Peds lecture

Question 1

HVLA in kids?

Answer 1

• HVLA relatively contraindicated for ANYONE who has hypermobile Joints, this includes the kiddos!!

Question 2

• Kids should not do ME, why?

Answer 2

They cannot follow directions!!! Think of Score 1 People!!!

Question 3

What cranial n get messed up with birth? And effects?

Answer 3

• Cranial N. IX, X, XI exit through the Jugular Foramen, so birth can mess with these
• Tongue Motion, poor sucking (XII and IX)
• Intestinal Peristalsis cause constipation, GERD, Contribute to Colic (CN X)
• SCM/Trapezius M. Cause Torticollis (CN XI)

Question 4

Spine of infants?

Answer 4

• Babies got larger Lordosis to hold their fat big heads!! The thoracic K. and Lumbar will take TIME to form

Question 5

When do fontanelles close?

Answer 5

1. Posterior 2-3
2. Sphenoid 6 months
3. Mastoid 6-18 months
4. Anterior 12-36 Months

Question 6

Temporal Bone affects the MOST CN N’s (explain)

Answer 6

o Internally rotated Temporal Bone → inc. likelyhood of Otitis Media
o Most Common SD of Kids
o Eustachian tube flatter in infant than adults

Question 7

At birth the occiput is composed of how many bones?

Answer 7

4 !!

Question 8

OMT in infants - what type do you use?

Answer 8

indirect treatments, condylar decompression is good

Question 9

Bachycephaly

Answer 9

1. Head is wider than long
2. Back of head flat not curved
3. Vertical or Flexion Strain associated

Question 10

Scaphocephaly

Answer 10

4. Head is long and narrow

5. Extension Strain

Question 11

Torticollis

Answer 11

6. Caused by Spinal Accessory N. Irritation (jugular Foramen)
7. Sternocleidomastoid M. shorted/ropy
8. Trt OA and Clavicles

Question 12

Constipation in infants?

Answer 12

• Babies will cry when they have bowel movements, means they are not constipated do not add more parasympathetics!
-if they have hard stools and few then think constipation