risky pregnancy Flashcards
what are risky pregnancies
they increase perinatal morbidity and mortality
what are risky babies
premature babies
low birth weight at term babies
babies with congenital defects
babies needing NICU
what is a temporary dystonia
it is common in 1st year of very low birth weight infants
has delayed protective reflexes
disappear at 8 to 12 months
some diseases of risky babies
temporary dystonia
CP
Developmental coordination disorder DCD
how is muscle evaluated
neonatal reflexes
correction and protective reactions
what does continuous repetition aim for
aim to gain normal sensory perception motor movement pattern
PT in risky babies
-positioning
-sensory stimulation
-neurodevelopmental therapy
-constraint induced movement therapy CIMT
-Vojta method
-motor development based pt
-goal directed therapy
what are the goals for neurodevelopmental therapy
- normalize muscle tone
- increase flexor pattern
- spontaneous movements
- midline orientation
- contribute to enviro changes
what are the type of key point to focus on
distal and proximal
proximal key points
the ones located closer to the problem and facilitates more activity distally
eg head, shoulder, trunk and pelvis
distal key points
works only if a child has some postural control proximally and are located away from source of the problem
important components of key point method [N D Therapy]
weight bearing
weight transfer
active trunk rotation
what to ensure while applying neurodevelopmental therapy
proper body alignment
active repetition
spreading the therapy throughout the day
important ways to stimulate babies
tactile stimulation
vestibular stimulation
vibration proprioceptive stimulation
sound
about constraint induced movement therapy
used for infants at risk of unilateral CP
it increases the use of affected extremity
restrict the unaffected
30min/day
the scales used in neurodevelopmental evaluation of risky babies
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]
PGMs
- evaluation of spontaneous motor movements
- easy and cheap
- suitable for evaluation of motor movements in 3 month old babies
AIMS
- 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
HINT
- evaluates motor and cognitive development disorder
-2,5- to 12.5-month-old babies
15 to 30 minutes
NSMDA
- assess between 1 month and 16 years
- help diagnose CP and predicts motor development and cognitive performance of preterm kids
HINE
- 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
what are the cranial nerve functions
posture
movement
tone
reflexes
abnormal signs
orientation and behaviour
IMP
- based on video analysis
- 3 to 18 months
- evaluate success and how it was a success action
- has 88 items
MAI
- 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
