peads pain Flashcards
is acute pain more relevant than chronic
yes - immediate coping, around the time of nociception
central sensitization is in acute or complex pain
complex
factors in development of complex pain
genetics
female
stressors
change in PA
3 P management strategy for pain
physiotherapy
psychology
pharmacology
CRPS difference in kids
LL
female
usually cooler and from minor injury
less sympathetic symptoms
somatic symptom disorder
emotional distress experienced by physical symptoms
congenital limb deficiency UL or LL
UL > LL
transverse limb deficiency
disruption of previously normal limb
longitudinal limb deficiency
associated with syndromes of chromosomal abnomilies
when do you evaluation ambulation options
when they are learning pull to stand (8-12 months)
initial appointment w prosthetist
3-9 months
when is initial fit for TT or TF (unilateral) fit
6-9 months
when is bilateral TF
9-12 months - ambulates without assistive devices
do stubbies have a knee joint
no
pre op PT for kids
gait aid training
ROM
strength
balance
post op PT for kids
home equipment
scar / skin
mobilize
3 post op complications
shorter limb
phantom
overgrowth
how is overgrowth reduced
joint disarticulation rather than amputation
how does overgrowth present
pain, redness or poor socket fit
risk factors for phantom
pre amp pain
neurotoxic chemo
benefits of rotationplasty
allows growth only 1 surgery reduced complication as you can WB proprioception function / QOL
complications of rotationplasty
vascular compromise
skin breakdown
nerve injury
seating (amp board fitting)
goals for PT
prevent contracture
promote party-cation
normal gross motor development
