TBI Flashcards
Rancho ped scale characterisitcs?
Reversed numbers from adult scale used for kids under 12
What are some impairment assessments for TBI?
MMT
ROM
PEDI
WEEFIM
GMFM
Look for undetected injury or heterotopic ossification
Motor impairments of TBI?
Spasticity( Peaks 2-3 mo s/p but decreases after)
Coma >1mo
Ataxia
Paralysis/weakness
Decreaased ROM
Deconditioned
What are some things to take into consideration for therapy?
Heterotopic ossification: (>11y/o) usually happens later age when u calcify
Signs are
Dec ROM
Pain with testing
Swelling/erythema/warm
Impaired cardio response secondary to brainstem injury or deconditioning
Interventions of TBI level 5-3 ?
Follow doctors guidelines
Gentle ROM
Position
Sensory stimulation (graded)
Which levels are unable to follow commands?
3/4
Wat are precautions with increased ICP?
Supine
Trendelenberg
Lateral neck flexion
Increased hip flexion
Interventions for Rancho peds level 2?
Requires constant supervision b/c impaired judgement/problem solving Decrease distractions (agitation) Provide routine/structure/simple (can follow onestep) Repeat a lot because of memory deficits
Why are children more susceptible to damage?
Higher number of synapses
Immature myelinization
Skull/brain is compressible
Characteristics of TBI?
Hyperactivity/distracted Frustrated/aggressive Poor judgement/problem solve Memory deficits Aud/vision deficits
Prognosis of TBI depends on?
Age (infant=worst/<5=language deficit/ 15-21 worse than adults)
Duration of coma
Depth of coma
Duration of post traumatic amnesia
Rancho levels?
.
What are the pediatric Rancho levels?
V: no Response to stimuli IV: Give general response to stimuli III: Give localized response to stimuli II:Aware of environment I: Oriented to self and surroundings.
