risky pregnancy Flashcards

1
Q

what are risky pregnancies

A

they increase perinatal morbidity and mortality

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2
Q

what are risky babies

A

premature babies
low birth weight at term babies
babies with congenital defects
babies needing NICU

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3
Q

what is a temporary dystonia

A

it is common in 1st year of very low birth weight infants
has delayed protective reflexes
disappear at 8 to 12 months

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4
Q

some diseases of risky babies

A

temporary dystonia
CP
Developmental coordination disorder DCD

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5
Q

how is muscle evaluated

A

neonatal reflexes
correction and protective reactions

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6
Q

what does continuous repetition aim for

A

aim to gain normal sensory perception motor movement pattern

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7
Q

PT in risky babies

A

-positioning
-sensory stimulation
-neurodevelopmental therapy
-constraint induced movement therapy CIMT
-Vojta method
-motor development based pt
-goal directed therapy

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8
Q

what are the goals for neurodevelopmental therapy

A
  • normalize muscle tone
  • increase flexor pattern
  • spontaneous movements
  • midline orientation
  • contribute to enviro changes
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9
Q

what are the type of key point to focus on

A

distal and proximal

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10
Q

proximal key points

A

the ones located closer to the problem and facilitates more activity distally
eg head, shoulder, trunk and pelvis

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11
Q

distal key points

A

works only if a child has some postural control proximally and are located away from source of the problem

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12
Q

important components of key point method [N D Therapy]

A

weight bearing
weight transfer
active trunk rotation

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13
Q

what to ensure while applying neurodevelopmental therapy

A

proper body alignment
active repetition
spreading the therapy throughout the day

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14
Q

important ways to stimulate babies

A

tactile stimulation
vestibular stimulation
vibration proprioceptive stimulation
sound

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15
Q

about constraint induced movement therapy

A

used for infants at risk of unilateral CP
it increases the use of affected extremity
restrict the unaffected
30min/day

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16
Q

the scales used in neurodevelopmental evaluation of risky babies

A

Prechtl’s Assessment of General movement [PGM]
Alberta infant motor scale [AIMS]
The Harris neuromotor test [HINT]
Neuro sensory motor development evaluation [NSMDA]
Hammersmith infant neurological examination [HINE]
Infant motor profile [IMP]
Movement assessment of infants [MAI]
The Peabody developmental motor scales -2 [PDMS-2]

17
Q

PGMs

A
  • evaluation of spontaneous motor movements
  • easy and cheap
  • suitable for evaluation of motor movements in 3 month old babies
18
Q

AIMS

A
  • measures children’s from new bones to independent walking 0-18 months
  • based on observing spontaneous motor behaviour
    -it measures
  • Weight transfer
  • Posture
  • Antigravity movements
    has 58 items
19
Q

HINT

A
  • evaluates motor and cognitive development disorder
    -2,5- to 12.5-month-old babies
    15 to 30 minutes
20
Q

NSMDA

A
  • assess between 1 month and 16 years
  • help diagnose CP and predicts motor development and cognitive performance of preterm kids
21
Q

HINE

A
  • used to determine higher risk of neurological anomalies
  • it’s a preventive battery in terms of detecting neural disorders at an early stage
  • up to 24 weeks babies
  • evaluates cranial nerve functions
22
Q

what are the cranial nerve functions

A

posture
movement
tone
reflexes
abnormal signs
orientation and behaviour

23
Q

IMP

A
  • based on video analysis
  • 3 to 18 months
  • evaluate success and how it was a success action
  • has 88 items
24
Q

MAI

A
  • aims at motor dysfunction of babies
  • birth to 1 year
  • it evaluate 65 items
  • it scores each item btn 0-4 or 0-6
  • reported to be more sensitive infants aged 4 to 8 months
25
Q

PDMS-2

A
  • gross and fine motor
  • 0 to 5 years
  • gross motor assess reflex, balance, locomotor and non-locomotor
  • fine motor assess grasping, hand functions, hand eye coordination and manual dexterity