Pediatric PT In Inpatient Rehab Setting

Question 1

What kind of SCI injuries are more common in peds

Answer 1

Non traumatic

Question 2

What is the leading cause of death or permanent disability in children in the USA

Answer 2

BI

Question 3

What is the MOI for anoxic brain injury

Answer 3

drowning, cardiac arrest, acute respiratory failure

Question 4

What is the second most common type of cancer in children

Answer 4

Brain tumors

Question 5

What are risk factors for stroke in pediatrics

Answer 5

sickle cell disease, thrombophilia, trisomy 21

Question 6

What are teh 5 primary goals during IPR

Answer 6

1. Promote neurorecovery
2. Improve functional mobility and recovery
3. Prevent secondary complications
4. Assess and order appropriate DME
5. Perform caregiver training in preparation for discharge

Question 7

What is used to assess tone/spasticity

Answer 7

○ MAS
○ Tardieu

Question 8

What outcome measures would u do for peds IPR

Answer 8

● Pediatric Balance Scale
● 6 Minute Walk Test
● 10 Meter Walk Test
● Timed Up and Go

Question 9

What are the principles of neuroplasticity that still apply to peds

Answer 9

● Intensity Matters
● Specificity Matters
● Salience

Question 10

Maximal independence for pediatric SCI may take years due to

Answer 10

○ Developmental milestones
○ Cognition
○ Body growth and proportions

Question 11

Pertaining to the ASIA scoring , when is it difficult to classify children

Answer 11

When they are younger then 6

Question 12

What may be a common comorbidity for peds SCI

Answer 12

TBI

Question 13

What are some compensatory strategies for peds SCI

Answer 13

○ Head-hips relationship
○ Momentum
○ Locking out of elbows

Question 14

What does the standing program for peds SCI provide/ facilitate and prevent

Answer 14

Provides long duration stretching to bilateral lower extremities →prevention of contractures

Facilitates appropriate LE position for bony development → prevention of hip dysplasia

Question 15

What does the standing program for peds SCI assist with

Answer 15

Bowel and bladder management

Question 16

What are potential complications for peds SCI

Answer 16

○ Autonomic dysreflexia
○ Orthostatic hypotension
○ Pressure injuries
○ Thermoregulatory dysfunction

Question 17

What are some signs of AD

Answer 17

Sweating in the face
* increased in BP
* decreased in HR
* headache
* light headed
* pale below level of injury

Question 18

What do u want to do if u think ur patient is experiencing AD

Answer 18

Find out what is causing it .. usually something below the level of injury

Question 19

What are some treatment interventions for pediatric BI

Answer 19

• forced use
• therapeutic handling and facilitation
• motor control/ motor learning
• NMES and FES

Question 20

What can u use to decreased spasticity and prevent contractures in peds BI

Answer 20

Serial casting and orthoses

Question 21

What should u do for a ranchos level 1-3 for peds

Answer 21

○ Facilitate upright position
○ Supported standing

Question 22

What should u do for a ranchos level 4-5 for peds

Answer 22

○ Automatic motor! Crawling, sit <> stands, walking
○ Follow the child’s lead

Question 23

What should u do for a ranchos level 6-10 for peds

Answer 23

○ Higher level gross motor tasks

Question 24

What are 3 things u should do when preparing for discharge

Answer 24

• required DME ordered and delivered
• caregiver training complete
• return to school

Question 25

What is a forced rigidity cast

Answer 25

* semi rigid cast for ankle that mimic solid ankle AFOS * supports the knees in stance and DF asssit during seing * increased gait trianing —> increase neuro recovery * protects knee joints

Question 26

What should u use to **control ankle clonus**

Answer 26

Serial casting

Answer 27

Serial casting