TEST OF GROSS MOTOR DEVELOPMENT 2nd Edition

Name: School:
Preferred Hand: Preferred Foot:

LOCOMOTOR SUBTEST
Skill Performance Criteria
1 Arms move in opposition to legs, elbows bent 2 Brief period where both feet are off the ground 3 Narrow foot placement landing on heel or toe (i.e. not flat footed) Nonsupport leg bent approximately 90 degrees 4 (i.e. close to buttocks)

Trial 1 Trial 2 Score 0 0 0 0 Skill Scores

1. Run

Comments: Skill Performance Criteria

1 Arms bent and lifted to waist level at takeoff A step forward with a lead foot followed by a step with the trailing 2 boot to a position adjacent to or behind the lead foot 3 Brief period when both feet are off the floor 4 Maintains a rhythmic pattern for four consecutive gallops

Trial 1 Trial 2 Score 0 0 0 0 Skill Scores

2. Gallop

Comments: Skill Performance Criteria

1 Nonsupport leg swings forward in pendular fashion to produce force 2 Foot of nonsupport leg remains behind body

Trial 1 Trial 2 Score 0 0 0 0 0 Skill Scores

3. Hop

3 Arms flexed and swing forward to produce force 4 Takes off and lands three consecutive times on preferred foot 5 Takes off and lands three consecutive times on non-preferred foot

Comments:

Skill

Performance Criteria
Page 1

Trial 1 Trial 2 Score

4. Leap
Comments

1 Take off on one foot and land on the opposite foot 2 A period where both feet are off the ground longer than running 3 Forward reach with the arm opposite the lead foot

0 0 0 Skill Scores

Page 2

Locomotor Subtest (Continued)

Skill
1

Performance Criteria
Preparatory movement includes flexion of both knees with arms extended behind body Arms extend forcefully forward and upward reaching full extension 2 above the head 3 Take off and land on both feet simultaneously 4 Arms are thrust downward during landing

Trial 1 Trial 2 Score 0 0 0 0 Skill Scores

5. Horizontal Jump
Comments

Skill

Performance Criteria
Body turned sideways so shoulders are aligned with the line on the 1 floor A step sideways with lead foot followed by a slide of the trailing foot 2 to a point next to the lead foot 3 A minimum of four continuous step-slide cycles to the right 4 A minimum of four continuous step-slide cycles to the left

Trial 1 Trial 2 Score 0 0 0 0 Skill Scores

6. Slide

Comments

0 0

Locomotor Subtest Raw Score (sum of the 6 skill scores)

OBJECT CONTROL SUBTEST

Skill Performance Criteria
1 Dominant hand grips bat above nondominant hand Non-preferred side of body faces the imaginary tosser with feet 2 parallel 3 Hip and shoulder rotation during swing 5 Bat contacts ball

Trial 1 Trial 2 Score 0 0 0 0 0

1. Striking a Stationary Ball 4 Transfers body weight to front foot

Comments

Skill Scores
Performance Criteria
Page 3

Skill

Trial 1 Trial 2 Score

1 Contacts ball with one hand at about belt level

2. Stationary Dribble
Comments

2 Pushes ball with fingertips (not a slap) Ball contacts surface in front of or to the outside of foot on the 3 preferred side Maintains control of ball for four consecutive bounces without having 4 to move the feet to retrieve it.

0 0 0 0 Skill Scores

Page 4

Object Control Subtest (Continued)

Skill 3. Catch
Comments

Performance Criteria
Preparation phase where hands are in front of the body and elbows 1 are flexed 2 Arms extend while reaching for the ball as it arrives 3 Ball is caught by hands only

Trial 1 Trial 2 Score 0 0 0 Skill Scores

Skill

Performance Criteria
1 Rapid continuous approach to the ball 2 An elongated stride or leap immediately prior to ball contact 3 Non-kicking foot placed even with or slightly in back of the ball 4 Kicks ball with instep of preferred foot (shoelaces) or toe

Trial 1 Trial 2 Score 0 0 0 0 Skill Scores

4. Kick

Comments

Skill 5. Overhand Throw

Comments

Performance Criteria
1 Windup is initiated with downward movement of hand/arm Rotates hip and shoulders to a point where the non-throwing side 2 faces the wall. Weight is transferred by stepping with the foot opposite the throwing 3 hand Follow-through beyond ball release diagonally across the body 4 toward the non-preferred side

Trial 1 Trial 2 Score 0 0 0 0 Skill Scores

Skill
1

Performance Criteria
Preferred hand swings down and back, reaching behind the trunk while chest faces cones Strides forward with foot opposite the preferred hand toward the 2 cones

Trial 1 Trial 2 Score 0 0 0 0 Skill Scores

Page 5

6. Underhand 3 Bends knees to lower body Roll

4

Releases ball close to the floor so ball does not bounce more than 4 inches high

Comments

Object Control Subtest Raw Score

(sum of the 6 skill scores)

Page 6

TEST of GROSS MOTOR DEVELOPMENT - 2nd Edition

Identifying Information Name: *Gender Examiner: *Date of Birth
* Required Information

School: (F or M) Grade: *Date of Testing:

Age

###### #######
years months

Record of Scores
Raw Score Standard Score Percentile Age Equivalent Interpretation #VALUE! #VALUE!

Locomotor Object Control

0 0

#VALUE! #VALUE! #VALUE! #VALUE!

###### ######

<3 #REF!

Sum of Standard Scores Gross Motor Quotient

######

#VALUE!

Testing Conditions A. B. C. D. E. F. G.
Place Tested:

Interfering
temperature 1 2 Interruptions 1 2 Distractions 1 2 Light 1 2 Temperature 1 2 Notes and other considerations

Not Interfering

3 3 3 3 3

4 4 4 4 4

5 5 5 5 5

Untested Motor Skills Observed

Evaluacin inicial Re-evaluacin Requerido Especial por el comit de ARD/IEP

Reporte Determinador de Educacin Fsica Adaptada

Reporte
fecha de ARD/IEP

Nombre:0 Examinador:0

Grado: Escuela: 0

Naci:

Edad: #VALUE! Fecha del Reporte: Fecha de Evaluacin

Fuente de Datos ( Medidas Formales e Informales) 1 Prueba para el Desarrollo Motor Grueso 2 Observaciones

De acuerdo con la evaluacin, el estudiante demuestra una necesidad de la educacin fsica Si No adaptada para hacer un progreso apropiado para su educacin. Competencias de Aprendizaje: Fuerza y Debilidad Aptitud Fisca y Motora
Capaz de correr 50 pies Capaz de Galopear 25 pies Capaz de saltar 3 veces en cada pie Capaz de saltar por encima de saco Capaz de realizar saltos horizontales Capaz de deslizarse en 25 pies 0 0 0 0 0 0 Cuenta Cuenta Cuenta Cuenta Cuenta Cuenta Cuenta Cuenta Cuenta Cuenta Cuenta Cuenta 0 0 0 0 0 0 0 0 0 0 0 0 de 8 de 8 de 10 de 6 de 7 de 8 de 10 de 8 de 6 de 8 de 8 de 8

Patrones y Destrezas Motoras Fundamentales

Capaz de batear una Bola desde una base Capas de rebotar una bola 4 veces consecutivas Capaz de atrapar una bola de 4" desde 15' Capaz de correr y patear una bola de futbol Capaz de lanzar una bola encima de la mano Capaz de rodar una pelota de tenis, con una mano por 20' hacia una blanco de 4' ancho 0 0 0 0 0 0

Observaciones Informales:
Very cooperative during the assessment; stays on task during instruction Participates well with his peers in general physical education Good eye-hand coordination Seems to enjoy physical activity, he gave his best effort Responds well to verbal prompts Short attend span, easily distracted Needs verbal and physical prompting Did not understand several of the concepts

Modificacin (es)/ Recomendacin (es):

Small group instruction Adapt equipment (e.g., large light balls, foam balls) Allow more time or trials to success at a task Hand over hand instruction may be beneficial Instructional time should be in short durations Introduce into the general P.E. setting for short periods of time Use verbal and physical prompts

Recomendaciones para el Ajuste en la Instruccin:

Participate in general physical education with his age related peers Adapted Physical Education services will be 30 minutes per six-weeks on a consult to the teacher. Adapted Physical Education services will be 30 minutes per week on a direct basis. Attend general physical education with a para-educator for shorter class periods Adapted Physical Education in a motor lab or small group situation to be implemented by his classroom teacher.

Educacin Fsica Adaptada

Firma de Evaluador