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Pediatrics > Lesson 1 > Flashcards

Lesson 1 Flashcards

1
Q

Enablement model

A

focus on what patient can do in a holistic approach

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2
Q

Function

A

dynamic interaction between health condition and contextual factors, environment and personal

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3
Q

Disablement model centered on

A

pathology, impairment, functional limitation and disability

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4
Q

Enablement model focused on:

A

individual abilities

influence of internal and external factors

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5
Q

Body functions and structures:

A

impairments at the physiological or anatomical levels in ROM, strength, endurance, etc

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6
Q

Activitiy:

A

task or action execution; mobility on the floor, object manipulation, self care

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7
Q

Participation:

A

involvement in meaningful life situations in home, school, community

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8
Q

Environmental:

A

physical, social, attitudinal aspects of the environment (family, stress, etc)

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9
Q

Personal

A

individual characteristics of child/family, cultural background, etc.

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10
Q

Functional movement

A

self-initiated, goal-directed and meaningful

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11
Q

Play

A

practice of functional activities for motor development, motor learning and environmental mastery

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12
Q

Repetition of motor behaviors

A

trial and error, strengthening, postural control, response to reactive forces

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13
Q

Intensity of purpose

A

practice emerging skills until mastered

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14
Q

Neuromaturationist Theory

A

hierarchical CNS development
appearance of predetermined behavior patterns with nervous system maturation
not altered by environment
tests of motor milestone and reflex development

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15
Q

Early focus of NDT treatment:

A

inhibition of abnormal muscle tone and movement patterns

manual facilitation of more normal patterns using key points of control

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16
Q

Later focus of NDT treatment

A

more dynamic
emphasis on child-directed movements supported by therapist
less use of static postures in adaptive equipment

17
Q

Dynamical Systems Theory

A

motor behavior emerges from self-organization of multiple subsystems in a task-specific environmental context

18
Q

Berstein

A

degrees of freedom in muscles and joints organize into synergies to produce coordinated movement patterns

19
Q

Motor Learning

A

acquisition of motor skills or requisition of motor skills impaired by injury or disease

20
Q

Sensitive Periods

A

experience-dependent plasticity during which interventions might be more effective

21
Q

2-4 months

A

grasp a toy within reach

22
Q

7-8 months

A

visually guided manipulation comparison of multiple objects

23
Q

12-13 months

A

coordination of multiple actions, putting shape into box

24
Q

18-21 months

A

symbolic representation- object memory activates action

25
Q

By 18 months:

A 
upright head posture
prone on elbows
rolling supine to prone
independent sitting
belly crawling, attaining all 4's, reciprocal crawling
pulling to stand
cruising
crawling up and down stairs
independent standing and walking
26
Q

Gross motor development:

A

cephalo-caudal and proximal to distal

spiraling pattern

27
Q

Gross motor development

0-3 months

A

head control

28
Q

Gross motor development

3-6 months

A

postural control of the trunk and arms

29
Q

Gross motor development

6-9 months

A

upright control of lower trunk, pelvis

30
Q

Gross motor development

9-12 months

A

postural control in standing, walking

31
Q

Object manipulation

0-4 months

A

rotation, translation, vibration of objects

32
Q

Object manipulation

4-6.5 months

A

two handed hold, bilateral holding, hand to hand transfer, single object manipulation

33
Q

Object manipulation

6-9.5 months

A

banging objects together, deforming objects, coordinated hand use for sequential actions

34
Q

Object manipulation

7-13 months

A

stable hand preference

35
Q

What drives development?

A

neural maturation
exploration
solving the task at hand

36
Q

Functional head control

Birth:

A

unable to sustain a stable vertical head

position > 1-2 seconds

37
Q

Functional head control

6 weeks

A

supine head turning elicited by visual stimulus

38
Q

Functional head control

2 months

A

ability to sustain head in midline in frontal plane during supported sitting but may appear to be gazing downward

39
Q

Functional head control

3 months

A

finer synergistic control of neck flexors and extensors allows stable head position

Pediatrics (13 decks)

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