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Peds Assessment and Intervention > Hand Function Evaluation And Intervention > Flashcards

Hand Function Evaluation And Intervention Flashcards

1
Q

Terminology of hand use what are they?

A 
Visual Motor (eye hand coordination)
Fine Motor 
Reach 
Grasp 
Carry 
Voluntary Release 
In-Hand Manipulation
Biannual Skills
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2
Q

What Factors contribute to the development of hand function?

A

Cultural Influence (Poverty, Utensils, View of Play)
Somatosensory Function (hepatic perception)
Visual Perception and Cognition
Musculoskeletal

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3
Q

Cultural Influence How does it affect Developement of Hand function

A

Children learn to use tools by watching adults
Poverty- lack of objects to practice
Utensils - May not use
View of play - play may not be important

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4
Q

Somatosensory functions How does it affect Developement of Hand function

A

Hectic perception
Accurate use of fingers movement
Sustaining grasp

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5
Q

Somatosensory Limitations may cause?

A

Poor coordination
Problems with timing and speed of response
Clumsiness

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6
Q

Visual Perception and cognition How does it affect Developement of Hand function

A

Vision is important for learning new motor skills (arching and manipulating)
Attention to objects
Problems solving with objects

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7
Q

Musculoskeletal How does it affect Developement of Hand function

A

Joint, bone and muscle structure important
Hand Amomalis
Decreased ROM
And Musle power.

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8
Q

Development of Hand Skills what are they?

A 
Reach and carry 
Grasp patterns 
In-hand manipulation skills
Voluntary release 
Bimanual skills 
Throwing ball skills
Tool use 
Hand preference
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9
Q

Reach and Carry 3 months

A

Bat at an object

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10
Q

Reach and Carry 4 months

A

Hand Regard

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11
Q

Reach and Carry 12 months

A

Optimal hand opening to reach and grasp an object

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12
Q

True or False. Carrying - requires smooth body movement and stabilization of object in the hand

A

Ture

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13
Q

Grasp Patterns Precision vs power ?

A

Precision - involves thumb opposition And small or medium objects
Power- Involves entire hand, medium or large objects

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14
Q

Grasp Pattern 1-3 months

A

Grasp reflex

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15
Q

Grasp Pattern 4 months

A

Voluntary grasp

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16
Q

Grasp Pattern 7 months

A

Raking

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17
Q

Grasp Pattern 9-12 months

A

Disk grasping
Cylindrical grasp
Spherical grasp

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18
Q

Grasp Pattern 4-5 years with strength increasing until 12 years old

A

Lateral pinch

Tripod pinch

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19
Q

What are types of In-Hand Manipulations?

A 
Fingers to palm translation 
Palm to finger translation 
Shirt 
Simple rotation 
Complex rotation
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20
Q

What are the requirements for development of in-hand manipulation skills ?

A

Supination
Wrist extension with stability
Controlled dynamic thumb opposition
Finger tip pretension
Isolated thumb and radial finger movements
Stability with mobility of transverse MCP arch
Dissociation of side of hand

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21
Q

Voluntary Release requires what?

A

Precise coordination of fingertips forces and timing for predicting accurate object placement

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22
Q

Voluntary Release 5-6 months

A

Transfers object from one hand to the other smoothly

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23
Q

Voluntary Release 9 months

A

Release objects intentionally

24
Q

Voluntary Release 7-13 months

A

Neat placement and release of objects of variety of size, weights and shapes.

25
Q

Bimanual Skills infants move?

A

Arm/hand asymmetrically

26
Q

Bimanual Skills 3 - 10 months

A

Symmetrical arm/hand movement. Allows hand to engage at midline

27
Q

Bimanual Skills 9-10 months

A

Banged tow objects together

28
Q

Bimanual Skills 10 months

A

Hold at object with one hand to explore it with the other

29
Q

Bimanual Skills 17-18

A

One hand stabilizes object from the other to act on it

30
Q

Bimanual Skills 30 months

A

Emerging differentiated use of arms/hands (cutting with scissors.

31
Q

Ball throwing skills requires?

A

Shoulder strength and controls along with release skills

32
Q

Ball Throwing Skills 2 years old ?

A

Can throw a ball foward and maintain balance

33
Q

Ball Throwing Skills 3 years old

A

Projects ball towards target

34
Q

Ball Throwing Skills 6 - 7 years

A

Throw a ball at target 12 feet.

35
Q

Hand Preference infants ?

A

Should not demonstrate hand preference

36
Q

Hand Preference 18-36 months old ?/

A

Show hand preference during activities that require two hands but not during simple grasp tasks

37
Q

Relationship of Hand Skills to Children’s Occupations

A

ADL’s should be independent at the age of 8
Play
School Function

38
Q

School Function 1st and 2nd

A

FM most of the day

39
Q

School Function 3rd grade

A

30% of the day

40
Q

School Function FM 30 % of the day used on

A

Paper pencil tasks, cutting, folding paper, manage food containers and organizing belonging

41
Q

Evaluation of Hand skills in children should be in ?

A

The context of play, self-care and school occupations

42
Q

What includes in full evaluation of hand function ?

A 
Fine motor
Visual motor
Hand functions performance 
Postural alignment and stability 
GM
Cognition 
Perceptual skills 
Sensory processing 
Social0emotional skills
43
Q

What are assessment tools used during evaluation of hand skills in children ?

A 
Goniometer 
Observation 
Muscle test
Grip and pinch strength test 
Tactile test 
And standardized tools ; Peabody,BOT, Purdue Pegboard, VMI, DTVP
44
Q

Bio mechanical and Neurodevelopment Approaches Focus on?

A 
ROM
Strength 
Endurance
Postural alignment 
Joint stability 
Often used with children with and other neuromuscular diseases
45
Q

Wha are the PRINCIPALS of BPM?

A

Optimal alignment
Optimal trunk control midline position
Feel stable moving against gravity
Relaxed tone

46
Q

Strategies for BPM

A

Use various positions to enhance hand use

47
Q

Neurodevelopmental therapy Goals are?

A

Inhibit spasticity
Facilitate normal tone
Guide normal movement patterns

48
Q

Neurodevelopmental therapy Focus ?

A

Through sensory feedback children with Abnormal tone can learn how normal movement patterns feel and internalize them

49
Q

Neurodevelopmental therapy Strategies?

A

Deep pressure
UE weight bearing
Hand line via key points of controle to encourage was and movement in different planes

50
Q

True or False. Studies do not show that NDT improving functional outcome?

A

True

51
Q

Occupational-Based Approaches emphasizes the relationship between?

A

Interactions of person, environment and occupation

52
Q

What are consideration of occupation-based approaches ?

A

Child’s motivation
Context of performance
Child’s performance strength and limitations

53
Q

What are the types of OBA/

A

Motor learning practice model

Pediatric constraint-induced movement therapy

54
Q

Motor Learning Practice Model assist child in acquisition of ?

A

Motor skills through structured activities, practices of targeted skills and feedback using child’s interests

55
Q

IN what population does MLP model work best on?

A

Those who follow directions, engage in repetitive practice and understand reinforcement
NOT GOOD FOR INFANTS

56
Q

Motor Learning practice model Principes and techniques + research

A

Meaningful activities keep the child engaged, repetitive practice, reinforcement.
Research = Emerging and promising evidence that support the model

57
Q

Pediatric Constraint-Induced Movement Therapy is a well researched and supports children with hemiparesis of ?

A 
All ages 
May not help with dystopia 
may help with treating brachial plexus 
Older children work best 
Infant should be monitored closely

Peds Assessment and Intervention (5 decks)

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