CMT and DDH lab Flashcards
CPG for Torticollis
Neck PROM
neck and trunk AROM
Development of symmetric movement
Parent education
Where should you place the things the child looks at in their crib when they have torticollis
To midline, don’t place to where they have to look too far in opposite direction of the torticollis
____ intervention is key for torticollis treatment
Early
Which way do we want a 7month baby sidelying if they have torticollis
Sidelying on the same side as the torticolilis so that they actively turn on their contralateral muscles to right the head
Which side should we carry a baby with torticollis on
Carry them so they have to right their head away from the torticollis
How should we modify feeding for babies with torticollis
Encourage them to come to midline, however don’t do anything that interferes with the babies eating
What are the contraindications to kineseotape
Abrasions, open wounds, poor skin integrity, allergies to adhesive
How do we test a baby for allergy to adhesive
Put a small test square of kinesiotape on their back
What kind of tension do we start with for kineseotaping torticollis
“Paper off” tension
AKA very light tension.
Torticollis is associated with which other 2 conditions
Developmental hip displasia
Metatarsus adductus/ calcaneovalgus
So always check for all 3 when a baby has one
What are the 3 severity levels of DDH
Subluxable
Dislocatable and reducible
Dislocated and not reducible
What is the galeazzi sign
Uneven knees when baby is in hook lying
What is the Barlow test
Bring baby from abduction and flexion to adduction with posterior pressure
(BArlow test starts with ABduction)
What should you feel when doing a positive Barlow test
Feel dislocation
What is the ortolani test
First flex hip and adduct
Then abduct with traction
What should we feel with a positive ortolani test
Reduction of a dislocation
What sign at the thighs can tell you a baby might have DDH
Asymmetric thigh folds
Most infants have _____ abduction
If they’re missing even just _____ compared to other side then we sent them back to pediatrician
75-90
5-10
