Week 2.1 Intro to Pediatric PT

Question 1

are kids and adults really much different when treating in PT

Answer 1

not really

Question 2

what is the eval process you follow with a child

Answer 2

exam, eval, diagnosis, prognosis, intervention and outcomes

Question 3

what are the 7 principles of Pediatric PT

Answer 3

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

Question 4

what is the neural maturationist theory of development

Answer 4

development driven by the pre-programmed brain

Question 5

what is the cognitive theory of development

Answer 5

environment and experience drives development

Question 6

what is the dynamical systems theory

Answer 6

mix of brain and the enviro.

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

Question 7

what does the DST say about neural maturation

Answer 7

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

Question 8

how are movements related and discussed within the DST

Answer 8

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

Question 9

when is brain development very rapid

Answer 9

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

Question 10

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

Answer 10

the sensory pathway, like vision and hearing

Question 11

when does the language path develop

Answer 11

6-9 months, they can recognize words and names

Question 12

when does hight cognitive functions start to develop

Answer 12

peaks around 1 year.

Question 13

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

Answer 13

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

Question 14

how does muscle develop

Answer 14

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.

Question 15

how do bones develop

Answer 15

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.

Question 16

bones grow in ____ before ___

Answer 16

length, before strength

Question 17

how does an infant skeleton look

Answer 17

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

Question 18

when is the skeleton most vulnerable to deformity

Answer 18

in the first years of life

Question 19

bone will increase in ___ before ____

Answer 19

size before strength

Question 20

how does the skeletal structure change as you age

Answer 20

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

Question 21

in addition to the child, who else is your patient

Answer 21

the family members

Question 22

what are some intrinsic family factors

Answer 22

beliefs and ideas
knowledge 
stress and coping 
culture
caregiver health

Question 23

child outcomes and participation depends on what

Answer 23

family resources, family outcomes and child health and development

Question 24

what are some family resources

Answer 24

socioeconomic
siblings
informal support
formal support (therapy)

Question 25

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

Answer 25

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

Question 26

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

Answer 26

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

Question 27

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

Answer 27

medical is medically necessary and educational is relevant

Question 28

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

Answer 28

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

Question 29

what does IDEA stand for

Answer 29

individuals with disabilities educational act

Question 30

the top down approach is beginning with the...

Answer 30

end in mind

Question 31

describe the top down approach

Answer 31

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

Question 32

what is a bottom up approach

Answer 32

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

Question 33

how do we incorporate the ICF into our care

Answer 33

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

Question 34

what might fall under body function and structure

Answer 34

skeletal alignment ROM muscle performance joints, bones,

Question 35

what might fall under the activities category

Answer 35

mobility, sitting, standing, manipulation, walking

Question 36

what might fall under participation

Answer 36

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

Question 37

where do LTG come from

Answer 37

the participation of the child

Question 38

what are some home environment factors

Answer 38

``` primary caregiver father support number siblings child oriented household friendships ```

Question 39

what are some personal factors

Answer 39

curious determined easily frustrated motivated, cognition and attitude

Question 40

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

Answer 40

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

Question 41

where are the STG and the LTG gotten from

Answer 41

STG: from the activity LTG: from the participation