Torticollis and DDH Lab Flashcards
(15 cards)
What is an example of an environmental adaptation that parents can make in order to treat their child’s Torticollis?
Moving the mobile to the side opposite of the one that the baby is stuck in (possibly starting with placing it in the middle first)
How can parents adjust child’s feeding position to work towards treating Torticollis?
Parent can adjust forearm position to hold head in neutral
What can parents do during a baby’s bath time to help treat Torticollis?
Washcloth to side of neck baby is stuck in (desensitization / MFR / ROM)
What is a factor to consider when stretching the cervical area of a child with Torticollis?
Shoulder depression vs. none during SB to opposite side
Start with prevention of shoulder elevation
In what position can parents carry a baby to promote treatment of Torticollis?
“Football Hold” to ensure lateral righting away from affected side
Visual Tracking could be helpful to implement within a Torticollis home program because ___.
it involves a rotation component
What is a contraindication to using KT for Torticollis?
Adhesive allergy - do test patch during session before if unsure (back / scapula)
If irritation is present due to KT, what can you do?
Dot Milk of Magnesium on skin before taping
What is the best way to assess for Metatarsus Adductus / Calcaneovalgus?
Assess infant in standing position (if possible)
In utilizing the Barlow and Ortolani tests for DDH, do you perform the test on both legs at the same time?
No!
Do one leg at a time and stabilize the other
Galeazzi Sign (DDH Test)
Uneven knee heights in hooklying (90 / 90)
Barlow (DDH Test)
Hip flexion / abduction
Adduct with posterior pressure (feel dislocation / click or clunk in + test)
Ortolani (DDH Test)
Hip flexion / adduction
Flexion / abduction with traction reduces hip in + test
Most infants have ___ degrees of abduction.
75-90
Clinical Findings (In Favor of DDH)
Asymmetric thigh folds
Galeazzi Sign
Pistoning
Positive Barlow OR Ortolani signs
