Sipt
Sipt
INTEGRATION
AND PRAXIS TEST
4. Purpose* – This test assesses motor planning and sensory integration in children
that looks at the following 17 areas
1. Space Visualization
2. Figure‐Ground Perception
3. Standing/Walking Balance
4. Design Copying
5. Postural Praxis
6. Bilateral Motor Coordination
7. Praxis on Verbal Command
8. Constructional Praxis
9. Postrotary Nystagmus
10. Motor Accuracy
11. Sequencing Praxis
12. Oral Praxis
13. Manual Form Perception
14. Kinesthesia
15. Finger Identification
16. Graphesthesia
17. Localization of Tactile Stimuli
APPROPRIATE USE OF SIPT
• The SIPT was designed for use with children from 4 years of age through 8 years, 11
months, of age.
• Most testable children with learning, behavioral, or developmental irregularities are
suitable candidates for most of the tests.
• The tests included in the SIPT are of performance type.
• The interpretation of SIPT scores requires some theoretical understanding of
sensory integration and praxis.
• It is recommended that the test be given in two sessions, if it is necessary to give
SIPT in single sitting, a break is recommended after the first testing of Postrotary
Nystagmus.
• The administration time for the SIPT ranges from 1½ to 2 hours, with an additional
30 to 45 minutes for the test user to prepare the protocol sheets for computer
scoring.
• The completed protocol sheets are then sent to Western Psychological
Services(WPS) for final computer scoring and preparation of a WPS TEST REPORT.
GENERAL ADMINISTRATION GUIDELINES
• TEST SETTING
The SIPT should be administered individually in a quiet, well-lit room that is free of
distraction.
The room should contain a child's table and two children's chairs.
• TEST MATERIALS
space visualisation placement card, form board, blocks, and pegs
Shield
Masking tape
Test manual
Carrying case
Using the WPS TEST REPORT™ Mail-in Scoring Service for the SIPT
To use the mail-in scoring service, record the child's SIPT performance on the WPS TEST
REPORT™ mail-in protocol sheets (answer sheets) and then send the completed protocol sheets
to WPS for scoring.
The price of the protocol sheets includes the cost of scanning the forms, computer scoring the
results, printing a report, and return mailing.
SPACE VISUALISATION
Materials
• 2 plastic form boards (1 with an egg-shaped hole, 1 with a diamond-shaped hole)
• 8 blocks (4 egg-shaped and 4 diamond-shaped)
• 2 pegs
• placement card
• protocol sheet
• stopwatch
In this test, the child is asked to choose which of two blocks will fit the hole in the
form board. If you are right- handed, seat the child to your left at the table and
place the protocol sheet to your far right. If you are left-handed, you may wish to
seat the child to your right and place the protocol sheet to your far left.
PLACEMENT AND HANDLING OF MATERIALS
1. Seat the child to your left at the table if you are right-handed.
2. Place the protocol sheet and placement card to your right. It may be necessary to
shield these materials from older or very sophisticated children.
3. One form board is always on the table in front of the child; the other is in your lap.
4. From the placement card, pick up the left block with your left hand and the right
block with your right hand, positioning them appropriately before placing both
blocks simultaneously in front of the child.
5. Place the blocks at the midline of the child with a 5 cm (2-inch) space between them.
6. Place the blocks with white side up; do not allow the child to turn over the blocks.
7. Start the stopwatch immediately following placement of the blocks.
8. Note the time as soon as the child indicates his or her choice.
9. Restrict impulsive action; if necessary, remind the child to look at both blocks before
deciding.
10. The child must understand that moving a block counts as a choice. (After Item 3 or 4,
reinforce the importance of looking carefully.)
11. If the child does not try the chosen block in the hole, ask him or her to do so.
12. If the child is unable to handle block placement, assist.
13. Record accuracy, hand used, and time.
14. It is possible for the child to respond in 0 seconds.
15. Selection of the wrong block, or no selection in 25 seconds, constitutes an error.
Indicate number of errors on the protocol sheet as they occur.
16. If the child selects the wrong block, ask the child to try the other block.
17. The correct block is always in the form board before the next item is presented.
18. If you are right-handed, remove the blocks and form board from the last item with
your left hand and place the new form board at the same time with your right hand.
19. If the same form board is used, leave it on the table and change the peg in front of
the child.
20. Discontinue the test after five errors, not necessarily consecutively.
21. After the test is completed, fill in the circles corresponding to the time on each item.
Time must be recorded as two digits (e.g., "06" for 6 seconds).
FIGURE GROUND PERCEPTION
Materials
• book of test plates (2 pairs of trial plates and 16 pairs of test plates, each pair containing a
stimulus plate and a response plate)
• protocol sheet
• stopwatch
In this test, the child is asked to look at the upper stimulus picture of superimposed
or embedded figures and then find three figures from the six figures in the lower
response plate that are part of the upper design.
The other three pictures in the response plate do not appear in the upper stimulus
figure; they serve as distractors to the child.
Seat the child to your left at the table if you are right‐ handed.
The child responds by pointing to the figures on the response plates that correspond
to and are like the stimulus figures. No verbal response is required. The child's
responses and response time for each item are recorded
PLACEMENT AND HANDLING OF MATERIALS
1. Seat the child to your left at the table if you are right handed.
2. There are two trial items : the first is before item 1 and the second is before item 9
3. The child should understand that three figures are correct
4. Start the stopwatch immediately after turning the page
5. A maximum of 60 seconds is allowed for each test plate.
6. The child is allowed to change his or her response within 60 sec.
7. If the item become too difficult, encourage the child to choose rather than omit an
item. Also encourage the child to make a choice quickly if 50 seconds have elapsed
before three choices are made
8. An error is scored for incorrect choice or a choice which was not made within 60
seconds.
9. Do not tell the child which items are correct (except on trial items)
10. Record the child's three selections . Do not mark any selection made after 60
seconds. Record the cumulative number of errors and the number of errors per
items .
11. If the child chooses four or more figures on one plate, ask the child to just choose
three.
12. Note the time at which the child has made his other choices for that item. Record
time to the nearest whole second.
13. Discontinue after seven errors, if four errors were made in the last three plates
attempted, continue until four errors are made on three consecutive errors
14. Do not record responses following the final error, but let the child finish the item.
The time recorded for the final plate is the time at which the final error was made.
15. After the test is completed, fill in the circles corresponding to the time on each
item. Time must be recorded as two digits
Series I Trial Item
The plates in Series I contain pictures of common objects. Begin by opening the book of test plates to
the first trial item, Plates IA and 1B (see Figure 7), and place the book on the table in front of the child.
The main concept the child is to grasp during this trial item, if possible, is that three pictures or designs
on one plate are correct and three are not. Pointing appropriately, say:
"Three of these pictures (point to Plate 1B) are up here. (Point to Stimulus Plate IA.) Which three are
they?"
After the child points to the three correct pictures in Response Plate 1B, point out the three pictures not
in
Stimulus Plate IA and say:
"These three are not up here, are they?"
Then say:
"That is the way it will be each time I turn the page.
Find three pictures down here which are up here. Look carefully because it can be tricky."
If an error is made on the demonstration Plates IA and 1B, correct the child and give further explanation.
Responses on the trial item are not recorded
Series I Test Items
Then turn the page to Plates IA and 1B and immediately start the stopwatch. Allow 60 seconds for the
child's responses on each plate.
On the protocol sheet, fill in the circles corresponding to the child's choices (see sample in Figure 8). Be
sure to fill in only three circles for each item. Erase any marks indicating choices made but then changed
to another choice. Only response circles representing final choices should contain pencil marks.
If two errors are made on Plates IA and B, or fewer than three
choices are made within the 60-second limit, do not record the
child's response, but return to the trial plates and reinstruct the
child. After further instruction, turn to Plates IA and 1B again and
readminister them. Record time and responses for the re-
administration.
After the child makes three selections of the pictures or after time
limit has expired, write the elapsed time in seconds at the bottom
of the box for each item on the protocol sheet. Time should be
rounded to the nearest whole second. A maximum of 60 seconds is
allowed on each item. Any response made after 60 seconds is not
recorded. If only two choices are made within 60 seconds and the
child fails to make a third choice, the time scored for that plate is
60 seconds. The circles corresponding to the number of seconds for
each item are filled in after the test is completed. Be sure to fill in
two digits for each item—for a time under 10 seconds, enter zero for
the first digit (e.g., enter 6 seconds as "06").
Series Il Trial Item
The plates in Series Il contain embedded geometric forms. Series Il begins with Trial Plates IIA and
11B (see Figure 9). During this trial, the main concept the child needs to understand is that not all
the lines in the stimulus plate are
in the response plate. Say:
"Now you will look at designs instead of pictures of things. Three of these designs (point to
Response Plate 11B) are part of this one. (Point to Stimulus Plate IIA.) They are hidden in this upper
design, just as some of these pictures (turn back to Plate 8B) were part of this upper figure." (Point to
Plate 8A.)
Point to Design 1 of Plate 11B and say:
"This design is a cross, but not like the crossed lines up here, so it is not part of the upper design.
This one
(point to Design 2) is part of the design up here. Can you see it? (Trace Design 2 with finger.) Can
you see this one up
here? (Point to Design 3.) Some of the lines in this upper picture (point to stimulus plate) are not
always in the
choices down here." (Point to response plate.)
"Which one of these (point to Designs 4, 5, and 6) is hidden
in this design?" (Point to stimulus plate.)
Make sure the child sees that Design 5 is the correct choice
and Designs 4 and 6 are incorrect choices. Give any additional
instructions necessary for the child to grasp this idea, using
the trial plates as the only visual aids. Then say:
"The rest of the designs will be something like this one.
Find the three designs here (point to the response plate) that
are up here." (Point to the stimulus plate.)
Responses on the trial item are not recorded.
Series Il Test Items
Begin Series Il with Plates 9A and 9B. The time required for response and the cumulative
errors are recorded
for Series Il just as for Series I. A time limit of 60 seconds per plate still exists for Series Il. In
recording the cumulative errors, do not start over with Series Il. For example, if a
child made five errors on Series I, the first error made on Series Il is counted as the sixth
error
“Now draw these designs. Draw them in empty spaces.” Draw the child's
approach to all part II items.
Discontinue part II after three consecutive items are scored 'N' on gross
approximation(SH parameter 1 on all items). When a correction is made on
part II, score more accurate line and disregard less accurate line. Refer to
should have(SH) and should not have(SNH) parameters.
Do not score SNH parameters for 4 year olds.
Scoring Accuracy on Part I
• The child's ability to perceive and execute aspects of visuo-spatial composition is measured by the spatial accuracy of his
or her drawing. In Part I, accuracy is determined by how close the child's lines are to the dots of the grid.
• Accuracy scores are 0 for incorrect, 1 for partially correct, and 2 for correct.
• To score each Part I item for accuracy, first determine if the child's figure is approximately correct in configuration and no
lines connect with incorrect dots. When there is a question as to whether the child's lines come close enough sensory to
an imaginary line between dots or to the correct dots to warrant a score of 2, the parallel lines of the scoring guide are
used. The parallel lines on the scoring guide are 2, 3, and 4 mm apart.
• Children ages 4—0 to 4—11 are allowed an accuracy deviation of 4 mm from a line or dot; children ages 5—0 to 5—11
are allowed a deviation of 3 mm; and children age 6—0 or older are allowed a 2 mm deviation from an accurate line or
dot.
• To measure the amount of acceptable deviation of a 4-year-old's line from an imaginary completely accurate line, use
the two lines on the scoring guide that are 4 mm apart. Place one line in the middle of the two dots between which the
line should have been drawn. If all parts of the child's analogous line fall within the 4 mm leeway, that line is considered
correct and meets the criterion for a score of 2. Similarly, if a line of a 4-year-old child's drawing extends past a dot or
fails to reach a dot, measure the distance with the scoring guide. If the distance is less than 4 mm, that aspect of the
drawing meets the requirements for a score of 2. Measure from the edge of the dot, not from the middle of the dot. To
determine the accuracy requirements for a score of 2 by 5-year-olds, use the two horizontal lines on the scoring guide
that are 3 mm apart and follow the above directions. Similarly, use the lines that are 2 mm apart when scoring drawings
of children ages 6 years and older.
Scoring Accuracy on Part Il
Spatial accuracy of Part Il is scored according to a number of parameters indicating desirable characteristics of space
management and graphic praxis (Should Have parameters). The parameters scored on each item are listed in the left column
of Table 2. For each Should Have parameter on Part Il, score as "Yes" if the parameter is present or "No" if it is not present.
Measurement of lines.
• Scoring of many parameters is based on the measurement of lines and angles for length, straightness, and degrees of
verticality and horizontality. The scoring guide is used for measurement purposes. It contains a centimetre ruler for
measuring the length of lines. Also on the guide are a 90-degree angle with lines 10 degrees on either side of the lines
forming the 90-degree angle and one line at 45 degrees from those lines. In addition, the guide has parallel lines 2 mm, 3
mm, and 4 mm apart for the purpose of determining straightness of lines.
• If the response figure in Part Il is not a gross approximation of the stimulus figure, score all Should Have parameters as
"No."
• Only when the child draws a gross approximation do you score Should Not Have parameters as "Yes" or "No." If there is no
gross approximation, score all Should Not Have parameters as "Unscorable."
• Score a Should Not Have parameter as "Unscorable" if response is such that you cannot determine whether or not a
parameter is present on an attempted item.
• Do not fill in circles on items not attempted. Do not score Should Not Have parameters for 4-year-olds.
POSTURAL PRAXIS
Materials
• Protocol sheet
• stopwatch (optional)
In this test, the child is asked to imitate postures that you demonstrate. In chairs
without arms, sit opposite to the child.
Place the protocol sheet (and the stopwatch, if you use it) on a table to the side of
you.
Arms and knees of both the child and yourself must be visible and identifiable (e.g.,
not hidden by loose sleeves or a skirt).
Directions
Sit opposite the child. Trial item: "You make your arms and hands do the same thing
that mine do. See how fast you can do It." Assume mirror image of illustration. After
child imitates: "This hand is over my ear, this hand is on top of it, and I'm leaning to
the side. It's as though you were looking in a mirror."
Assume neutral position. Item I: "Now do this one. Do it quickly." Hold each position
until the child correctly imitates it, or for 7 seconds
• In all cases, 0 if the posture was incorrect or completed after 7 seconds.
• Score 1 if the correct posture was assumed in 4 —7 or if the posture deviated as
described in the scoring criteria.
• Score 2 if the correct posture was assumed within 3 seconds.
• If the position changed frequently, the accurate position must be maintained for 2
of the first 3 seconds to receive a score of 2; otherwise, score the position at 7
seconds.
• Do not penalize for nonmirrored response. However, the first time this occurs,
encourage the child to assume a mirrored position.
• If unsure of the child's score, you may draw any deviations over the illustrations on
this sheet for later scoring.
BILATERAL MOTOR
COORDINATION
Materials
Place the preassembled model of Structure Il on the table so that Block 3 is parallel to the edge of the table and its
left- front corner is 71/2 cm (about 3 inches) to the right of the child's right shoulder and about 25 cm (10 inches)
from the front of the table (see Figure 27).
Say: "Now build one like this. (Place the model on the table.) Here are the blocks. (Point to the blocks.) Make them
look just like this. (Point to model.) I'll start the building. I'll put this one here."
Score each block on one of the eight parameters described below and fill in the
circle for the parameter on the protocol sheet. Seven of the parameters describe
different aspects of incorrect usage of a block; the eighth parameter indicates
correct usage. Although a block may fulfil the criteria for more than one parameter,
it is scored on only one parameter. If a block is used incorrectly in more than one
way, it is scored for the parameter that will carry the heaviest penalty in scoring.
The eight parameters are defined as follows.
1. Displacement of 1 through 2½ cm. The block is otherwise correctly placed, including its orientation and
location, but is displaced by at least 1 cm but no more than 2½ cm (see Example A in Figure 28). If one portion
of a block is more displaced than another, it is scored on its greatest displacement.
2. Displacement more than 2½ cm. The block is otherwise correctly placed, including its orientation and
location, but is displaced more than 2½ cm (see Example A in Figure 28). A block scored on this parameter is
not scored on Parameter 1. However, if there is a more highly erroneous error, the block is scored on that
parameter and not this parameter.
3. Rotation more than 15 degrees. The block is rotated around a vertical axis more than 15 degrees but not so
much that it would be considered a right-left or front-back reversal (see Example A in Figure 28). To facilitate
measuring, place one side of the 15-degree angle guide at or parallel to the line where the edge of the block
should be and see if the block edge is at an angle greater than 15 degrees.
4. Upside down, right for left, front for back, or end for end. The block is rotated (usually 180 degrees)
around a horizontal or vertical axis in such a manner that, although resting on proper block(s) or resting in the
proper place, it is positioned upside down, in right-left reversal, in front-back reversal, end-to-end, or vertical
instead of horizontal. Blocks 5, 6, 7, 8, 9, 11, and 12 are commonly scored on this parameter. The rotation of
the block around the horizontal axis 5. 6. 7. 8. need not be 180 degrees for the block to be scored on this
parameter; for example, Block 6 may lie on its longest side.
5.Placement incorrect but logical. An incorrect placement of a block which nonetheless makes a logical and
recognizable contribution to the gestalt of the structure and is consistent with the model is scored on this
parameter. The child is obviously trying to replicate the model. The most common incorrect but logical errors
occur when a block is substituted for a similar block (e.g., switching placement of Blocks 7 and 8) or when
incorrect placement of a block due to a previous error occurs (e.g., placing Block 15 on Block 12 only because
of the omission of Block 10). When considering a score of incorrect but logical, analyse the block's placement
in relation to the general vicinity in which the block should have been placed, the other blocks or block
formations to which it should be related, and/or the block's similarity to other blocks. Observation of the
child during construction may assist you in differentiating between scoring a block as incorrect but logical
versus gross mislocation.
6.Gross mislocation. If a block has been placed on the structure without any logical resemblance to its or
another block's correct placement in the model, it is scored on this parameter. Blocks simply lying on the
table but pushed against the main structure or those that are added in a hit-or- miss manner fall into this
category. Sometimes a child gives up and simply piles the blocks on top of each other, indicating that he or
she knows they should be used but does not know how to use them.
7.Omission. When the child indicates that he or she has completed the structure, any block not used by the
child as part of the structure is counted as an omission. The child may play with the block but not relate it to
the structure.
8.O.K. If a block is not scored on any of the first seven parameters, it is considered
POSTROTATORY NYSTAGMUS
Materials
• nystagmus board
• 30-degree angle guide
• protocol sheet
• stopwatch
• The ball bearing mechanism of the nystagmus board must be kept clean and lubricated so that the
board will turn freely. Use with persons weighing more than 70 pounds may damage the board.
• In this test, the child is rotated both clockwise and counter clockwise on a board and the duration of
post rotary nystagmus is timed. The nystagmus board is placed on the floor about one meter from a
blank wall and away from objects. Lighting should be even and of no greater or lesser intensity than
usual. There should be no bright spots such as windows.
• The child should not be allowed to play with the board before testing nor should he or she have
engaged in any activity which would tend to produce extra vestibular stimulation which could
invalidate the test. Should such activity inadvertently occur, a rest of I minute should occur before PRN
is readministered.
Positioning the Child's Head
Ask the child to sit cross-legged in the centre of the nystagmus board and to hold on to the
edge of the board in front of him or her. The child's head should be over the axis of the
board and tilted forward 30 degrees. To determine the correct degree of neck flexion to tilt
the head, the child is first asked to look straight ahead so that the head is upright. While in
this position, the tip of the angle guide is placed so that it touches the shoulder and the left
edge of the card is both vertical and lined up with the concha (visible cavity) of the ear. With
the card held against the ear and pivoting on its point, the head is tilted until the right edge
of the card is vertical.
Use of the card to position the head sometimes emphasizes head position so much that the
child later flexes his or her head too much. If this is the case, a more accurate head position
may be obtained without giving directions. Usually, when the child grasps the edge of the
board, the head is positioned automatically and no further instruction on head position
need be given other than in the following directions
DIRECTIONS:
• The child sits cross-legged in centre of nystagmus board and holds on to front edge.
Head is tilted forward 30 degree.
• "l am going to turn you around 10 times. While I'm turning you, hold your head like
this. Don't move your head while you're turning.
• When you stop, look up and look at the wall. I will look at you, but don't you look at
me; you look at the wall." Turn child to his/her left (counter clockwise), pushing the
child's left knee each time it comes around.
• After completing 10 rotations in 20 seconds, stop the child so he/she is facing the
wall. "Look at the wall. Don't took at me. (After a few seconds:) Keep looking at the
wall." Record duration of nystagmus to nearest whole second.
• Be sure the time is entered as two digits (e.g., enter 6 seconds as 06).
• After a 30-second rest: "Now we'll go the other way. Keep your head this way
(position head if necessary) and when you stop, look at the wall." Record duration to
nearest whole second. Avoid including random eye movements or secondary
nystagmus in time.
• After the SIPT is completed, administer this test again and record duration to the left
and right.
Recording Duration of Nystagmus
Begin timing as soon as the board is stopped. Watch the child's eyes and note the
duration of the nystagmus. When the nystagmus stops, stop the watch but continue
to observe the child's eyes for at least 2 seconds. If the watch has been terminated
prematurely, the appropriate amount of time is added to the clocked time. The
duration is recorded on the protocol sheet to the nearest whole second. Be sure to
enter the time as two digits—if less than 10 seconds, enter 0 as the first digit (e.g.,
enter 6 seconds as "06"). Be careful to record only the duration of the rhythmic, back-
and-forth movements of primary nystagmus and not random eye movements (which
frequently follow post rotary nystagmus) or secondary nystagmus. (In secondary
nystagmus, the fast beat is in the opposite direction. It is not frequently seen in 4-
through 8-year-olds.)
If the test is administered only one time, resulting in only one clockwise and one
counter clockwise score, use those same scores when filling in bubbles for the second
administration.
MOTOR ACCURACY
Materials
• test sheet
• 2 red nylon-tipped pens
• tape
• line measure
• protocol sheet
• stopwatch
o In this test, the child attempts to draw a line on top of a printed line with both the left and right hands.
o Sit on the other side of the table facing the child. Smoothing the crease in the test sheet so that it is as flat
as possible, fasten the open test sheet to the table with tape at all four corners to prevent its movement.
The lower edge of the open test sheet is parallel to and I inch away from the front edge of the child's side
of the table, with the middle of the test sheet directly in front of the midline of the child.
Directions:
• Sit opposite the child.
• Tape the test sheet flat in front of the child. Give pen to child's previously determined writing hand.
• Demonstration: "Watch me. I'm drawing 8 line on top of this black line... Now you draw a line on top
of this blackline." If necessary, advise the child to go slower or faster.
• Test with preferred hand: "Now draw a line on top of this black line beginning here and going around
to here. Draw carefully." Begin timing at horizontal short-dashed line one inch above starting point.
Encourage child to take neither less than 30 nor more than 120 seconds. Discourage child's retracing
line. Stop timing at horizontal short-dashed line. Child fills in skipped portions. Turn over test sheet
to test nonpreferred hand.
• "Now you will draw a line with the other hand. You will draw on this black line beginning here and go
around to here.“
• Encourage child to take neither less than 30 nor more than 90 seconds. Record number of whole
seconds as three digits (e.g., 52 as 052).
• Measure distance to nearest half inch that child's line is off solid line or outside areas bounded by
short. medium. and long broken lines (e.g., 61b as 06.5). If child's line is not outside an area, record
00.0.
• Each hand's distance measurements must decrease in value. from the solid through the long broken
line.
SEQUENCING PRAXIS
Materials
• Protocol sheet
In this test, the child repeats a series of hand or finger tapping movements following your
demonstration.
Within a given item, the first subitem sequence of positions is relatively simple; movements are
added to each successive subitem, making them progressively more complex.
Sit across the table from and facing the child.
Remove rings and other jewelry that make sounds when tapping the table. If possible, the child's
jewellery should also be removed.
Give the motor sequences by tapping the table (or other designated location) as indicated on the
protocol sheet.
Be sure to start with the correct hand.
Tap uniformly at the rate of one every half second (two taps per second) and firmly enough to make a
sound.
The sequence of positions for each subitem on the protocol sheet is read across, left to right.
Vertical lines separate parts of a sequence. If two hands are pictured with no dividing vertical lines,
both hands tap simultaneously in the position pictured.
Directions
• Sit opposite the child. Trial: "I am going to move my hands. When I stop moving, you do the same
thing. If I use this hand (hold up left), you use this hand (touch child's right). If I use this hand (hold
up right), you use this one (touch child's left). If I use both hands (hold up both), you use both hands
(touch both of child's hands).
• Fill in the 0, 1, or 2 circle corresponding to the child's score on each subitem:
0 = Executed with wrong hand position or movement, or too few or too many motions in sequence
Started with wrong hand position or movement, but started over and completed correctly
Score as 1 if the sequence was started or completed incorrectly (i.e., wrong hand position or finger
position, or wrong motion) but error is recognized (such as verbally indicating error or by waving hands
as if to "erase" movement) and the sequence is started over and completed correctly. Note that
corrections scored as 1 pertain only to those for inaccurate position or motion. Corrections for starting
with the wrong hand do not lower a score of I or 2
2 = Completed with correct hand positions in correct sequence and correct number of motions and/or
taps use of incorrect hand does not affect score.
• Discontinue each item when two consecutive subitems are incorrect (scored as O) and go on to next
item.
• Do not administer the finger items (items 7-9) to 4 year olds.
ORAL PRAXIS
Materials
• protocol sheet
• In this test, you will be demonstrating a series of movements or positions of the lips, tongue, and
mouth, which the child is asked to imitate.
• Do not wear brightly Colored lipstick.
• Sit facing the child across the table.
• Test Items
There are no trial items on this test. The movements or positions to be demonstrated in the test items
are described on the protocol sheet.
The test begins with Item l. Say: "Watch my mouth and do this." Then demonstrate Item 1 by sticking
out your tongue as far as possible, exaggerating the action.
Score the child's performance as 0, 1, or 2, depending upon the skill of the response
Directions
Sit opposite the child. Item I: "Watch my mouth and do this." Score If child's response is not well
executed (does not receive score of 2): "Try to do this just as I do it" and demonstrate again. Item 2:
"Wait until I finish before you do these. Do it as many times as I do it." (Refer to scoring criteria in
Manual.)
• Sit to right of child. "I'm going to put one of these blocks in your hand." Place shield and response
card in position. "You point to the picture here (point to response card) of the block in your hand.
I'll put the first block in this hand (touch child's right) and you point to its picture here (point to
card) with this hand (touch child's left).“
• Start timing when form is placed in child's hand and stop timing when child points to printed form
(maximum = 30 seconds).
• Record time and accuracy (O = incorrect, 1 = correct).
• After the test, fill in the circles corresponding to the number ot seconds. Enter time as two digits
(e.g.. 6 seconds as 06).
• Discontinue Part I after four consecutive items are scored as 0 for accuracy.
• Maximum time per item: 30 seconds
• Discontinue after 4 consecutive items are scored 0 for accuracy
DIRECTIONS FOR PART II:
• Do not administer to 4‐year‐olds, or if five or more items on Part I were scored as 0 for accuracy.
Items that follow a fourth consecutive zero for accuracy and items with a time score greater than 30
are considered to have an accuracy score of 0.
• Place two‐form plastic base with hole on right. Trial l: "Now both hands will feel blocks at the same
time. This hand will feel this block (place child's right hand on stimulus form) and the other hand
will find one like it over here (lead left hand across response forms). Here's one and here's one.
(Place left hand on table.) Keep this hand (tap right) on this block and find a block just like it with
this hand (tap left). Tell me when you find the one that's the same. Be sure to feel each block. Begin
here (place left hand on first response form)... This time we can look." Remove shield and reinforce.
Return shield. Turn plastic base.
• Record time (maximum = 45 seconds) and accuracy (0 = incorrect, 1 = correct).
KINESTHESIA
Materials
• test sheet • red pen • shield • masking tape • centimeter ruler • protocol sheet
Kinesthesia is measured by the accuracy with which the child moves his or her finger from one
point on the test sheet to another point.
To simplify this task, the test situation is described to the child as a game of "going visiting,"
which the child's hand will play without the help of his or her eyes.
The test has one trial item for each hand and five test items for each hand.
Sit directly across the table from the child.
Tape the test sheet to the table with the trial items facing up.
The edge of the sheet should be 21/2 cm (1 inch) from the table edge on the child's side of the
table, with the center mark positioned at the child's midline. Wording and numbers are
oriented so as to be read by you.
Right‐hand items, labeled "R," are designated by solid lines; left‐hand items, labeled "L," are
designated by broken lines.
Directions should always be given while the child's hand is stationary, not while in motion,
since listening detracts from attending to the kinesthetic stimuli. Because it is easy for the
child's mind to wander during test administration, giving the test rapidly will help to maintain
the child's attention.
DIRECTIONS: