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peds chapter

Brooke Richards

on 27 February 2013

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Transcript of Pediatrics

Pediatrics Pediatrics family assessment – family interview, survey, or discussion

helpful for developmentally delayed or children under 5 years old

standardized testing – type of formal test in which the evaluation procedures remain the same when administered by different therapists and at variable locations

norm referenced – values collected from standardized testing to compare the patients to Assessment/ Examination First 3 years...

Build Support in the Home

Family and friends must be educated on diagnosis and prognosis

They form the foundation of support for pediatric patient/client

Individualized Family Service Plan (IFSP)

Strengthen family unit

Assistive babysitting, specialized transportation, etc observe stages of a child's life and look for discrepancies.

gross and Fine Motor Movements School age...

Individualized Education Program (IEP)

Allows active participation in education system

Direct PT care or consultation with other professionals, caretakers, teachers, etc. Key Points:
Evaluation: occurs very often
Diagnosis/Prognosis: Educate the family
Effects on Plan of Care: Constantly evolving based on patient needs A lot of planning goes into their intervention

Disablement Process

Enablement Process

Have basic knowledge of psychology to developing motor learning skills

Work with family members to design a long term, family- center plan. autism neurologic

impairments with communication, social and behavioral skills

repetitive behavior

may be associated motor and sensory impairments

usually diagnosed before age 3 developmental disorder

consistent behavioral programs, individually catered to each patient's needs

Physical therapy- to teach each child how to develop gross motor skills without using abnormal movement patterns, which frequently occur due to hypotonia (Low muscle tone) and hypermobility (Unusual ROM). Interventions... clubfoot one or both feet turned inward

muscles shorten and remain in fixed position Interventions

progressive and prolonged casting and/or taping

physical therapy interventions will mostly consist of the appropriate splinting that is specific to each child

physical therapy sessions to increase joint ROM.

in severe cases children must have surgical repair

brain isn't effectively communicating with the CNS and muscles

many causes from trauma, genetic factors, premature birth, and environmental factors Neuromuscular Disorders Common Neuromuscular
& Genetic Disorders duchenne muscular dystrophy (DMD)
neural tube defects- spina bifida, spina bifida occulta, meningocele, meningomyocele, anencephaly
developmental coordination disorder (DCD)
prenatal cocaine exposure scoliosis spine is curved laterally
congenital or neuromuscular
differs in severity
cause is unknown most of the time
causes back pain, uneven shoulders or hips exercise helps to reduce back pain & to improve range of motion caused by excessive alcohol consumption of the mother during pregnancy

most common known cause of intellectual disability, surpassing down syndrome and spina bifida!

children are smaller in size and have specific physical features- microcephaly, widely spaced eyes, short upturned nose, thin upper lip, and large low-set ears

these physical features help to identify their condition. fetal alcohol syndrome (FAS) Pediatrics Brooke Richards
Lindsey Jensen
Megan Nimer
Jared Leung-Wo
Chelsea Valdez Hypothetical Case Study Little Matthew 3 yrs. old

attends preschool with other children his age

has down syndrome Common Pediatric Conditions Developmental Disorders can be caused by many factors during fetal development

genetic and chromosomal anomalies

environmental toxins

premature birth Orthopaedic Disorders congenital or acquired problems with:

joints acute, short-term injuries Other Common
Orthopaedic Disorders... Congenital Muscular Torticollis (CMT) Juvenile Rheumatoid Arthritis (JRA) Developmental Dysplasia of the Hip (DDH) Osteogenesis Imperfecta (OI) Cystic Fibrosis (CF) Spinal Muscular Atrophy (SMA) Down Syndrome Cerebral Palsy (CP)
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