Related Experiment Video
Updated: Jun 10, 2026

Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion
Published on: January 20, 2019
Development of a challenge assessment tool for high-functioning children with an acquired brain injury
Robyn J Ibey1, Rochelle Chung, Nicole Benjamin
1Department of Physical Therapy, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
Purpose:
To develop a performance-based challenge assessment to evaluate gross motor abilities of high-functioning youth with an acquired brain injury (ABI).
Methods:
Potential items were identified from the literature. A panel of 4 expert physical therapists selected items on the basis of 3 criteria: safety to test, feasibility to administer, and importance to perform. Item reduction was completed using ratings from a physical therapist web survey. The Acquired Brain Injury-Challenge Assessment (ABI-CA) was created and pilot tested with youth with an ABI.
Results:
Seventy-eight items were identified and reduced to 47 items following expert panel discussion. Web-survey item reduction by 75 pediatric physical therapists yielded a 24-item ABI-CA that was administered to 6 youth with an ABI, aged 8 to 17 years. The ABI-CA mean score was 50.7/81.0 (SD = 17.4).
Conclusion:
The ABI-CA was feasible to administer and demonstrated gross motor activity challenges beyond the Gross Motor Function Measure. Response option refinement and measure validation are required prior to clinical/research use.
Related Concept Videos
Intellectual Disability
Traumatic Brain Injury l: Introduction

