Treatment Planning and Treatment Approaches Flashcards
Pediatric Physical Therapists assist the family with enhancing the child’s development through? (4)
- Positioning during daily routines & activities
- Adapting toys for play
- Expanding mobility options
- Using equipment effectively
Pediatric Therapy Evaluation and Treatment Focuses On? (8)
- Mobility
- Muscle & joint function
- Strength & endurance
- Cardiopulmonary function
- Posture & balance
- Oral motor skills & feeding
- Sensory & neuromotor development
- Use of assistive technology
Pediatric treatment includes many of the traditional components of Adult Rehabilitation? (8)
- ROM
- Strengthening
- Stretching
- Gait Training
- Postural Training
- Wheel chair training / management
- Pain management
- Fitness
some differences? (3)
- Pediatric PT does not use a high level of modalities
- Treatment is mostly 1 on 1
- Tends to be more long term
Treatment sessions however are ? Vary based on? with younger kids most tx session are? Style of play based on?
- Treatment sessions however are dynamic and change
- vary based on the response of the child
- With younger children most treatment sessions are play based, and the style of play will vary based on age
Style of play - babies? Toddlers? Pre-schoolers? School age? Adolescents?
- Babies sensory motor play and exploration
- Toddlers movement based play
- Pre-schoolers more imaginative play and creating scenarios
- School age children more focused on function and functional skills with less play
- Adolescents, sporting activities, function and real exercise
Ways to sequence activities to get the best and most from the child - go from? Use? (2) Set up? 4 other strategies? What the child needs based upon?
- Go from Easy to Hard activities
- Use the developmental sequence as a guide
- Work – Play – Work – Play
- Set up environment for child driven activities (ie S.I. )
- Preparation, Muscle Activation, Movement Responses, Functional Activity (i.e. NDT)
- What the child needs based upon when they are coming to you and from where
Treating At Home - Schedule visits to? Utilize? Have? Leave? Play with?
- Schedule visits to accommodate the family & the CHILD’S schedule
- Utilize materials and toys from the home
- Have caregiver participate in activities
- Leave caregiver with strategies to incorporate into daily activities
- Play with siblings during therapy
Neurodevelopmental Therapy - The overall goal of treatment and management is to? Tx involves?
- enhance function
- Treatment involves active participation of the individual and direct handling to optimize function with gradual withdrawal of direct input by the therapist
NDT - Components of normal development of movement and skill are used as? These areas are then? Efficient motor function is the ability to?
- Components of normal development of movement and skill are used as a background to define the problem areas or missing components in an individual that are limiting function.
- These areas are then addressed in treatment to gain function that is age appropriate
- Efficient motor function is the ability to combine a variety of movements into functional activities under a wide variety of environmental conditions
NDT Treatment focuses on? Clinicians teach? Expand?
- Treatment focuses on increasing function by building on a client’s strengths while addressing specific impairments through therapeutic handling
- Clinicians teach the movement with handling then gradually withdraw guidance, making the client responsible for the movement
- Expand movement to different environments
What is handling?
Treatment with hand on client that provides proprioceptive, tactile, kinesthetic and vestibular input. Includes use of key points of control for guidance of movement
What is facilitation?
Sensorimotor input that creates the possibility of new movements. Assists in the activation of muscles or muscle groups to perform
What is inhibition?
Sensorimotor input that reduces the possibility of movement. The act of inhibiting abnormal reflex activity or movement patterns via handling and positioning
Techniques to reduce stiffness? (5)
- Relaxation: includes gentle rocking, warmth, talking gently
- Pressure at muscle origin or insertion: Inhibits specific muscle activity
- Quick alternating movements: Reciprocal movements with large amplitude oscillation
- Rotation: Axial rotation breaks up total synergies, limb rotation to decrease stiffness
- Vibration: light tremor applied manually