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Holiday closures: our outpatient programs will be closed from Dec. 25, 2024 to Jan. 1, 2025. Regular services resume January 2, 2024. Day program will be closed from Dec. 23 to Dec. 27, 2024 inclusive, and will be closed on Jan. 1, 2025. Orthotics and prosthetics will be available for urgent care.

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Welcome to the ABI-Challenge

The ABI Challenge Assessment (ABI-CA) is a dynamic assessment of advanced motor skills. It was designed to extend upon the foundational skills of the Gross Motor Function Measure (GMFM-88) and be used with children/youth with acquired brain injury who are aged 7 years and up, and are independent walkers.

Accessing ABI-CA Forms and Videos: To access ABI-CA forms, manuals and training videos, you must complete a training course. If you have taken the ABI-Challenge Course, you will have access to the materials on our ABI-Challenge Manual and Training Videos page.

The ABI-CA comprises skills that:    

  • Focus on impairments of speed, balance and coordination that are typical in children/youth after an ABI
  • Integrate upper/lower limb movements and dual task performance  
  • Are considered important for children/youth to be able to perform in school and recreation
  • Align with physiotherapy goal of optimizing the recovery of advanced motor skills that support the return to safe participation in physical activity

Eighteen skills are scored on a 5-point response scale (0 to 4) using item-specific response options described on the ABI-CA score form. Test administration takes 45 to 60 minutes depending on the abilities of the child, and is done on and around the ABI-CA 'pathway' that is taped to the floor of a 15m+ long hallway. Individual item scores enable the physical therapist to discern the areas of strength and challenge for purposes of goal setting and intervention planning. ABI-CA testing can be done by a pediatric physical therapist who has experience in working with children/ with an ABI, is familiar with using the GMFM-88 or Community Mobility Assessment, and who has taken the ABI-CA training course and passed the ABI-CA criterion test.

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