PTs In Education Flashcards

1
Q

Section 504

A
  • began under Rehabilitation Act of 1973
  • individuals with disabilities shall not be denied participation in, benefits of, or subject to discrimination under any program or activity receiving federal financial assistance for any program or activity solely on the basis of their disability
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2
Q

Eligibility of 504

A
  1. Have physical and/or mental impairment that substantially limits 1+ major life activities
  2. Have record or history of impairment
  3. Can meet the definition as to be regarded as having such impairment
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3
Q

IDEA vs. Section 504

A
  • based on different legislation, with different definitions of disability & different eligibility criteria
  • IEP: specialized instruction
  • 504 plan: accommodation plan to facilitation participation in education
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4
Q

IDEA

A
  • Part A: foundation of law & basic provisions
  • Part B: provision of services for children 3-21
  • Part C: provision of services for children birth-2
  • Part D: national scope/activities for educating children with disabilities
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5
Q

IDEA Provisions

A
  • requires & advocates that services be provided in least restrictive environment
  • IEP (Or IFSP for Birth-3)
  • schools must provide transition planning services & evaluation/assessment of student’s abilities & needs at regular intervals
  • requires & advocates for parental involvement
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6
Q

IDEA Eligibility

A
  1. Within age range of their state’s plan for special education (3-21)
  2. Meet eligibility criteria for 1 of 14 categories of disability specified in IDEA and/or meet state’s criteria for developmental delay
  3. Require special education & related services to meet unique needs
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7
Q

Determining Need for PT at school

A
  • based on need, not qualification
  • based on present level of function & goal-driven, not diagnosis-dependent
  • services only as specialized as needed
  • educational relevance
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8
Q

IEP Team

A
  • student
  • parents
  • classroom staff
  • educational support professionals (PT, OT, SLP, social work, etc.)
  • need to be contributing, collaborative team!
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9
Q

IEP Anatomy

A
  • review present level of performance in key areas
  • disability analysis & eligibility
  • create goals
  • outline educational services
  • placement determination
  • transition planning PRN
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10
Q

PT Services in School Setting

A
  • staff education
  • classroom programming
  • working with families
  • assisting with continuity of care
  • managing equipment needs
  • adaptive/assistive equipment
  • environmental modifications
  • maximize independence with mobility
  • facilitate development of gross motor skills to increase school participation
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11
Q

School System Pros

A
  • minimal time spent with billing
  • frequent inter-disciplinary collaboration
  • primary childhood importance
  • better attendance
  • work as if self-employed, set own appointments
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12
Q

School System Cons

A
  • unstable treatment space
  • limited equipment
  • limited services
  • limited opportunities to interact with parents
  • self-employed almost
  • underestimated by other professionals
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13
Q

Ideal Sitting Position

A
  • 90-90-90
  • line of gravity through ischial tubes
  • muscles active to prevent falling into lumbar kyphosis
  • balance activity around pelvis allows improved trunk & UE movement
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14
Q

Relaxed Sitting Position

A
  • posteriorly tilted pelvis
  • line of gravity behind ischial tubes
  • decreased lordosis
  • most stable but also most inactive
  • lower tone/easily fatigued
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15
Q

Forward Sitting Posture

A
  • shifts toward activity
  • center of gravity moves forward
  • anteriorly tilted pelvis
  • arms/hands brought forward
  • feet shifted back
  • less muscle force
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16
Q

Goals of Adaptive Seating

A
  • Functionally: to increase independence with individual activities/tasks & improve participation
  • Physically: improve alignment, postural stability, motor control, & prevent secondary impairments
17
Q

Considerations for Positioning

A
  • pelvic position
  • seat/back cushion
  • orientation in space
  • limb support
  • accessibility
18
Q

Ideas to Increase Activation

A
  • lumbar roll
  • unstable surface
  • wedge cushion
  • anteriorly tilted chair
  • foot positioning
19
Q

Ideas to Increase Stability

A
  • support feet
  • arm rest/tray
  • reclined chair
  • thoracic/chest supports PRN
  • extensor tone: close hip angle, increase knee flexion with feet supported, anti-thrust seat cushion