Week 10 - Pediatric Orthopedic Conditions: OT Management Flashcards
for peds, an OT should split a complex eval. into ___ ___.
multiple sessions
name 5 ways in which an OT can prevent and/or minimize anxiety during a peds eval.
- play with child before eval.
- role play with doll, sibling, or parent
- leave child seated on parent’s lap
- have parent provide instructions
- save anything painful or scary for last
name 2 types of self-report evals. for peds.
- semi-structured interviewing: parent and/or child
- pt.-reported outcome measures (proxy report)
name 2 types of pain evals. for peds.
- observation - FLACC scale (2 months - 7 years)
- Wong-Baker FACES Pain Rating Scale (3+)
name 2 types ROM and strength evals. for peds.
- observe during play, transitional movements, interactions with objects
- over 3, can usually participate with goniometry and MMT
name 4 aspects of peds. interventions.
- fun in-clinic and home programs: simple but novel, play and games, non-traditional (hippotherapy, aquatic therapy)
- short sessions
- family involvement
- developmentally appropriate activities and teaching/learning - motor, cognitive, psychosocial
which physical agent modalities should be avoided for peds?
avoid ultrasound over growth plates
- spine looks like S or C when viewed from rear
- spinal changes in frontal, transverse, and/or sagittal planes
- may be associated with lordosis or kyphosis
adolescent idiopathic scoliosis
what is the assessment for adolescent idiopathic scoliosis?
Adams forward bend test
name 3 types of management for adolescent idiopathic scoliosis.
- observation
- bracing
- operative
what is the gold standard surgical technique for adolescent idiopathic scoliosis?
spinal fusion
what is the gold standard non-surgical technique for adolescent idiopathic scoliosis?
Schroth method
- twisted neck
- unilateral SCM contraction which leads to ipsilateral lateral flexion and contralateral rotation
- limitations in ROM
- more common in males
congenital muscular torticollis
name 3 secondary problems of congenital muscular torticollis.
- positional plagiocephaly
- facial asymmetry
- perceptual and balance issues if chronic
congenital muscular torticollis treated ____ most often.
nonoperatively
congenital muscular torticollis treated ____ most often.
nonoperatively
why do pts. with congenital muscular torticollis go to OT?
- ROM deficits
- functional limitations
- developmental delays
- “clicky” hips, abnormal gait, asymmetrical LE skin folds, extreme external rotation so feet seem to point backwards
- affects developmental milestones
- ranging subluxation to dislocation
developmental hip dysplasia
name 2 ways in which developmental hip dysplasia is managed.
- bracing/casting: pavlik harness, hip spica cast, hip flexion and abduction
- operative
name 4 methods of OT treatment for developmental hip dysplasia.
- seating
- positioning for breastfeeding, sleep, etc.
- ADL education (diapering, dressing, bathing)
- with cast/brace removal, address transitional movements and weight bearing during functional activities.
- joint pain, redness, swelling, morning stiffness
- joint deformities and instability
- fatigue
juvenile idiopathic arthritis
the onset of juvenile idiopathic arthritis is before what age?
16
juvenile idiopathic arthritis must persist for at least how many weeks?
at least 6 weeks
transverse arrest: amelia through aphalangia
longitudinal arrest: radial, ulnar, tibial, fibular, central, intersegmental deficiency
failure of formation
