Treatment Interventions Flashcards

1
Q

PT interventions include

A
  • Communication
  • Pt instruction
  • Direct intervention
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2
Q

3 intervention models

A
  • Direct: remedial, compensation, promotion, & prevention
  • Monitoring
  • Consultation
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3
Q

Effective PT interventions for CP

A
  • Casting
  • Constraint-induced movement therapy
  • Fitness & strength training
  • Environmental enrichment
  • Home programs
  • Mobility training
  • Pressure care
  • Task-specific training
  • Treadmill training & PBWS
  • Weight bearing
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4
Q

Describe a jumping harness support

A
  • partial body weight standing/gait training & jumping
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5
Q

Describe the use for swim flippers

A
  • encourage dorsiflexion for heel strike
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6
Q

Benefits of aquatic therapy

A
  • Utilizes buoyancy & movement of water to improve postural control
  • Provides sensory input
  • Allows for kinesthetic, visual, & auditory learning
  • Stimulates many developmental domains (motor, cognitive, language, social)
  • Motivating & fun
  • Can be done with the whole family in a community setting
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7
Q

Describe therapeutic taping

A
  • Rigid: increases stability, postural support, use a cover roll under leukotape
  • Dynamic: used to facilitate movement, use kinesiotape
  • Allergy test FIRST
  • DON’T apply to irritated skin
  • Remove tape with Desolv-it or baby oil
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8
Q

Describe Theratogs

A
  • Taping substitute
  • Orthotic undergarment
  • Improves alignment, posture, balance, movement, and gait, and increases body awareness
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9
Q

Describe SPIO Suit

A
  • Stabilizing Pressure Input Orthosis
  • Compression suit without strapping
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10
Q

Describe Amniotic Band Syndrome

A
  • Fetus becomes tangled in fibrous bands in the womb, restricting blood flow & affecting development
  • Not genetic
  • Can include amputation of hand, arm, leg, and/or cleft palate
  • Can be a cause of miscarriage if band wraps around the umbilical cord
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11
Q

Describe an IEP

A
  • Individualized Educational Plan
  • Includes annual goals provided by the care team
  • Is a part of special education
  • Parent/caregiver signature allows you to treat
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12
Q

Foot orthotics biomechanics

A
  • Supination: for stability, closed pack position
  • Pronation: for shock absorption
  • Subtalar neutral
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13
Q

Goals for orthotics

A
  • Prevent deformity
  • Correct soft tissue deformity
  • Control undesirable motion
  • Protect weak muscles
  • Control abnormal tone
  • Increase stability for standing
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14
Q

Orthotics for the trunk and LEs

A
  • TLSO (thoraco lumbar sacral orthosis): body jacket to stabilize trunk for scoliosis
  • RGO’s (reciprocating gait orthosis): cable system allows alternating leg movement & trunk support in high level SCI & spina bifida
  • HKAFO’s (hip knee ankle foot orthosis): pelvic band and hinged hip & knee joints needed with non-functional LEs
  • KAFO’s ( knee ankle foot orthosis): hinged knee can be free or locked used with adequate hip flexor/adductor function
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15
Q

Types of foot orthotics

A
  • Heel cups: mild flat feet, hypotonia
  • SMO’s (supra-malleolar orthotic): moderate pronation/supination with plantegrade foot restricts supination/pronation NOT DF/PF
  • Hinged AFO: variable PF stop for equinovalgus or varis
  • Posterior leaf AFO: allows limited DF
  • Solid/fixed AFO: more supportive, used for standing non-ambulatory children
  • FRAFO (floor reaction AFO’s): control crouching due to gastroc weakness
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16
Q

Benefits of therapeutic horseback riding

A
  • Utilizes movement of horse to improve postural control
  • Provides sensory input
  • Allows for kinesthetic, visual, & auditory learning
  • Stimulates many developmental domains (motor, cognitive, language, social)
  • Motivating and fun
17
Q

Describe the foot orthotic check out

A
  • Posterior view: flat bottom, vertical shaft, midline calcaneous
  • Lateral view: 5º DF, toe break
  • Anterior view: vertical tibia, neutral abduction
  • Evaluate for skin tolerance
  • Gradual increase in wear time, begin 20 min
  • Give written instructions of splint care to caregiver