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Pediatrics > Week 2.1 Intro to Pediatric PT > Flashcards

Week 2.1 Intro to Pediatric PT Flashcards

1
Q

are kids and adults really much different when treating in PT

A

not really

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2
Q

what is the eval process you follow with a child

A

exam, eval, diagnosis, prognosis, intervention and outcomes

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3
Q

what are the 7 principles of Pediatric PT

A
  • development
  • child, family and caregiver perspectives
  • medical vs.develop/educational services
  • strength based
  • top down approach
  • participation nd routines
  • WHO-ICF
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4
Q

what is the neural maturationist theory of development

A

development driven by the pre-programmed brain

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5
Q

what is the cognitive theory of development

A

environment and experience drives development

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6
Q

what is the dynamical systems theory

A

mix of brain and the enviro.

development of motor patterns depends on a combo of mechanical, neurological, cognitive, perceptual and enviro things.

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7
Q

what does the DST say about neural maturation

A

that it is equal to other structures/processes that influence development

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8
Q

how are movements related and discussed within the DST

A

self-organizing, and emerge as a result of an interaction between subsystems, subsystems are constrained or supported by physical and environmental factors.

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9
Q

when is brain development very rapid

A

in the first year, this is the biggest window for development

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10
Q

what pathways develop in the first few months 1-4 or 5

A

the sensory pathway, like vision and hearing

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11
Q

when does the language path develop

A

6-9 months, they can recognize words and names

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12
Q

when does hight cognitive functions start to develop

A

peaks around 1 year.

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13
Q

how does the brain size change in the first 2-3 years

A

in the first year, doubles in size. Triples by age 3

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14
Q

how does muscle develop

A

most muscles are developed at birth, and during grown years, the muscle fibers increase in length and cross sectional area by the addition of sarcomeres.

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15
Q

how do bones develop

A

diaphyses are almost ossified at birth, and epiphyses are cartilaginous. Lon bones will grow at the epiphyseal plate, and become ossified when the bone growth is complete around age 20.

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16
Q

bones grow in ____ before ___

A

length, before strength

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17
Q

how does an infant skeleton look

A

shallow acetabulum, femoral anteversion, genu varus and flat feet (even up on toes)

18
Q

when is the skeleton most vulnerable to deformity

A

in the first years of life

19
Q

bone will increase in ___ before ____

A

size before strength

20
Q

how does the skeletal structure change as you age

A

get more straight legs, then genu valgum, then maybe genu varum again

21
Q

in addition to the child, who else is your patient

A

the family members

22
Q

what are some intrinsic family factors

A 
beliefs and ideas
knowledge 
stress and coping 
culture
caregiver health
23
Q

child outcomes and participation depends on what

A

family resources, family outcomes and child health and development

24
Q

what are some family resources

A

socioeconomic
siblings
informal support
formal support (therapy)

25
Q

what is the difference in regulation between medical and education services?

A

medical is regulated by the health care laws and insurance. Educational is regulated by educational law like IDEA

26
Q

what is the difference in therapy between medical and education services?

A

medical: therapy is provided to assist the child be as functionally independent as possible
educational: provided to assist a child to benefit from special education

27
Q

what is the difference between philosophy in between medical and education services?

A

medical is medically necessary and educational is relevant

28
Q

what is the difference between eligibility in between medical and education services?

A

medical: any child
educational: educational disability and demonstrate the need for it

29
Q

what does IDEA stand for

A

individuals with disabilities educational act

30
Q

the top down approach is beginning with the…

A

end in mind

31
Q

describe the top down approach

A

start with the outcomes and desired goals, then identify strengths and obstacles, and strategies to overcome them, and then to improve performance, then you make your intervention

32
Q

what is a bottom up approach

A

start with strengths and weaknesses, and then make your goals and intervention plans

33
Q

how do we incorporate the ICF into our care

A 
we look at the health condition 
body structure and functions 
activities 
participation 
environmental factors 
personal goals
34
Q

what might fall under body function and structure

A

skeletal alignment
ROM
muscle performance
joints, bones,

35
Q

what might fall under the activities category

A

mobility, sitting, standing, manipulation, walking

36
Q

what might fall under participation

A 
self exploration and play 
play with siblings
interaction with parents 
family routines and outing 
sitting at a cafeteria table
37
Q

where do LTG come from

A

the participation of the child

38
Q

what are some home environment factors

A 
primary caregiver
father support 
number siblings 
child oriented household
friendships
39
Q

what are some personal factors

A

curious
determined
easily frustrated
motivated, cognition and attitude

40
Q

what are the subsections of the PT Clinical Reasoning and Reflection Tool (PT-CRT)

A
  1. initial data collection and interview
  2. generation of initial hypothesis
  3. examination
  4. evaluation
  5. POC
  6. Interventions
  7. Reexamination
  8. Outcomes
41
Q

where are the STG and the LTG gotten from

A

STG: from the activity
LTG: from the participation

Pediatrics (24 decks)

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