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Clinical Observations of Motor and Postural Skills-2 Edition (COMPS-2)

The Clinical Observations of Motor and Postural Skills- 2nd Edition (COMPS-2) is a performance-based screening test used to identify motor problems with a postural component in children ages 5-15. It consists of 6 tasks that assess abilities such as slow movements, rapid forearm rotation, and prone extension posture. The COMPS-2 takes 15-20 minutes to administer and provides a weighted total score to help determine if further assessment or intervention is needed. It was standardized on over 500 typically developing children and those with developmental coordination disorder. The assessment uses a bottom-up approach to evaluate different components of motor control.

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Jhon Liev
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3K views16 pages

Clinical Observations of Motor and Postural Skills-2 Edition (COMPS-2)

The Clinical Observations of Motor and Postural Skills- 2nd Edition (COMPS-2) is a performance-based screening test used to identify motor problems with a postural component in children ages 5-15. It consists of 6 tasks that assess abilities such as slow movements, rapid forearm rotation, and prone extension posture. The COMPS-2 takes 15-20 minutes to administer and provides a weighted total score to help determine if further assessment or intervention is needed. It was standardized on over 500 typically developing children and those with developmental coordination disorder. The assessment uses a bottom-up approach to evaluate different components of motor control.

Uploaded by

Jhon Liev
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PPT, PDF, TXT or read online on Scribd
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Clinical Observations of Motor

nd
and Postural Skills- 2 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
• Helps identify if additional assessments need to be
performed
• Determine type of intervention approach to use
• Children ages 5-15
Items
• 6 items:
Slow Movements
Rapid Forearm Rotation
Finger-Nose Touching
Prone Extension Posture
Asymmetrical Tonic Neck Reflex
Supine Flexion Posture
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
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
Psychometric Properties
Reliability: Validity:
Test-Retest = .92 Content- established by expert
opinion
Interrater Construct- empirical item analysis
• (4 different raters) = .87 Test Sensitivity:
100% for ages 5,8,9
Internal Consistency = .75
82% for ages 6 & 7
• Age 5- 9.11 = .77 Low percentage for ages >9.11
• Age 10- 15.11 = .69 Criterion
Concurrent- BOTMP subtests,
Developmental Coordination
Disorder Questionaire
Predictive- Correctly classified ~
80% of the time
Test Length and Cost
• Takes about 15-20 minutes to
administer and score
• Cost:
– Manual = $36
– Score Sheets = $18 for 20 sheets
– Therapro.com
Scoring
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
Areas of Occupation Addressed
• Play
• Functional Mobility
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
Where the Tool is Used
• Rehabilitation Clinic/ Health Care setting
• Education Setting
• Private Pediatric Clinic
Frame of Reference
• Motor control
– Movement disorder
– Postural stability
– Motor coordination
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.
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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