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7/13/15 NBCOT Exam > Peds > Flashcards

Flashcards in Peds Deck (34):

OT treatment for kids w/congenital heart defects are

-compromised endurance
-paced activities
-education of family in health maintenance (diet, exercise)


Chronic - Bronchopulmonary dysplasia

due to prolonged use of a mechanical ventilation-airways thicken, formation of excess mucus and restricted alveolar-greater risk of respiratory infections


Chronic - Asthma

airway constriction in the lower respiratory tract-appear around age 5

-inhalation of irritants trigger attacks


OT treatment of Asthma

-Educate on exposure to irritants
-self-management strategies like pacing/stress management-peer-group activities to reduce social isolation
-breathing exercises, stretching, and controlled breathing to manage attacks


Chronic - Cystic Fibrosis (CF)

-due to gene on chromosome 7
-affects multiple systems (pancreatic duct, bronchial tree, digestive tract) due to thick secretions
-chronic pulmonary disease can occur
-May cause right side of the heart to be enlarged


OT Treatment - Cystic Fibrosis

-Educate the client on the disease's progression
-Educate on energy conservation
-Teach techniques to promote efficient breathing


Osteogenesis imperfecta (OI)

brittle bones

-educate in handling and positioning to prevent fractures
-wb monitoring activities


Marfan's Syndrome

excessive growth at the ephipyseal plates

-walking may be delayed



stunting of ephiphyseal plate growth the person may be 4 ft or less

-back and leg pain are common


Arthrogryposis multiplex congenital

incomplete contracture of many or all of the client's joints
-have still extremities and thickened knee/elbow joints
-muscles are underdeveloped

OT treatment
-increase/maintain ROM and strength for ADLs, splinting and serial casting


Congenital Clubfoot

Uni/bilateral forefoot adduction/supination

-taping, casting, splinting


Congential club hand

partial or full absence of the radius

-Cashing, static/dynamic splinting


Juvenile Rheumatoid Arthritis (JRA)

Persistent arthritis in one or more joints
-inflammation, stiffness, contractures, and change in growth patterns.

OT treatment
-splinting, AROM/PROM,
-monitor joint function to prevent deformity
-energy conservation,
-AE to lessen the stress of joints


Children seeking vestibular input may appear to be? (fail to orient to the stimuli/hyporesponsivity)

Reckless or risk takers; they may need a lot to get going.


Children seeking proprioceptive input may try to get their needs by? (Fail to orient to stimuli/hyporesponsivitiy)

Engaging in rough housing and other activities that provide them with deep-pressure input or muscle resistance. The kids may seek this type of input may be trying to regulate their experiences of touch or movement.


Tactile Defensiveness (overorient to stimuli/hyperresponsivity)

extreme reaction to tactile input, light touch may be noxious, may be extrasensitive on their face, abdomen, and palmar surfaces of their hands.


Gravitational insecurity (overorient to the stimuli/hyperresponsivity)

vestibular input, scared of movement and may move carefully and need their feet always on the ground.


What is sensory discrimination problems?

-Difficulty making sense of, or interpreting, tactile input. Difficulty with visual-motor tasks and motor planning.

-fine motor manipulation skills may be delayed.


What is proprioception problems?

Not getting the information the kids need from their muscles and joints.

-Cognitive strategies can be used to help them compensate.


What is vestibular-proprioceptive probems?

Poor bilateral coordination and difficulty sequencing actions. (a child responding to a ball being kicked to them)


Duchenne's Muscular Dystrophy (DMD)

-only boys get this!-difficulty going up/down stairs and getting up from lying down

OT Intervention
-Prevent deformity
-Work on strength and ROM


Congential Muscular Dystrophy (CMD)

generalized muscle weakness and contractures (floppy)

OT Interventions
-Increase mobility and prevent contractures
-Use AE and orthotics


Spina Bifida

Congential defect of the vertebral arches and spinal column.

OT Interventions
-Bowel/bladder programs
-Cognitive learning issues
-Educate on skin care, urology and diet
-AE for mobility


Peripheral Nerve Injury

Caused during birth as a result of the infant's shoulders becoming impacted and stretching/tearing in the birth canal.
-weakness of the small muscles of the hands and sensory discrimination in the hand/arm

OT Intervention
-Fabricating a sling around the humerus to prevent subluxation
-WB if strength improves
-Tactile stimulation
-Bilateral activities
-Massage for edema


Traumatic Brain Injury (TBI) - Peds

Injury to the headOT Intervention (Acute)
-Sensory stimulation
-ROM to maintain joint mobility
-Positioning can prevent skin breakdown
-Splinting for hand function



A behavioral disorder w/unknown causes
-Difficulty with: paying attention to details, keeping attention, listening to instructions, organization, tasks w/sustained attention, fidgeting or excessive talking.

OT Intervention
-Cognitive behavioral therapy
-Behavior modification
-Social skills training
-Modifying environment
-Enhance sensory modulation


Tourette's Syndrome

Involuntary purposeless movements, tics and incoherent grunts


Down Syndrome

Intellectual disabilities

OT Intervention
-Environmental/task modification
-Family coaching/training


Cri du chat Syndrome

Weak and catlike cry in infancy

-hypotonia, feeding and respiratory problems


Klinefelter's Syndrome

Boys have an extra X chromosome
-learning disabilities, emotional/behavioral disabilities


Prader-Willi Syndrome

Moderate intellectual disabilities, food-seeking behaviors, hypotonia


Williams Syndrome

Cerebral and cardiovascular abnormalities, intellectual disabilities


Individualized Education Program (IEP)

School-based Setting

-OT intervention and goals in the school system setting should relate to the child's functional abilities to perform school-related tasks


Individuals with Disabilities Education Act (IDEA)

1990-Services to children w/disabilities throughout the nations.