Everything Pediatric ): Flashcards

(50 cards)

1
Q

What are Neural-Maturationist Theories

A

Functional behaviors develop with the nervous system = NATURE

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2
Q

WHat are cognitive theories

A

Environment derives development = NURTURE

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3
Q

What are the 3 stages of motor learning

A

Cognitve: Understanding
Assoicative: Fine tuning
Autonomous: automatic

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4
Q

What is the direction in the body of reflexes and motor development

A

Cephalcaudal (head and neck before trunk)

proximodistal (proximal control. before distal)

Reflex to voluntary

General to specific

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5
Q

What is a developmental spiral

A

REGRESS to previous developmental positioa n for higher gross motor task

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6
Q

Describe asymmetrical tonic neck reflex

A

“football throw” when head turned, arm + leg in front of head is extended and back arm is flexed

Birth to 4-6 months (first half of year)
If not integrated
- visual pursuit issues
- Rolling issues
- Crawling issues
- Skeletal deformities

Related to UE movement with head turn

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7
Q

Symmetrical tonic neck reflex

A

in quadruped, head ext means arms also ext and legs flex, and vice versa. Symmetrical b/c arms do the what head does on both sides. Legs do opposite on both sides.

6-12 months (second half of year)
If not integrated, then prone prop on arms, crawling + hand and knee position , sitting balance,
use of hands when looking at object

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8
Q

Tonic Labrinthine Reflex

A

More ext tone in supine
Flexion tone in prone
Birth to 6 month (first half of year)

Related to and would cause issues with beginner level transfers for babies (rolling, coming into sitting, prop on elbows, balance)

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9
Q

Grasp Reflex

A

Birth-6 months (first half of year)
Pressure to palm, fingers should curl

Related to WB on hands and grasping objects

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10
Q

Rooting reflex

A

Touch cheek, baby head should turn to that side

30 weeks gestation to 6 months (First half of year)

Related to oral development, social, visual, optic tracking

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11
Q

Galant Reflex

A

Stroke back causes curved hip and lateral trunk flexion on that side

30 weeks gestation to 2 - 9 months (long range)
If not integrated, it can lead to impaired sitting balance and scoliosis

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12
Q

Moro vs startle reflex

A

Allowing head to fall into extension
Fully horz abd then adducts arms
Moro: hands open
Startle (in response to noise, stimulus): hands closed

28 weeks gestation to 5 months (first half of year)

Related to Balance reactions, protective response, eye-hand coordination

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13
Q

Stepping/walking reflex

A

When placed on soles of feet supported, reciprocal knee bends should occur

30 weeks gestation to 2 months

Related to walking, balance, reciprocal gait

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14
Q

Landau Reflex

A

Head and feet up “superman”

3 months to 2 years (up to 2 years)

Related to neck, back, core muscle tone

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15
Q

Positive support reflex

A

Hold baby on balls of feet and they should stiffen their legs and trunk in extension
30 weeks gestation to 2 months (first quarter of year)

Relates to standing balance, walking, weight shift

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16
Q

Plantar grasp reflex

A

Stimulus of pressure at base of toes should cause toe flexion

30 weeks gestation to 9 months (long range 3 quarters of year)

Related to standing on feet, weight shifting

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17
Q

Gross motor milestones 3 month

A

Prone prop, hands to midline, open hands, can hold head in prone
(Basic lying transfers, prone everything, open hand)

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18
Q

4 months

A

Hold head w/o support, hold objects, put things in mouth
Improvement from 4 mo But nothing crazy

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19
Q

When does rolling occur

A

4-6 months

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20
Q

When does sitting and army crawl occur

A

6 - 9 months (using hands for support) for sitting, and crawl begins and gets better up to at 9 months

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21
Q

What occurs at 9 months

A

Able to pull to stand with support (maybe), sit w/o support, better with hands (e.g raking food, switching objects)

(makes sense because enaring time where walking occurs but not quite there)

22
Q

What occurs around 10 -14 months

A

Walking started with supported, then independent, standing independent

Wlking avg age is 12 months=1 year

Pick food up to eat

23
Q

15 months-17 months

A

More independent walking and eating, climbing stairs (not walking)

24
Q

Different types types of crawling

A

Crawling is on belly (think army crawl)
Creeping is on hands and knees. Evidecnce on effects of crawling milestones limited

25
18-26 months and beyond to 3 years
Feed yourself, running, walk on stairs, jumping
26
2-3 years
Can balance on one stance leg, kick ball, run, tricycle , walk stairs, greater fine motor like twisting and turning pages After 3, greater fine motor skills like eating with utensil and putting on clothes.
27
4-6 years
1 foot hopping (5 yo) , catching, skipping/gallop, hold writing utensil correctly
28
What is VP shunt failure
Shunt for csf Sx - Sunsetting eyes - Flu symptoms - Swelling redness around shunt - Chnage in function Medical Emergency
29
Tethered Cord
Cord folds wrong way Sx - Rapid scoliosis - Change in urological function - Back pain worsens - Around growth spurt Medical Emergency
30
Muscular Dystrophy
Signs - Gowers sign - Weak hip ext - Tight hip flex, gastroc - pesudohypertrophy of calves - Lorddosis Refer out
31
Juvenile Arthritis
- Joint Pain and Swelling - Morning stiffness - Weak - Fatigue - Delayed milestones - Refer out
32
Spondylolisthesis
Common cause of LBP in peds (Isthmic spondy) Common with hypermobile females 10 -15 Cheerleaders, gymnastics step defromity Oblique radiograph used
33
Describe the AIMS. Name, purpose, age range
Alberta Infant Motor Scale - Identify delayed development 0 to 18 months old
34
Describe the Bayley Test
Developmental Delay for 1-42 months old
35
Peabody
TOTAL motor development (fine and gross motor)
36
Bruininks-Oseretsky Test of Motor Proficiency (BOT)
4-25 years old but really 14 yo is ceiling effect All around for coordinator, strength, balance, gross and fine motor = all around for kids including older kids (not babies)
37
Pedi
6 mo - 8 years old Functional abilities specifically
38
GMFM/GMFCS
5 mo to 16 yo for kids with CP (gross motor function) and downs syndrome level 1 - Independent community ambulator Level 2- Household ambulator. may need AD Level 3 - household w/ AD, man wheelchair in community Level 4 - Requires self mobility wheelchair with power wheelchair Level 5 - Requires full assistance to get around (manual wheelchair that others push)
39
PEDI
Pediatric evaluation of disability 6 months to 7.5 years for functional activities (self care, social, mobility)
40
SFA- School function Asessement
Kindegarden to 6th grade for school function specifically like tasks there
41
Torticollis
Tight SCM causes ipsilateral sidebend and cont rotation (textbook) but could be mixed R sided torticollis would have R sb etc. Rule out trochlear nerve palsy (head tilt could be compensation for inability to move eyes inward/outward and downward limited AROM on opp side to to tightness passively on affected side Tight band or nodule (man therapy) Decreased tummy time, asymm gross milestones Cranial deformity (plagiocephaly) flat spot on one side due to increased pressure
42
Cerebral Palsy
Happens fatally or in infancy Not progressive Spastic - stiff due to motor cortex Dyskinetic - Involuntary movements due to Basal ganglia Ataxia -Shaky, uncoordinated due to cerebllum Crouched gait hip flexed knee flex ankle df
43
Down Syndrome
Hypotonic (less contraction, weak) Hypermobile Antanto axial instability Gross motor milestones accomplished but in 2x the amount of time as normal Flat nasal bridge Brain smaller, cogntive impairment
44
Spina Bifida
LMN pathology Affects everything below affected level Spina bifida occulta is not symptonatic menening/meningocele is more severe LE paralysis Sensory Hydrocephalus Latex allergy Strabismus (crossed eye) Arnold Chiari Malfromation Deformities and joint contracure CLubfoot - talipes equinavourus Cranial nerve involvement *Glute max is big predictor of community ambulation *Everything below level is affected so L1-L2 spini bifida is more severe than sacral level b/c more LE affected L1-L2 requires HKAFO, wheelchair L3 Forearm crutches maybe household ambulation L4-L5 AFO, AD for longer distances Sacral Leve - community ambulation, AFO
45
Movement Asessment Battery for Children
For developmental cooridnation disorder
46
Apgar
Good is 7-10 1-3 need immediate medical attention
47
2.5 to 3 years old
Able to jump
48
Weefim
WeeFIM, or the Pediatric Functional Independence Measure, is a tool that measures a child's disability by assessing their independence in daily tasks
49
Walk, and walk stairs, before you jump, then tippy toe then one foot and skipping etc
Crawl on belly 6 months Creep 7-9 months
50
SMA
severe muscle dysfunction and atrophy SMA 1 die within 2 years SMA 2 life spans 20-40 years