Down Syndrome: PT Management Flashcards
when does PT interventions start in children with down syndrome
shortly after birth -> lifespan
what is the approach to an early PT intervention (3)
- movement is basis of development
- better motor skills -> enjoyment / interest in physical activity
- manage medical complications and comorbidities
why are there limited studies of efficacy of PT in down syndrome
no CPGs
what are the strategies to a PT examination
familiar/natural environment
behavior management
what are you looking to observe in a PT exam of this population
what are they comfortable with and doing
- what do they gravitate to
what is a critical component of observation in the PT exam
patient/parent/caregiver observations
what are 2 main components that you want to ascertain from your observations
- overall functional/developmental abilities
- equipment
- currently used
- prescribed
what are overall functional/developmental abilities to observe in your PT exam (5)
communication
behavior
eating/drinking
motor (gross/fine)
ADLs/IADLs
what are 3 clinical activities to examine
- gross motor developmental skills & transitional movement (children)
- functional skills (transfers, amb, stairs, etc)
- postural control and balance
what are 4 clinical BSF to examine
- ms tone
- ROM
- strength
- postural alignment (spine, hips, feet)
what are 5 tests and measures
GMFM
PDMS-2
DEDI
participation measures
fall risk
what is the GMFM utilized with
used to compare w GM growth curves
what is the peabody (PDMS-2) test? what is a benefit of this?
norm referenced test
examine gross and fine motor development, assess deviation from children w/o down syndrome at that same age
what patient is the PEDI best for
good for down syndrome pts who are very functional but not appropriate to set goals as compared to TD norms (like the Peabody does)
what does the PEDI assess
functional assessment
- assess activity and participation
what are 2 ex of participation measures
COMP
SFA
who of this population should be assessed for fall risk
adults w ID
what is a limitation when assessing fall risk
no fall risk measure used w older adults has been validated for people w ID
why do we want to foster movement experiences
otherwise “victim of gravity”
what should PT interventions be fostering and promoting (4)
- foster (I)
- facilitate movement experiences
- fitness as child ages
- promote optimal patterns of movement & posture AS THEY IMPACT FUNCTION
who should PT interventions be collaborated with and about what
collaborate w parents
- ab child’s approach to motor learning
what should PT interventions prevent
prevent development of deviant posture and movement IF IT IMPACTS FUNCTION
what are 3 components of an individualized approach
- per exam results
- activity, participation, BSF
- paradigm shift - physical activity preferences and environmental context should direct POC
what are 3 conditions of practice to implement in your intervention
break down complex tasks
- part and whole practice
reward successes
progress w smaller steps
