Lecture 1: OAT for Pediatric Patient Flashcards Preview

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Flashcards in Lecture 1: OAT for Pediatric Patient Deck (22)
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1

Cranial treatments in infants and children are highly useful for what 3 underlying problems?

- Poor suckle

- Infant constipation

- Birth "trauma" --> vomiting, excessive crying, poor suck, etc..

2

2 cranial techniques to use in infants and children?

- Condylar decompression

- Balanced membranous tension

3

What is a common cause of cranial dysfunctions in infants; which bone is most susceptible to dysfunction?

- Birth trauma; can be "normal" or "traumatic" delivery

- Occiput is cranial bone most susceptible

4

An infant with "poor suck" most likely has a cranial dysfunction of which bone and which CN's are affected?

- Occiput

- CN XII and IX

5

An infant with reflux, vomiting, and/or colic most likely has a cranial dysfunction of which bone and which CN is affected?

- Occiput

- CN X

6

An infant with colic and muscular dysfunction most likely has a cranial dysfunction of which bone and which CN is affected?

- Occiput

- CN XI

7

Which cranial bone when dysfuncitonal affects the most CN's?

Temporal

8

Which cranial dysfunction in infants increases the likelihood of otitis media?

IR temporal bone

9

An operative vaginal delivery (forceps, vacuum) may cause dysfunction in which 2 CN's and what does dysfunction in each of these nerves lead to?

- CN VI --> lateral rectus palsy

- CN VII --> facial palsy

10

Which osteopathic tx is relatvely contraindicated in anyone with hypermobile joints?

HVLA

11

What are the spinal curvatures like in an infant?

- C-spine has slight lordosis, which increases as baby can support his/her head

- Thoracic kyphosis and lumbar lordosis has yet to develop

12

Most joints/articulations in an infant are composed of what?

Cartilage

13

Which types of OMT treatments are preferred for infants?

Indirect

14

Which type of OMT should be done to the diaphragms and junctions of an infant?

MFR

15

What are some of the common dysfunctions that may arise in school-age children due to the rapid growth + epiphyseal plates still being open?

- "Growing pains"

- May develop leg length discrepance during this period

- Short leg syndrome

- Functional scoliosis

16

Adolescent athletes are particularly susceptible to SD and you should watch for what?

Hyper-mobility

17

During what stage of childhood do the innominates and sacrum fuse?

- Innominates by age 20

- Sacrum fuses in late adolescence

18

An infant presents with poor suckle/feeding, what would be a good cranial technique you could use to treat?

Condylar decompression

19

A pediatric patient presents with GERD, which OMT modality would be good to use and what viscerosomatics would you target?

- Cranial may be helpful

- Viscerosomatics - OA, AA, T5-T9

20

What are some OMT techniques which would be helpful in treating a pediatric patient with constipation?

- Tx dysfunction at viscerosomatic levels (upper and lower GI; sympathetic and parasympathetics)

- Also tx any pelvic (innominate/sacral) dysf.

- Mesenteric release

21

Which parasympathetics should be targeted for respiratory complaints?

- Nose: facial n. (CN VII)

- OA and AA - vagus n.

22

What are 3 lymphatic techniques that could be used for otitis media in a pediatric patient?

- Ear pull

- Gallbreath

- Muncie technique