|
Dressing
|
Item 4 (Pulling up the foot)A, B
|
Putting on shoes
| ✓ | ✓ |
|
Item 3 (Bringing knee to chest)A,B
|
Dressing lower body
| ✓ | ✓ |
|
Item 6 (Raise pelvis)A,B
|
Putting on pants
| ✓ | ✓ |
|
Item 5 (Bringing hand to opposite shoulder)A
|
Dressing upper body
| ✓ | ✓ |
|
Item 26 (Standing on one foot)A
|
Dressing lower body
| ✓ | ✓ |
|
Mobility/transferring
|
Item 7 (Roll from lying on front to back)A,B
|
Turning and moving in bed to change positions
| ✓ | ✓ |
|
Item 8 (Lying down to sitting up)A,B
|
Getting out of bed
| ✓ | ✓ |
|
Item 11 (Sit to stand)A,B
|
Stand after a fall/from sitting on floor
| ✓ | ✓ |
|
Item 1 (Turning head)A
|
Adjusting position in bed
| ✓ | ✓ |
|
Item 2 (Lifting head)A
|
Lifting head to move pillow/getting out of bed
| ✓ | ✓ |
|
Item 25 (Stand without support)A
|
Stand from sitting
| ✓ |
•
|
|
Item 29 (Walking on a line)A
|
Walking around the house
| ✓ | ✓ |
|
Item 12 (Sitting down on a chair from standing) A
|
Sitting down when tired/unsteady
| ✓ |
•
|
|
Item 24 (Standing up from sitting on chair) A
|
Stand up from sitting at dinner table/to change position/when carrying objects
| ✓ | ✓ |
|
Self-care
|
Item 15 (Bring arms up to place both hands on top of the head)A,B
|
Brushing hair
| ✓ | ✓ |
|
Item 5 (Bringing hand to opposite shoulder)B
|
Itching/scratching
| ✓ | ✓ |
|
Self-feeding
|
Item 23 (Place forearms and/or hands on table)A,B
|
Eating independently
| ✓ | ✓ |
|
Item 21 (Turning a ball over in hand)A,B
|
Picking up food when eating
| ✓ | ✓ |
|
Item 16 (Extending elbow to touch a pencil)A,B
|
Picking food off a table without help
| ✓ | ✓ |
|
Item 20 (Tearing a sheet of paper)A
|
Opening a wrapper/food packaging
| ✓ | ✓ |
|
Item 13 (Maintain a seated position)B
|
Eating while seated
| ✓ | ✓ |
|
Reaching, picking up and holding objects
|
Item 17 (Picking up coins)A,B
|
Picking up and holding small items
| ✓ | ✓ |
|
Item 9 (Sitting on the floor)A,B
|
Holding objects in a seated position
| ✓ | ✓ |
|
Item 10 (Leaning towards a ball)A,B
|
Reaching an object
| ✓ | ✓ |
|
Item 27 (Touching the floor while standing)A,B
|
Touching the floor to pick up something
| ✓ | ✓ |
|
Item 32 (Squatting)A,B
|
Picking something up from the floor
| ✓ | ✓ |
|
Physical activity
|
Item 28 (Walking on heels)A,B
|
Walking
| ✓ | ✓ |
|
Item 30 (Running)A,B
|
Exercising
| ✓ | ✓ |
|
Item 31 (Hopping)A,B
|
Exercising/playing sport/hopping
| ✓ | ✓ |
|
Item 29 (Walking on a line)B
|
Walking
| ✓ | ✓ |
|
Item 26 (Standing on one foot)B
|
Taking a step/walking
| ✓ | ✓ |
|
Writing and technology use
|
Item 22 (Pointing at drawings)A,B
|
Using a phone or other device/touchscreen device
| ✓ | ✓ |
|
Item 18 (Going around the edge of a CD)A,B
|
Using a touchscreen device
| ✓ | ✓ |
|
Item 19 (Pick up pencil and draw loops)A,B
|
Writing/drawing with a pen
| ✓ | ✓ |
|
Item 20 (Tearing a sheet of paper)B
|
Using your hands to tear a piece of paper
| ✓ | ✓ |
|
Social contact/engagement
|
Item 14 (Raise the head from the chest)A,B
|
Having a conversation/engaging with others
| ✓ | ✓ |
|
Item 1 (Turning head)A,B
|
Looking around the room
| ✓ | ✓ |
|
Item 2 (Lifting head)B
|
Looking around the room
| ✓ | ✓ |
|
Toileting
|
Item 25 (Stand without support)B
|
Using a toilet independently
| ✓ | ✓ |
|
Item 12 (Sitting down on a chair from standing)B
|
Using a toilet independently
| ✓ | ✓ |
|
Item 24 (Standing up from sitting on chair)B
|
Standing from sitting on toilet
| ✓ | ✓ |
|
Performing work/school activities
|
Item 13 (Maintain a seated position)A
|
Doing work/schoolwork while seated
| ✓ | ✓ |
