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Pediatrics > PT for the Pre-School and School Aged Child > Flashcards

PT for the Pre-School and School Aged Child Flashcards

1
Q

Pre-Schooler age

A

3 -5 y/o

center based

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2
Q

school age

A

5 - 18/21 y/o

home or school

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3
Q

true or false, in the 1930’s, teachers used to provide physical therapy

A

true

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4
Q

Most recent update to laws regulating school PT was in

A

2004

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5
Q

Individuals with Disabilities Education Act date

A

1991

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6
Q

Individuals with Disabilities Education Act – 1991, Part A states that

A

(General Provisions): All Children with disabilities have available to them a free and
appropriate public education that emphasizes special education and related services designed to meet their unique needs and prepare them for further education, employment and independent living.

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7
Q

Individuals with Disabilities Education Act – 1991: Part B

A
  • (Pre-School and School Aged)
  • Provides for services from 3 – 21
  • 3-5 is a grey area: Some states keep IFSP, others (such as NY State) transition to IEP (individualized education plan)
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8
Q

Under IDEA (1991), ages 3-5 is a gray area. The options are:

A
  • Some states keep IFSP,
  • others (such as NY State) transition to IEP (individualized education plan)
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9
Q

IDEA part C

A

Early Intervention

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10
Q

IDEA applicable laws

A
  • Evaluation completed within 60 days of referral
  • Goals must be SMART
  • Evidence based (peer reviewed) practice
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11
Q

Education of All Handicapped Children Act - 1974 stated that

A

▪ Institution of the IEP (individualized Education Plan)
▪ Free and appropriate public education including related services for ages 5-21
▪ Zero reject
▪ Least restrictive environment
▪ Parent participation
▪ Non-discriminatory evaluation

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12
Q

Not all children who need Physical Therapy qualify for school-based services under IDEA

A

Section 504 of the Rehabilitation Act: Broader definition of “qualified handicapped person”

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13
Q

QUALIFYING FOR SCHOOL PHYSICAL THERAPY Testing assessment tools:

A
  1. Peabody Developmental Motor Scales, 2nd Edition (PDMS-2) – covered last time
  2. Bruninks Oswestery Test of Motor Performance, 2nd Edition (BOT-2)
  3. School Function Assessment (SFA)
  4. Gross Motor Function Measure (GMFM) (to be covered in the Cerebral Palsy lecture)
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14
Q

Quilifying for school PT, delay is based on age specific norms

A
  • >33% in any one area
  • >25% in 2 or more areas
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15
Q

how long are the school physical therapy programs?

A

10 mo or 12 mo (depending on the child)

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16
Q

This tests assesses children age 4 – 21 with motor problems not related to an “obvious neurological disorder” (such as CP)

A

Bruninks Oswestery Test of Motor Performance, 2nd Edition (BOT-2)

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17
Q

This test is best used for children between 4-21 with:

▪ Developmental Coordination Disorder
▪ High-Functioning Autistic Spectrum Disorders/Asperger’s
▪ Moderate Mental Retardation

A

Bruninks Oswestery Test of Motor Performance, 2nd Edition (BOT-2)

18
Q

what sub-test of the BOT-2 allows for observation of gait

A

RUNNING SPEED AND AGILITY

19
Q

which standarized, norm-referenced test used included an administration easel?

A

BOT-2

Examiner side of easel:
▪ Number of trials
▪ Equipment needed
▪ Procedure
▪ Scoring
▪ Scripted administration

Examinee side of easel:
▪ Large, clear pictures of required task

20
Q

ADVANTAGES OF BOT-2:

A
  • Graded Scoring: Most examinees will achieve some level of success on every task
  • Sex Specific Norms: Accounts for differences between boys and girls
  • Engaging, game-like activities
  • Variety of methods for administration
  • Large age range, one of very few assessment tools covering school-aged children
21
Q

DISADVANTAGES OF THE BOT-2

A
  • May not accurately identify gross motor vs. fine motor skills – best for “general motor proficiency”
  • 50 feet required for running tasks
22
Q

Which test for qualyfing for school PT (norm-referenced) is basically a questionare that compares children to theirs peers?

A

SCHOOL FUNCTIONAL ASSESSMENT (SFA)

23
Q

METHODS OF GATHERING SCHOOL FUNCTIONAL ASSESSMENT (SFA) INFORMATION

A
  • Coordination method
    • Coordinator circulates SFA
    • Coordinator oversees or performs scoring and interpretation
  • Collaborative method
    • Team meets and discusses
    • Completes together
    • May be helpful when there are differences of opinion about a student
  • Single Respondent
24
Q

in school physical therapy documentation must be written in _____

A

parent-friendly language

25
Q

in school physical therapy, Goals are focused on

A

access to educational curriculum and independence in school

26
Q

school setting goals lenght

A

Annual (school year) and short-term (quarterly) goals

27
Q

in school based PT, following evaluation, who decides need for, frequency and duration of services.

A

the IEP team (not MD) decides

28
Q

in scholl PT setting, where does therapy take place?

A

Therapy takes place in the natural environment (classroom, playground, hallways, cafeteria, bussing) through “push in” sessions

29
Q

The student will be able to transfer to and participate in circle time independently for 30 minutes for five consecutive days as reported by the classroom teacher.

A

school setting LTG

30
Q

IN ONE YEAR, JASON WILL MOVE FROM HIS HOMEROOM TO SCIENCE CLASS USING HIS POWER WHEELCHAIR WITHIN THE ALLOTTED 3 MINUTES BEFORE THE BELL RINGS AT LEAST 3 DAYS EACH WEEK.

A

school setting LTG

Responsible parties: homeroom teacher, science teacher, and PT

31
Q

at what age running mechanics are refined

A

5 y/o

32
Q

at what age true run full flight phase emerges in running

A

3 yr

33
Q

at what age can a child mount and dismount a tricycle?

A

3 yr

34
Q

at what age the child can kicks a ball with aim

A

3 yr

35
Q

Catches a ball with hands only

A

5 yr

36
Q

Roller skates and rides bike

A

5 yr

37
Q

gallops

A

4 yr

38
Q

skips

A

5 yr

39
Q

Stands on tiptoes

A

4 yr

40
Q

Planning the transtion out of school based PT must begin at

A

16 years

Representative from transitional service providers at IEP meeting

41
Q

access the educational environment considerations

A
  • Bussing
  • Stairs
  • Time between classe
  • Carrying books
  • Getting in and out of desks
  • PE participation
42
Q

This is the only one that tests school age children

A

BOT-2

Pediatrics (22 decks)

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