Inpatient Rehab Flashcards
(11 cards)
Primary Goals
- Promote Neurorecovery
- Improve functional mobility
- Prevent Secondary Complications
- DME
- Caregiver Training
Initial Eval
-RORM
-Tone/Spasticity
-Strength
-Sensation
-Reflexes
-Posturre
-Mobility
-Balance
-Transfers
Inital Eval Outcome Measures
-Pediatric Balance Scale
-6MWT
-10MWT
-TUG
Pedi SCI: ASIA
-difficult to assess <6 yrs
Pedi SCI: Independence
-cant take years due to delayed milestones, cognition, growth
Pedi SCI: Standing Program
-long duration stretching of LEs
-appropriotte LE posiiton for bony development
-Bowel and bladder mannagement
-socialization
Pedi SCI: Complications
-Autonomic Dysreflexia
-Orthostatic Hypotension
-Pressure Injurires
-Thermoregulation dysfunction
Pedi Brain Injury: Impacts
Behavioral:
-agression, flat affect, emotional lability, impulsivity
Cognitive:
-may not recognize until child challenged in school and socially
-Rancho
Physically:
-spasticity
-hemiparesis
Pedi Brain Injury: Intervention
-forced use
-theraperutic handling
-Motor control/Motor Learning
-NMES/FES
Pedi BI: Rancho
1-3:
-upright positioning
-supoorted standing
4-5:
-automatic motorr
-follow child’s lead
6-10:
-higher level gross motor tasks
Discharge
- DME
- Caregiver training
- Return to school