[Lecture] OAT Pediatric [Nichols] Flashcards Preview

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Flashcards in [Lecture] OAT Pediatric [Nichols] Deck (55)
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1

Which treatment technique is generally unnecessary in young children?

HVLA

2

Which treatment technique may be difficult to perform in children due to decreased ability to follow directions?

Muscle energy

3

Which treatment techniques are useful in children regardless of age?

ART, MET, FPR, lymphatics, BLT, cranial

Indirect, may be able to use direct as they get older

4

Compression of the jugular foramen may cause dysfunction of tongue motion, resulting in ______ in kids. Which CNs?

Compression of the jugular foramen may cause dysfunction of tongue motion, resulting in poor suck in kids

CN 9, 12

5

Compression of the jugular foramen may cause dysfunction of intestinal peristalsis, resulting in ____, _____, and ________ in kids. Which CNs?

Compression of the jugular foramen may cause dysfunction of intestinal peristalsis, resulting in constipation, GERD, and contribute to colic in kids

CN 10

6

Compression of the jugular foramen may cause dysfunction of SCM/trapezius motion, resulting in ______ in kids. Which CN(s)?

Compression of the jugular foramen may cause dysfunction of SCM/trapezius motion, resulting in torticollis in kids

CN 11

7

Which spinal curvature is developed in infants? Which curvatures develop later?

C-Spine has slight lordosis, increases as baby supports own head

Thoracic kyphosis and lumbar lordosis develops later

8

When do the anterior fontanelles close?

12-36 mo

9

When do the posterior fontanelles close?

2-3 months

10

When do the sphenoid fontanelles close?

6 mo

11

When do the mastoid fontanelles close?

6-18 mo

12

Which cranial bone is most commonly dysfunctional in infants?

Occiput (compressed)

13

Dysfunction of which cranial bone affects the most cranial nerves?

Temporal

14

Infants have increased likelihood of otitis media if temporal bone is rotated how?

Internally rotated

15

Operative vaginal delivery cause palsies in which cranial nerves?

CN 6 - lateral rectus palsy

CN 7 - Facial palsy

16

Why might internal rotation of the temporal bone cause otitis media in children?

Eustachian tube is flatter in infants than adults

Rotation blocks drainage of tube => increased risk of infection

17

How can you tell synostosis from positional plagiocephaly on physical exam?

Synostosis - symmetrical forehead and eyes

Positional plagiocephaly - forehead protrudes on one side/parallelogram-shaped head

18

What is craniosynostosis?

Abnormal fusion of head sutures

19

What kind of cranial somatic dysfunction causes plagiocephaly?

Lateral strain

Parallelogram head 

20

What positional head deformity is frequently associated with torticollis?

Plagiocephaly

21

What kind of cranial somatic dysfunction causes brachycephaly?

Vertical strain/Flexion strain

Head is wider than it is long, flat back of the head

22

What kind of cranial somatic dysfunction causes scaphocephaly?

Extension strain

Head is long and narrow

23

What CN may be irritated to cause torticollis? What muscle does this affect?

CN 11 (spinal accessory)

SCM - short and ropy

24

Where would OMT be localized to treat torticollis?

OA region

Clavicles

Use MFR, BLT, MET, chapman's points...etc

25

How are most cranial somatic dysfunctions in infants treated?

Self-treated through crying and sucking

26

3 techniques to use to treat cranial somatic dysfunction in infants?

Condylar decompression

Balanced membranous OR ligamentous tension

Venous sinus release

Indirect treatments!! Can also do MFR, suboccipital release, lymphatics

27

Bone development in school-age children

Cranium?

Sinuses?

Epiphyseal plates?

Cranium - fully ossified

Sinuses - fully formed

Epiphyseal plates - Still developing, may develop length discrepancy => short leg syndrome/functional scoliosis

28

School-age children have avg of _____ URIs per year

Avg 6-8 URIs a year

Risk from school, smoke exposure

Do lymphatics, viscerosomatics

 

29

Which sinuses are present at birth? 

Maxillary

Ethmoid

30

Around what age do sinuses typically reach their adult size?

12-15, teen years