Other Pedia Settings

Question 1

OTHER: VIP

most common dx in PH
skills lacked (5)

blindism - what (2)

preferred position, tone, discourage _ sitting

Answer 1

• most common: amblyopia
• skills: cognition, motor, social, self-care, communication
• blindism: stereotyped; no specific goal; can be calmed
• preferred position: supine
• dec muscle tone
• discourage W sitting

Question 2

OTHER: VIP

hand under hand - how, for
hand over hand - how

white vs. long cane + how to use

Answer 2

hand under hand
- PT’s under so kiddie can feel movement first
- first exploration of object

hand over hand
- kiddie handles object
- PT gradually withdraw hand

other guides
- guide dogs
- sighted guide
- white cane: support; provide stability
- long cane: for exploration; folding
- step left cane swept to right

Question 3

OTHER: VIP

head control, rolling, sitting, standing, walking - how

stairs - height + hold

Answer 3

head control
- several short periods in prone
- PT: hands under chin & back of neck = stroke = remove gradually

rolling
- several short periods in prone

sitting & standing
- encourage weight shifting in all directions
- PT: joint compression

walking
- give pushing device
- PT: hands on hip

stairs
- near height: elbow
- very height: wrist

Question 4

OTHER: Autism

sx (6)

sensory issues = use what

Answer 4

autism sx
- abnormal UE muscle tone
- mild neurological deficit
- involuntary movement
- postural asymmetries in supine
- head lag in pull to sit
- sensory deficits

sensory issues = bean bags

Question 5

OTHER: NICU

BW, GA, APGAR

negative stimulus

MSK consequences - tight (4), can’t (6)

Answer 5

• BW: < 1500
• GA: < 32w
• APGAR: 5
• negative stimulus: too much noise or light

MSK consequences
- tight neck EXT, trunk EXT, shoulder RET, hip ABD
- can’t: chin tuck, midline head, eye hand, reaching, rolling, weight shifts

Question 6

OTHER: NICU - Handling

swaddle - for (2), stop if + why

kangaroo - other name, for (5)

hammock - for (3)

position we need (4)

Answer 6

swaddle
- for: calming, sleep
- stop if crawling otherwise hip dislocation

kangaroo / skin to skin
- oxygen, weight gain, analgesic, behavior
- inc maternal milk

position
- LE FLEX, trunk FLEX, shoulder PRO, pos pelvic tilt

hammock
- for: head righting, flexor response, vestib

Question 7

OTHER: NICU - Positioning

side lying - R vs. L

supine - yay (1) nah (4)

prone - yay (4), nah (2)

Answer 7

side lying
- L= GERD
- R = inc gastric emptying

supine
- yay: bye sudden infant death
- naur: bad breathing, not calming, not sleeping, GERD

prone
- yay: breathing, calming, sleeping, ICP
- naur: umbilical lines, intubation

Question 8

OTHER:

positioning purpose (3)
sensitive to tactile (3)
duration of session

Answer 8

• positioning = comfort, stability, alignment
• sensitive to tactile: oral, palm, sole
• 10-15 mins