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Neuro Rehab 1 > Down Syndrome: PT Management > Flashcards

Down Syndrome: PT Management Flashcards

1
Q

when does PT interventions start in children with down syndrome

A

shortly after birth -> lifespan

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2
Q

what is the approach to an early PT intervention (3)

A
  1. movement is basis of development
  2. better motor skills -> enjoyment / interest in physical activity
  3. manage medical complications and comorbidities
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3
Q

why are there limited studies of efficacy of PT in down syndrome

A

no CPGs

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4
Q

what are the strategies to a PT examination

A

familiar/natural environment
behavior management

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5
Q

what are you looking to observe in a PT exam of this population

A

what are they comfortable with and doing
- what do they gravitate to

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6
Q

what is a critical component of observation in the PT exam

A

patient/parent/caregiver observations

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7
Q

what are 2 main components that you want to ascertain from your observations

A
  1. overall functional/developmental abilities
  2. equipment
    - currently used
    - prescribed
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8
Q

what are overall functional/developmental abilities to observe in your PT exam (5)

A

communication
behavior
eating/drinking
motor (gross/fine)
ADLs/IADLs

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9
Q

what are 3 clinical activities to examine

A
  1. gross motor developmental skills & transitional movement (children)
  2. functional skills (transfers, amb, stairs, etc)
  3. postural control and balance
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10
Q

what are 4 clinical BSF to examine

A
  1. ms tone
  2. ROM
  3. strength
  4. postural alignment (spine, hips, feet)
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11
Q

what are 5 tests and measures

A

GMFM
PDMS-2
DEDI
participation measures
fall risk

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12
Q

what is the GMFM utilized with

A

used to compare w GM growth curves

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13
Q

what is the peabody (PDMS-2) test? what is a benefit of this?

A

norm referenced test

examine gross and fine motor development, assess deviation from children w/o down syndrome at that same age

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14
Q

what patient is the PEDI best for

A

good for down syndrome pts who are very functional but not appropriate to set goals as compared to TD norms (like the Peabody does)

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15
Q

what does the PEDI assess

A

functional assessment
- assess activity and participation

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16
Q

what are 2 ex of participation measures

A

COMP
SFA

17
Q

who of this population should be assessed for fall risk

A

adults w ID

18
Q

what is a limitation when assessing fall risk

A

no fall risk measure used w older adults has been validated for people w ID

19
Q

why do we want to foster movement experiences

A

otherwise “victim of gravity”

20
Q

what should PT interventions be fostering and promoting (4)

A
  1. foster (I)
  2. facilitate movement experiences
  3. fitness as child ages
  4. promote optimal patterns of movement & posture AS THEY IMPACT FUNCTION
21
Q

who should PT interventions be collaborated with and about what

A

collaborate w parents
- ab child’s approach to motor learning

22
Q

what should PT interventions prevent

A

prevent development of deviant posture and movement IF IT IMPACTS FUNCTION

23
Q

what are 3 components of an individualized approach

A
  1. per exam results
  2. activity, participation, BSF
  3. paradigm shift - physical activity preferences and environmental context should direct POC
24
Q

what are 3 conditions of practice to implement in your intervention

A

break down complex tasks
- part and whole practice
reward successes
progress w smaller steps

25
Q

what was found with treadmill training

A

inc rate of skill acquisition in down syndrome
- in past hadn’t been able to speed that skill up

26
Q

what does evidence indicate about the use of orthotics

A

indicates timing is everything
purpose is important

27
Q

what did evidence show of orthotics implemented in pre-independent ambulators

A

improved step with but inc DLS

28
Q

what are characteristics of the feet of children w down syndrome that would benefit from orthotics

A

very flat feet
- very pronated

orthotics add support distally at foot and medial and lateral malleoli

29
Q

what did the evidence show of orthotics implemented within 1st year of independent ambulation

A

flexible SMO’s improved:
- GMFM’s scores
- shuttle run times
- participation outcomes

… all compared to shoes only

30
Q

what could orthotics possibly help with in active older children

A

c/o knee pain

31
Q

what are 3 positive outcomes of regular exercise for people with DS

A
  1. management of osteoporosis
  2. cardiovascular fitness
  3. strength training
32
Q

how does regular exercise help manage osteoporosis

A

need to do WB exercise early
- gains may be limited post-maturity

dec falls/injury by improving balance

33
Q

how does regular exercise improve cardiovascular fitness

A

w/o intervention, expect decline in peak O2 updtake

Neuro Rehab 1 (27 decks)

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