OT IN PEDIATRIC REHABILITATION

MILLER
FUNCTION &
PARTICIPATION
SCALES
Presented by: Rachelle Rose Orbeta
 PURPOSE
The M-FUN measures a child's fine, visual, and
gross-motor skills and attempts to determine the
impact of these skills on his or her participation in
home and school activities.
Identify delays in gross, fine, and visual motor
skills
Determine a child's eligibility for services to
address motor delays
Identify underlying neuromotor issues
Assist in development of early intervention
programming
Track a child's progress in intervention programs

 BACKGROUND
Developed by Lucy Miller
More holistic
Developed due to the need for a functional
motor evaluation of skills and abilities that
underlie participation in home and school
occupations.
Based on the model from the ICF and OTPF,
the M-FUN employs a competency model
rather than a deficit model to assess
children.
 AREA OF
ASSESSMENT
OCCUSPATIONAL SOCIAL RELATIONSHIP
PERFORMANCE STRENGTH
PROCESSING SPEED TOUCH
REASONING/PROBLEM UPPER EX FUNCTION
SOLVING VESTIBULAR
SELF-EFFICACY VISION

ASSESSMENT TYPE
Performance Measure

ADMINISTRATION
MODE
Paper and pencil
COST & ACTUAL COST
It is not free and usually costs $466.00
DIAGNOSIS/CONDITIONS
Pediatric + Adoloscent Rehabilitation
EXAMINER QUALIFICATIONS
TEST CAN BE UTILIZED BY SPECIAL EDUCATION, OT, PT,
ADAPTIVE PHYSICAL EDUCATION AND BY EARLY CHILDHOOD
INTERVENTIONISTS.
HAVE EXPERIENCE IN STANDARDIZED TEST ADMINISTRATION,
SCORING AND INTERPRETATION, AND DETAILED KNOWLEDGE OF
MOTOR DEVELOPMENT AND SENSORY PROCESSING IN YOUNG
CHILDREN.
 DURING THE PERFORMANCE COMPONENT OF

KEY DESCRIPTIONS
THE ASSESSMENT CHILDREN COMPLETE FINE
MOTOR, VISUAL MOTOR, AND GROSS MOTOR
GAMES. THE PARTICIPATION COMPONENT
INCLUDES THREE OBSERVATION CHECKLISTS:
GOOD LISTENER. HOME, CLASSROOM, AND TEST OBSERVATION
CHECKLIST.

PERFORMANCE COMPONENT
(ITEMS AND SCORING):
A) 15 GAMES FOR AGES 2.6 TO 5.11 YEARS
B) 16 GAMES FOR AGES 6.0- TO 7.11 YEARS
C) EACH GAME ALIGNS WITH A SPECIFIC
NEUROLOGICAL ABILITY AND IS SCORED FROM
0-2 OR 0-3
D) THE TOTALS ARE ADDED UP FOR EACH GAME
TO GET AN OVERALL SCORE
PARTICIPATION COMPONENT (ITEMS AND SCORING):

KEY DESCRIPTIONS
A) 46 ITEMS FOR THE CLASSROOM OBSERVATIONS
CHECKLIST
B) 65 ITEMS FOR THE HOME OBSERVATIONS CHECKLIST
C) 25 ITEMS FOR THE TASK OBSERVATIONS CHECKLIST
D) THE ITEMS ON THE OBSERVATION CHECKLISTS ARE
SCORED AS "ALMOST ALWAYS SUCCESSFUL,"
"FREQUENTLY SUCCESSFUL," "OCCASIONALLY
SUCCESSFUL," "SELDOM SUCCESSFUL," OR "NOT
OBSERVED".
E) THESE RATINGS ARE THEN TALLIED TO GENERATE A
SCORE OF: AVERAGE, BELOW AVERAGE, OR FAR BELOW
AVERAGE.

• FOR ADMINISTRATION INSTRUCTIONS, SEE THE SCORING

MANUAL.
 NUMBER OF ITEMS
15 games for ages 2.6 to 5.11 years
16 games for ages 6.0 to 7.11 years
46 items for the Classroom Observations Checklist
65 items for the Home Observations Checklist
25 items for the Task Observations Checklist

EQUIPMENT REQUIRED
M-FUN ADMINISTRATION DIRECTIONS
RECORD FORM (FOR AGES 2.6 TO 3.11 OR 4.0 TO 7.11)
WORKBOOK (FOR AGES 2.6 TO 3.11 OR 4.0 TO 7.11)
ORIGAMI TEMPLATES
LARGE PRESCHOOL-SIZED BRIGHT MARKER OR HIGHLIGHTER WITH
POINTED TIP
BALL, APPROXIMATELY TENNIS BALL-SIZEDSTOPWATCH OR WATCH
OR CLOCK WITH A SECOND HAND
CHILD'S BANK OR AN EMPTY MIXED-NUTS CAN WITH LID, WITH A
COIN SLOT ON THE TOP OF THE BANK OR CAN, APPROXIMATELY 1
INCH IN LENGTH AND 1/16 INCH WIDE
RED FELT-TIPPED PEN; MEDIUM POINT
CHILD-SIZED SCISSORS
18-INCH STRING
#2 PENCIL
 EQUIPMENT REQUIRED
COLORED MODELING CLAY OR SOFT THERAPEUTIC PUTTY (SHAPED INTO
FOUR PING-PONG-SIZED BALLS)
TWO 8-OUNCE PLASTIC GLASSES
TWO TO FOUR NAPKINS
MEDIUM-SIZED METAL SPOON (TABLE SPOON)
TWO TERRYCLOTH WASHCLOTHS
CLEAR ADHESIVE TAPE (¾ INCH WIDE)
MASKING TAPE (¾ INCH WIDE)
THREE 4×4 MATS MADE FROM NON-SLIP MATERIAL
10 PENNIES
20-OUNCE BOTTLE OF WATER
BITE-SIZED SNACK CRACKERS IN A ZIP CLOSURE CLEAR SANDWICH BAG
HOME, CLASSROOM, OR TEST OBSERVATIONS CHECKLIST
PENCIL OR PEN
ADMINISTRATION
M-FUN TAKES AROUND 40-60 MINUTES FOR PERFORMANCE
COMPONENTS, AND 5-10 MINUTES FOR THE PARTICIPATION
COMPONENT.
ADAPT OR MODIFY THE ENVIRONMENT ACCORDINGLY.
ADMINISTER ITEMS IN ORDER OF VISUAL MOTOR, FINE MOTOR
AND THEN GROSS MOTOR.
DO TEACHING AND PRACTICING OF THE ITEM FIRST, THEN DO
ACTUAL TEST ITEM.
COMPLETE TEST OBSERVATIONS CHECKLIST DURING OR AFTER
THE TEST
SCORING
• PERFORMANCE COMPONENT: ON A 0-3 POINT SCALE.
O-UNABLE TO PERFORM TASK,
I- PARTIAL MASTERY OF TASK, 2-MODERATE MASTERY &
3- PERFECT MASTERY.
• PARTICIPATION COMPONENT: CHILD IS MARKED AS
EITHER, ALMOST ALWAYS, FREQUENTLY, OCCASIONALLY,
SELDOM OR NOT SUCCESSFUL.
FIND THE RABBIT GAME!
EXAMINES VISUAL DISCRIMINATION, FIGURE-
GROUND/MOTOR ACCURACY, AND SCANNING/ SUSTAINED
ATTENTION.
HAVE 30 SECONDS TO COMPLETE THE RABBIT GAME
THERE ARE 12 RABBITS ON THE PAGE
MATERIALS REQUIRED ARE AN APPROPRIATE AGE
MARKER AND A STOPWATCH
 THANK YOU
FOR LISTENING!