal cues demonstrated using specific activities.
Copyright © 2016 Karen Tibbs, rights reserved. No part of this publication may be produced, reproduced, stored in a retrieval system, or transmitted in any form or means without prior consent of the publisher.
Communication and Literacy using AAC
2 (Poor+) –Physical guidance/ intermittently lack the visual focus for V/M skills
Communication:
Goal: The student will develop active functional visual motor by engaging in daily adaptive communication activities in an adaptive manner requiring moderate physical and verbal guidance demonstrated using specific activities.
Literacy Expression objectives:
Goal: The child will develop active functional visual motor skills in literacy expression by engaging in reading activities consistently in an adaptive manner requiring moderate physical and verbal guidance demonstrated using specific activities.
Copyright © 2016 Karen Tibbs, rights reserved. No part of this publication may be produced, reproduced, stored in a retrieval system, or transmitted in any form or means without prior consent of the publisher.
Communication and Literacy using AAC
1 (Poor) - Involuntary mixed movements of VM skills
Communication:
Goal: The student will develop active functional visual motor by engaging in daily adaptive communication activities in an adaptive manner requiring maximum physical and verbal support demonstrated using specific activities.
Literacy Expression objectives:
Goal: The child will develop active functional visual motor skills in literacy expression by engaging in reading activities consistently in an adaptive manner requiring maximum physical and verbal support demonstrated using specific activities.
Copyright © 2016 Karen Tibbs, rights reserved. No part of this publication may be produced, reproduced, stored in a retrieval system, or transmitted in any form or means without prior consent of the publisher.
Communication and Literacy using AAC
0 (Poor-) - Passive Movement
Communication:
Goal: The student will develop/maintain active functional visual motor by engaging in daily adaptive communication activities in an adaptive manner requiring continuous physical and verbal support for visual motor movement to occur.
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Literacy Expression objectives:
Goal: The child will develop active functional visual motor skills in literacy expression by engaging in reading activities consistently in an adaptive manner requiring continuous physical support for visual motor movement to occur.
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%
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Copyright © 2016 Karen Tibbs, rights reserved. No part of this publication may be produced, reproduced, stored in a retrieval system, or transmitted in any form or means without prior consent of the publisher.
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