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Purpose

Clinical Observations of Motor and Postural Skills- 2 nd Edition (COMPS-2) Becca Price & Shelby Berthelot. Purpose. Performance based screening test Descriptive measure that helps identify presence of motor problems with a postural component

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Purpose

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  1. Clinical Observations of Motor and Postural Skills- 2nd Edition (COMPS-2)Becca Price & Shelby Berthelot

  2. Purpose • Performance based screening test • Descriptive measure that helps identify presence of motor problems with a postural component • Helps identify if additional assessments need to be performed • Determine type of intervention approach to use • Children ages 5-15

  3. Items • 6 items: Slow Movements Rapid Forearm Rotation Finger-Nose Touching Prone Extension Posture Asymmetrical Tonic Neck Reflex Supine Flexion Posture

  4. Testing Procedures • Recommended to perform 6 tasks in order • Last 3 tasks must be performed in order • Use standardized methods and exact wording in bold • Therapist performs task first then instructs them to imitate

  5. Test Development and Standardization • Initial Test • Went from 19 items to 6 • Used by experienced pediatric Ots in 2 cities • 123 children age 5 to 9.11 , 67 with DCD and 56 with no know motor problem • Upward age extension • 261 children between age 10-16

  6. Psychometric Properties Validity: Content- established by expert opinion Construct- empirical item analysis Test Sensitivity: 100% for ages 5,8,9 82% for ages 6 & 7 Low percentage for ages >9.11 Criterion Concurrent- BOTMP subtests, Developmental Coordination Disorder Questionaire Predictive- Correctly classified ~ 80% of the time Reliability: Test-Retest = .92 Interrater • (4 different raters) = .87 Internal Consistency = .75 • Age 5- 9.11 = .77 • Age 10- 15.11 = .69

  7. Test Length and Cost • Takes about 15-20 minutes to administer and score • Cost: • Manual = $36 • Score Sheets = $18 for 20 sheets • Therapro.com

  8. Scoring

  9. Test Results • Less than a 0 indicates problems in motor and postural skills • Greater than a 0 indicates normal functioning in motor and postural skills • A weighted score is given for each of the 6 items and a weighted total score is given

  10. Areas of Occupation Addressed • Play • Functional Mobility

  11. Assessment Approach • Bottom up • Tests the different components of motor control • Measures: • Move slowly and symmetrically • Cerebellar-vestibular integrity • Cerebellar coordination • Vestibular-proprioceptive processing dysfunction • Degree of ATNR present • Somato-dyspraxia

  12. Where the Tool is Used • Rehabilitation Clinic/ Health Care setting • Education Setting • Private Pediatric Clinic

  13. Frame of Reference • Motor control • Movement disorder • Postural stability • Motor coordination

  14. Measurement Concerns • The assessment does not take into consideration children who have neurological or neuromotor problems, such as cerebral palsy or epilepsy. • The results do not return normative data in the way of age equivalence. • The assessment is not meant to measure change in motor function over time.

  15. References • Clinical Observations of Motor and Postural Skills: 2nd Edition (COMPS). (2012, January 1). Retrieved May 30, 2014, from http://www.therapro.com/Clinical-Observations-of-Motor-and- Postural-Skills-2nd-Edition-COMPS-P7628.aspx • Wilson, B., et al. (1992). Reliability and construct validity of the clinical observations of motor and postural skills. The American Journal of Occupational Therapy, 46(9), 775-783 • Wilson, B., Pollock, N., Kaplan, B., & Law, M. (2000). Clinical Obervations of Motor and Postural Skills (COMPS-2) ( 2nd ed.). Framingham, MA: Therapro, Inc.

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