Use of the TIMP in Assessment of Motor Development of Infants With Down Syndrome
Kloze A, Brzuszkiewicz-Kuzmicka G, Czyzewski P. Use of the TIMP in Assessment of Motor Development of Infants With Down Syndrome. Pediatr Phys Ther. 2016 Spring;28(1):40-5. doi: 10.1097/PEP.0000000000000216. PMID: 27088684. Purpose: The Test of Infant Motor Performance (TIMP) is an outcome measure utilized in pediatric physical therapy to assess posture and movement patterns in infants under 4 months of age. It is considered the gold standard for infant motor performance and has been shown to predict outcomes for 12 months of age. This study assessed the utilization of the TIMP to examine motor performance in infants diagnosed with down syndrome. Study Population: Subjects were 64 infants with down syndrome with a mean adjusted age of 9.4 weeks old who had no comorbidities that could place the child at an increased risk for surgery or long-term hospitalization. The study included a control group of 77 infants with a mean age of…
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Title: VALIDITY OF THE TIMPSI FOR ESTIMATING CONCURRENT PERFORMANCE ON THE TIMP Summary: The TIMPSI (Test of Infant Motor Performance Screening Items) is used to determine postural control and selective functional movements needed by infants <5 months of age. Seeing that the TIMPSI is a shortened version of the TIMP (Test of Infant Motor Performance), the purpose of this study was to determine the validity of the TIMPSI in its estimation of concurrent performance to the TIMP. The TIMPSI tests rolling, crawling, and many activities in the prone position; however, it does not test sitting capabilities like the TIMP does. 990 infants participated in this study, all of which were classified as infants with low birth weight in the US. The Rasch model and equating method was used to calibrate responses from both the TIMP and TIMPSI (the two outcome measures used in this study) based on each subject’s skill…
Read MoreTest of Infant Motor Performance & Test of Infant Motor Performance Screening Items Article Summary
Purpose: The purpose was to determine the appropriateness of the hierarchical ordering of the test and its ability to detect variability. The researchers also wanted to determine if this test was valid and reliable with a Brazilian patient population. Study population: Study population was comprised of 650 Brazilian infants where 349 were males and 301 were females. Of these group 168 infants were preterm and 482 were full term. Infants were excluded if they had MSK disorders, genetic syndromes, congenital malformation or were currently receiving physical therapy treatment. Methods: A Portuguese version of the TIMP was performed on the research subjects in health units and follow up clinics. The test takes approximately 30-45 minutes to administer. The test was administered by a trained professional and video reordered. The test has 42 items that are either categorized as observed items (OIs) or elicited items (EIs). Observed items were answered…
Read MoreRelationship between using MRI, TIMP and GMA to assess neurodevelopment in preterm infants
Peyton C, Yang E, Kocherginsky M, et al. Relationship between white matter pathology and performance on the General Movement Assessment and the Test of Infant Motor Performance in very preterm infants. Elsevier. January 2016:23-27. Introduction: Clinicians sometimes face difficulty in choosing and administering tests on high-risk preterm infants to determine whether or not they may have a neurological impairment because there are so many tests to choose from. MRI, GMA (General Movement Assessment), and the TIMP (Test of Infant Motor Performance) are three different ways to assess neurological development in preterm infants, and they each have perks and drawbacks. In previous studies, MRIs have been found to predict outcomes based on the amount of white matter is seen in the baby’s brain. More white matter may be correlated with cognitive delay, sensory deficits, and cerebral palsy. However, MRIs do not test motor performance in infants, so they cannot be used alone…
Read MoreTest of Infant Motor Performance (TIMP)
Article Review Peyton C, Schreiber MD, Msall ME. The test of infant motor performance at 3 months predicts language, cognitive, and motor outcomes in infants born preterm at 2 years of age. Developmental Medicine & Child Neurology. 2018;60:1239-1243. : 10.1111/dmcn.13736 Purpose: To examine if motor performance scores on the TIMP measured at 3 months of age could predict cognitive and language scores on the Bayley Scales of Infant and Toddler Development 3rd edition (Bayley-III) at 2 years of age in high-risk pre-term infants. Study Population: Infants born less than 31 weeks gestational age, a birth weight no more than 1500 g, and who required oxygen at birth. Infants were excluded if they had congenital malformations, genetic syndromes, or who had severe respiratory distress. Methods: The TIMP was used to assess posture and motor control of infants at 10-15 weeks after term age. Infants were categorized as low average, below average…
Read MoreTest of Infant Motor Performance (TIMP)
Test of Infant Motor Performance (TIMP): discriminatory, predictive (according to thetimp.com) Newly launched online learning program for the TIMP 9 learning modules, which includes lectures by the TIMP designers and other workshop instructors, videos of the TIMP in action, and comprehension assessments of the material and score test item video clips $500 for individual course enrollment (discount for 4 or more enrollees) Materials required for testing: Rattle with a soft, not sharp or harsh sound. Maracha toys are suitable as are plastic eggs or boxes filled with popcorn or rice. Squeaky object with a soft, not whispery nor harsh sound; many 4-5” dog toys from pet stores are useful but latex items must be avoided. Shiny red ball approximately 55 mm or 2 inches in diameter. An age calculation wheel that allows automatic calculation of corrected age or chronologic age up to 18 weeks post-term based on expected date of birth…
Read MoreUpdate on Test of Infant Motor Performance
Cost: A few resources on thetimp.com: Reliability Assessment: $150.00 TIMP forms (available in English, Portuguese, and French): $68.00 Self-Instructional DVD: $85.00 TIMP test manual: $38.00 Time requirements: 25-35 minutes for assessment Summary of Article: Dusing S, Murray T, Stern M. Parent preferences for motor development education in the neonatal intensive care unit. Pediatr Phys Ther;2008 Winter;20(4):363-8. The purpose of this study was to determine the best way for physical therapists to provide education to parents with infants born preterm in order to improve motor development. This qualitative study used two different focus groups. One evaluated three different types of education and development of a parent education intervention. The second assessed how well the parent education intervention worked. The first focus group had 7 parents of infants born preterm and currently hospitalized in the NICU (neonatal intensive care unit). The second focus group had 4 parents of infants who were also born…
Read MoreTest of Infant Motor Performance (TIMP)
Descriptive Information: Title: Test of Infant Motor Performance (TIMP) Author: Gay Girolami , PT, PhD, C/NDT Source: www.thetimp.com Cost: 2 day workshops aerage cost are 350-400$ Purpose: Identifies infants that are high risk for poor motor performance. Also is able to show change in motor performance over time. Type of Test: test is an assessment of the posture and movement skills needed by infants for daily life activities. Target Population/Ages: 34 weeks postconceptional age through 4 months post term Time Requirements: Unspecified Test Administration: Administration: Testing reviews a total of 42 items. 13 items are observed during a period of spontaneous activity. 5 items on the test are all related to head control in supported sitting. The following series of items examine postural control in the supine position. There is also a series of prone items that can be evaluated together. The remaining items to be evaluated focus on righting reactions during tilting and sidelying as well as postural control in standing. Scoring: Correct scoring…
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