Lecture 1: OAT for Pediatric Patient Flashcards

1
Q

Cranial treatments in infants and children are highly useful for what 3 underlying problems?

A
  • Poor suckle
  • Infant constipation
  • Birth “trauma” –> vomiting, excessive crying, poor suck, etc..
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2
Q

2 cranial techniques to use in infants and children?

A
  • Condylar decompression
  • Balanced membranous tension
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3
Q

What is a common cause of cranial dysfunctions in infants; which bone is most susceptible to dysfunction?

A
  • Birth trauma; can be “normal” or “traumatic” delivery
  • Occiput is cranial bone most susceptible
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4
Q

An infant with “poor suck” most likely has a cranial dysfunction of which bone and which CN’s are affected?

A
  • Occiput
  • CN XII and IX
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5
Q

An infant with reflux, vomiting, and/or colic most likely has a cranial dysfunction of which bone and which CN is affected?

A
  • Occiput
  • CN X
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6
Q

An infant with colic and muscular dysfunction most likely has a cranial dysfunction of which bone and which CN is affected?

A
  • Occiput
  • CN XI
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7
Q

Which cranial bone when dysfuncitonal affects the most CN’s?

A

Temporal

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8
Q

Which cranial dysfunction in infants increases the likelihood of otitis media?

A

IR temporal bone

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9
Q

An operative vaginal delivery (forceps, vacuum) may cause dysfunction in which 2 CN’s and what does dysfunction in each of these nerves lead to?

A
  • CN VI –> lateral rectus palsy
  • CN VII –> facial palsy
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10
Q

Which osteopathic tx is relatvely contraindicated in anyone with hypermobile joints?

A

HVLA

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11
Q

What are the spinal curvatures like in an infant?

A
  • C-spine has slight lordosis, which increases as baby can support his/her head
  • Thoracic kyphosis and lumbar lordosis has yet to develop
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12
Q

Most joints/articulations in an infant are composed of what?

A

Cartilage

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13
Q

Which types of OMT treatments are preferred for infants?

A

Indirect

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14
Q

Which type of OMT should be done to the diaphragms and junctions of an infant?

A

MFR

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15
Q

What are some of the common dysfunctions that may arise in school-age children due to the rapid growth + epiphyseal plates still being open?

A
  • “Growing pains
  • May develop leg length discrepance during this period
  • Short leg syndrome
  • Functional scoliosis
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16
Q

Adolescent athletes are particularly susceptible to SD and you should watch for what?

A

Hyper-mobility

17
Q

During what stage of childhood do the innominates and sacrum fuse?

A
  • Innominates by age 20
  • Sacrum fuses in late adolescence
18
Q

An infant presents with poor suckle/feeding, what would be a good cranial technique you could use to treat?

A

Condylar decompression

19
Q

A pediatric patient presents with GERD, which OMT modality would be good to use and what viscerosomatics would you target?

A
  • Cranial may be helpful
  • Viscerosomatics - OA, AA, T5-T9
20
Q

What are some OMT techniques which would be helpful in treating a pediatric patient with constipation?

A
  • Tx dysfunction at viscerosomatic levels (upper and lower GI; sympathetic and parasympathetics)
  • Also tx any pelvic (innominate/sacral) dysf.
  • Mesenteric release
21
Q

Which parasympathetics should be targeted for respiratory complaints?

A
  • Nose: facial n. (CN VII)
  • OA and AA - vagus n.
22
Q

What are 3 lymphatic techniques that could be used for otitis media in a pediatric patient?

A
  • Ear pull
  • Gallbreath
  • Muncie technique