Intro To Peds RX

Question 1

What is a top down approach to examinations and interventions

Answer 1

• goal driven approach (not focusing on the impairment)
• take into account child, family, and PT desired outcome

Question 2

What are the three trainings?

Answer 2

1. Compensatory training
2. Neuro motor training
3. Functional training

Question 3

When would you use compensatory training

Answer 3

NOT INFANTS
If child has reached max level of functioning

Question 4

What is neuro motor training (NDT approach)

Answer 4

Lesions in CNS produce problems in coordination of posture and movement — leads to atypical muscle tone which leads to limitations in function
— intervention strategies target specific impairments through activities and within contexts that are meaningful
— participation limitations are directly related to posture and movement dysfunction

Question 5

What are the 3 steps to activity focused interventions

Answer 5

activity focused RX incorporates motor control and motor learning
1. Develop activity related goals that are meaningful to the child
2. Activity focused intervention
3. Integrate impairment-focused intervention both actively and passively

Question 6

What are the GMFCS levels

Answer 6

1 — walks without limitations
2 — walks with limitations
3 — walks using a device
4 — self mobility with limitations may use power wheelchair
5 — dependent mobility in wheelchair

Question 7

What does the motor curve for children with CP tell us

Answer 7

The more involved the GMFCS level the earlier the child will plateau in function.
Levels 1-3 will show most growth in function in the first 5 years of life

Question 8

What does the motor growth curve for DS tell us?

Answer 8

Children with DS require more time to learn movements
— 14% walk by 18 months
— 40% walk by 24 months
— 92% walk by 36 months
MOTOR GROWTH CURVES LEVELS OFF AT 3 YEARS

Question 9

What is the MM functional classification

Answer 9

MMFC 1 — retain iliopsoas function. NO quads
MMFC 2 — retain quads and med. Hams. NO glutes
MMFC 3 — retain quads, glute med. NO gastroc/soleus
MMFC 4 — retain quads and glute med and gastroc soleus
all about what muscles are spared

Question 10

What are the 3 parts of a pediatric intervention session

Answer 10

Preparation
Impairment based activity
Functional activity

Question 11

The 6 F’s in treatment planning

Answer 11

Functioning
Fitness
Fun
Friends
Family
Future

Question 12

What are the 3 key components to determining prognosis

Answer 12

Diagnosis
Age
Developmental status

Question 13

What are the considerations for intensity of a therapy service

Answer 13

1. Episodes of care
2. Readiness for activity and participation
3. Method of service delivery
4. Relationship between intensity and practice
5. Link between skill level and method of service delivery