4.2- Peds 2 Flashcards
Basic positioning and handling techniques will:
- Promote ________ stability of weak areas and ________ of tight/spastic areas for functional tasks.
- Improve ______ and ________ control
- Accommodate for lack of muscular _______ and _________
- Reinforce proper ___________ alignment
- Decrease ______ tone
- functional, mobility
- head, neck
- strength, support
- postural
- high
What is the primary goal when working with Peds?
To improve functional performance
Primary impairments in these children may include?
Hint: 3 things.
- difficulty recruiting a muscle contraction to initiate movement
- lack of pelvic and neck control for midline positioning
- lack of control of body segments
Children with neurologic dysfunction may exhibit:
- development delays-may never get by ________ ___________ normally lost in first few months.
- Impaired muscle tone– can be ________ or __________
- Increased may cause scoliosis, contractures
- Lack of _________
- Decreased ________, __________, and __________
- primitive reflexes
- increased or decreased
- sensation
- ROM, strength and coordination
General goals for therapy:
Make the child as ______ as possible
- Low ______ and _______ needs to be stabilized
- ________ tone and ________ range need mobility
- Must be able to move from 1 position to the next-transitional movement
* starts with ability to shift _____ with a position away from ________ without falling
* if child can control shifts-leads to _______ to _______ positions
independent
- low tone and hypermobility
- increased, limited
- weight, midline
- ability to change
What is the ability to move from one position to another?
transitional movement
Provides a base for movement and function?
Posture
What is postural pyrmaid?
As child gains control the base becomes smaller
Supine and prone position:
Child can be mobile in prone, but often will see ________ _________ or ________ ______ using only _______ if the child is weak or uncoordinated
commando crawl, drag crawl, arms
Child can long sit with ________ legs, prop on arms or ______ sitting if they have poor stability
abducted, W
Errect standing
Children with poor ________ or ________ control widen _______ to compensate
balance or postural, BOS
Early PT intervention:
- Very important to teach family-home (add to daily routine)
- Proper _____ control/alignment allows _____ and _____ to interact (social/bonding) helps with feeding/sight
- Proper _____ support provides feeling of ______, and gives child stability
- Attempt to add ______ to follow ______ sequence at proper age
- Positioning provides _____ from which ________ can occur
- Once stable in _______, work on ________ from one posture to the next
- head, child and family
- body, security
- Positions, developmental
- posture, movement
- posture, transitions
T/F:
Children will not adopt compensatory stratgies if too weak to provide support by using trunk stability
False-they will adopt compensatory strategies
If the child is using compensatory strategies, what other complications can this lead to?
contractures, muscles not developing, muscle imbalances, scoliosis
What types of positions allow imbalances to develop?
asymmetric
