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7 Pediatrics > L5 Sensory Conditions > Flashcards

L5 Sensory Conditions Flashcards

1
Q

1800s-1900s Disabilities and Schools

A

schools specific for people with disabilities

major cities often had special schools for crippled children where PTs worked

expanded to offer services for a range of disabilities

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2
Q

1975 Disabilities and Schools

A

US Congess passed education of all handicapped children act

all kids 6-21 were entitled to free public education and related services

eliminated requirements to walk, independtly use bathroom, or not have intellectual disability to attend public school

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3
Q

1990 Disabilities and Schools

A

EAHCA became IDEA

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4
Q

PT services in schools covers ages

A

3 to 21

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5
Q

IDEA 2004

A

improving education results for children with disabilities is an essential element of our national policy of ensuring equality of opportunity, full participation, independent living, and economic self-sufficiency for individuals with disabilities

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6
Q

Provisions of IDEA

A
  • zero reject of kids
  • least restrictive environment provided
  • right to due process
  • parent participation
  • nondiscriminatory evaluation
  • IEP for each child
  • related services like PT/OT
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7
Q

Exam and Eval for IEP includes

A
  • determination if child has disability
  • define educational needs of child
  • functional and developmental assessments

must be written with 30 days once child has been determined eligible for services

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8
Q

Eligible disabilities for IEP

A

autism
deaf/blindness
developmental delay
emotional disturbance
intellectual disabilities
orthopedic impairment
learning disability
speech/language impairment
TBI

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9
Q

IEP Meeting includes

A

parents
regular education teacher
special education teacher
child ( if appropriate)

representative from public agency who is qualified to provide specially designed instruction

individual who can interpret instructional implications of evaluation results

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10
Q

IEP Requirements

A
  1. child’s present level
  2. measurable annual goals
  3. child’s progress towards goals
  4. services to be provided
  5. how child will participate with nondisabled children
  6. accommodations
  7. projected date and frequency of services
  8. (age 16+) postsecondary goals, transition services, adult child knows their rights
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11
Q

Goals of PT in school

A
  • enhance functional capabilities
  • help child’s performance in school
  • goals are based on IEP, are free of professional jargon, realistic, and easily understood
  • must relate to child’s educational goals
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12
Q

Postural Control Development

A

tone can impact how child sits in classroom, eats, or plays

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13
Q

3 part sitting

A

all parts of body are connected
pelvis
shoulders
neck

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14
Q

Developmental Coordination Disorder

A

chronic condition involving impairment in gross motor, postural, and/or fine motor performance that affects a child’s ability to perform the skilled movements necessary for daily living

5-6% of children impacted

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15
Q

Diagnostic criteria for DCD

A
  1. learning and execution of motor skills is below expected level for age
  2. motor skill difficulties interfere with ADLs, school, vocational, leisure
  3. Onset is in early development
  4. motor skills are not caused by other conditions
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16
Q

Autism spectrum disorder

A

affects verbal and nonverbal communication, social interaction

unknown cause, possibly due to genetic component

early motor delay can be a predictor, evident before 3 yo

17
Q

Characteristics of autism

A

repetitive activities
stereotyped movements
resistance to changes
unusual responses to sensory

18
Q

Signs that warrant referral for eval of autism

A
  1. no babbling or gesturing by 1
  2. inability to speak one word by 16 mo
  3. inability to combine two words by 2
  4. any loss of language or social skills
19
Q

Socialization in austism

A

deficits in social emotional reciprocity and maintaining relationships

inability to say goodbye, engage in conversation, make friends

20
Q

Communication in autism

A

deficits in nonverbal bheaviors

inabiity to maintain eye contact, lack of facial expression

21
Q

Restrictive or repetitive behavior in autism

A

inability to tolerate a change in routine, hyperreactivity or hyporeactivity to sensory input, repetitive motor movements

need to eat the same food, take the same route, excessive smelling or touching, flapping of hands or lining up toys

22
Q

Asperger Syndrome

A

characterized by significant difficulties with social interaction, along with restricted and repetitive patterns of behavior and interests

has preservation of linguistic and cognitive development

greater problems with balance, gait, speed, rhythm, timing

23
Q

CP of ASD

A
  • disruption of language and communication development
  • intellectual impairments
  • sensitivity to touch
  • apraxia
  • restricted, repetitive behaviors
  • impaired motor imitation and coordination
  • poor eye contact
  • decreased muscle tone
24
Q

Functional impacts of ASD

A
  • difficulties with inerpersonal relationships, social interactions
  • struggles to achieve developmental and motor milestones
  • unsustained active play with peers and family
  • struggles to walk long distances
  • challenges with organized sports or active leisure
25
Q

Interventions for ASD

A
  • multiple disciplines!
  • behavioral therapy
  • sensory integration
  • social skill interventions
  • early on and education programs to help with consistency and structure
  • PT focusing on motor planning and sensory
  • family support and education
26
Q

Idiopathic Toe Walking

A

toe at initial contact that can be intermittent or constant

diagnosis of exclusion

can be normal up to age 3

27
Q

Interventions for idiopathic toe walking

A

stretching
strengthening
joint mobs
balance
gait
motor control
sensory based
serial casting
orthotics
surgery

28
Q

Children with toe walking lose what rockers with gait?

A

first and second

only have the last rocker in late stance, causing early heel rise and shorter step length

29
Q

Eval of idiopathic toe walking

A

prior medical hx
developmental milestones
familial hx
prior intervention
ROM
leg length
tone
DTR
alignment
sensory dysfunction
strength
speech delay (often tied with ITW)

7 Pediatrics (10 decks)

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