Week 2 Flashcards

1
Q

What are the principles of pediatric PT?

A
  • Development
  • Child, family, & caregiver perspectives
  • Medical vs. developmental/educational services
  • Strengths based
  • Top-down approach
  • Participation & routines
  • WHO-ICF
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

In the 1st couple of months after birth, the brain has a rapid increase in the development of sensory pathways. Which sensory pathways are specifically developed?

A
  • Vision

* Hearing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

At what age can a baby recognize words, their name, and the language pathways begin to lay down?

A

Between 6-9 months

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

How much brain growth has occurred by age 5?

A

Approx 90% of brain growth has occurred

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What happens to the brain in the 1st year of life?

A

The brain doubles in size

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What happens to the brain by age 3?

A

It triples in size

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

When does most skeletal muscle develop?

A

Most skeletal muscles has developed at birth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What happens to the muscles during growing years?

A

Muscle fibers increase in length & cross-sectional area by the addition of sarcomeres.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

In what state are diaphyses and epiphyses at birth?

A

Diaphyses are almost ossified at birth,

epiphyses are cartilaginous

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Where does the growth of long bones occur and when do they become ossified?

A

Long bones grow at the epiphyseal plate and become

ossified when bone growth is complete (usually by age 20).

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

When is the skeleton most vulnerable to deformity?

A

In the first years of

life

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

True or False

Bone increases in size before
it increases in strength

A

True.
Bone increases in size before
it increases in strength

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is the composition of the LE skeletal bones in infancy?

A
  • Shallow acetabulum
  • Femoral anteversion
  • Genu varus
  • Flat feet
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is the skeletal adaptation progression in the LE of a person?

A
  • Newborn: moderate genu valgum
  • 6 months: minimal genu varum
  • 1-2 years: legs straight
  • 2-4 years: physiologic genu valgum
  • 16 year old female: slight genu valgum
  • 16 year old male: slight genu varum
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Who regulates medical PT services?

A

Regulated by health care

law & insurance policies

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Who regulates educational PT services?

A

Regulated by education

law (IDEA)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Why is therapy provided for a child in a medical PT service?

A

Therapy provided to assist the
child to be as functionally
independent as possible

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Why is therapy provided for a child in a educational PT service?

A

Therapy is provided to assist a
child to benefit from special
education

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What is the eligibility criteria for receiving medical PT services for a child?

A

Any child may receive services

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What is the eligibility criteria for receiving educational PT services for a child?

A

Children must have an
educational disability &
demonstrate a need

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What is the best approach to treating a pediatric patient?

A

Top- down approach

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What are the steps highlighted in the top- down approach?

A
  • Desired outcome (goals) –>
  • Identification of strength/obstacles –>
  • Strategies to bypass obstacles/ to improve performance –>
  • Intervention plan and strategies –>
  • Assessment
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What are the steps highlighted in the the Physical Therapy Clinical Reasoning and Reflection Tool (PT-CRT)?

A
  1. Getting the information to figure out the primary deficits and goals
  2. Generating hypotheses to figure out why the child isn’t achieving the goals
  3. Selecting test and measures to test the hypothesis to figure out what is needed to achieve the goals
  4. Use the ICF framework to evaluate the exam findings
  5. Determine POC
  6. Interventions
  7. Re-assessment
  8. Outcomes: discharge
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

What are standardized testing used for?

A
  • Determine eligibility (discriminative or norm-referenced test)
  • Measure progress (evaluative or criterion-referenced test)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
What are the characteristics of a norm-referenced test?
``` • Determine eligibility • Standardized on groups of "normal" children • Compares child to others • Provide a "snapshot of a specific time." Shouldn't be used to track change over time or for program planning. ```
26
What are the characteristics of a criterion-referenced test?
``` • Measure progress • Evaluates individual performance in relation to a fixed standard • Compares child to himself • May be used for program planning or to track change over time ```
27
What are the properties/psychometrics of a standardized test to know when deciding on which test to pick?
* Reliability * Validity * Sensitivity * Specificity
28
What is a raw score on a standardized test?
Number of items correct
29
What is the age- equivalence of a standardized test?
Mean age when 50% of children would have tested similarly
30
What is the developmental quotient of a standardized test?
Ratio between child’s actual | score and child’s age
31
What are the standard score of a standardized test?
(Z-score and T-score)—expressed in terms of standard deviations
32
___ referenced test often ends after a raw score has been acquired
*Criterion* referenced test often ends after a raw score has been acquired
33
___ referenced test often provides an age- equivalence and developmental quotient score
*Norm* referenced test often provides an age- equivalence and developmental quotient score
34
____ referenced test often times gives scores in a percentile
*Norm* referenced test often times gives scores in a percentile
35
At what percentile on a norm referenced test do we get concerned with when working with a pediatric patient?
Below 10 percentile or 5th percentile
36
At what age is the INFANIB test administered?
1- 18 months
37
What is the purpose of the INFANIB test?
Examine neuro function
38
How long does it take to administer the INFANIB?
20-30 mins
39
What type of standardized test is the INFANIB?
Criterion referenced test
40
What are the psycho-metrics of the INFANIB?
Reliable and valid
41
At what age is the AIMS test administered?
Birth- 18 months
42
What is the purpose of the AIMS test?
ID motor delay
43
How long does it take to administer the AIMS?
20-30 mins
44
What type of standardized test is the AIMS?
Norm referenced test
45
What are the psycho-metrics of the AIMS?
Reliable and valid
46
At what age is the Bayley- III test administered?
1- 42 months
47
What is the purpose of the Bayley- III test?
ID developmental delay
48
How long does it take to administer the Bayley- III?
25 mins - 1 hr
49
What type of standardized test is the Bayley- III?
Norm referenced test
50
What are the psycho-metrics of the Bayley- III?
Reliable and valid. Gold standard
51
At what age is the PDMS-2 test administered?
1-72 months
52
What is the purpose of the PDMS-2 test?
Estimate motor competence
53
How long does it take to administer the PDMS-2?
45-60 min
54
What type of standardized test is the PDMS-2?
Norm referenced test
55
What are the psycho-metrics of the PDMS-2?
Reliable & valid
56
At what age is the GMFM test administered?
Items may be completed by a | typical 5 yo
57
What is the purpose of the GMFM test?
Measure change in GM(gross motor) function
58
How long does it take to administer the GMFM?
45-60 min
59
What type of standardized test is the GMFM?
Criterion referenced test
60
What are the psycho-metrics of the GMFM?
Reliable & valid
61
At what age is the PEDI test administered?
6 mo-7.5 yrs
62
What is the purpose of the PEDI test?
Examine functional capabilities
63
How long does it take to administer the PEDI?
45-60 min
64
What type of standardized test is the PEDI?
Criterion and norm referenced test
65
What are the psycho-metrics of the PEDI?
Reliable & valid