peads motor function Flashcards
motor function
processing motor ans sensory info to produce movement
goal orientated
components of maturational theory
heirarchial
sequential
predictable
dynamic system theory components
task
child
enviro
NDT
neurodevelopment treatment
NDT goal
establish normal motor development and function
prevent contractors
reduce hyperreflexia
target impairments
concerns of NDT
might not be functional
no advantage to NDT approaches
Context focused therapy
involves parents, functional goals
natural environment
induce neuroplasticity
Context focused therapy with CP
improved function
achieved self care and motor outcomes
hard for therapists
is W sitting bad
no
strong evidence for conductive education
weak
conductive education
focuses on tasks in motor control, mobility and community
attend w max independence
hyperbaric oxygen helpful
no difference than we placebo
therapeutic riding helpful
improves posture in children w CP
parents report improvement in language, self esteem well being
does short duration stretching help
no PROLONGED does
does NMES or FES help peads motor
FES
NMES or FES is active role of child
FES
estim w functional activities is ___
FES
two population FES might help w
CP SCI
indications / goals of use FES
ROM strength, post op gait gross motor hand function mobilty
considerations for strength in kids
cause of weakness CNS vs PNS tone vs strength supervision goals
strengthening n CP
no effect on mobility or spasiticty or strength
strengthen in MD
beckers - some inc in strength
Duchenne - no difference , maybe less depression
treadmill training goals
gait
funcitonal mobilty
postural control
balance
treadmill training in DS
improvement in gait spatial
obstacles
onset of walking
treadmill in CP
improvement in gait
gross motor
10 min walk test
treadmill training in SCI
low evdience
mixed results
is assistive technology helpful
yes allows exploration
mobility
ADL
postiionng
benefits of virtual reality
balnace
UE use
motivation
gait on treadmill
GREEN LIGHT RECOMENDATIONS
spasticity management: botox and SDR
Contractures: casting
how to help spascitiy botox
goal directed, context focused get motor activities better
gold standard in peads
goal directed therpay
contracture management casting
improve function and self care through goal directed therapy
