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shmvii
on FreezingBlue Flashcards.
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no babbling by ___ is a red flag for language delay a/o ASD
12 months
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no backand forth gesturing, pointing, showing, reaching, waving by ___ is a red flag for language delay a/o ASD
12 months
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no words by by ___ is a red flag for language delay a/o ASD
16 months
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no 2-word meaningful phrases by by ___ is a red flag for language delay a/o ASD
24 months
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what kind of loss of speech, babbling, social skills, at what age by is a red flag for language delay a/o ASD
any, any
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when should a kid creep upstairs
14-18 months
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when should a kid creep downstairs
15-18 months
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when should a kid walk backwards a few steps
15-21 months
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when should a kid walk upstairs with one hand held
17-19 months
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when should a kid walk upstairs alternating w rail
24-28 months
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when should a kid walk upstairs alternating w/o rail
36 months
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when should a kid walk downstairs alternating w rail
36 months
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when should a kid walk downstairs alternating w/o rail
48 months
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when should a kid jump in place w both feet
22-30 months
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when should a kid hop 3x
3 y/o
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when should a kid catch a large ball
24-26 months
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when should a kid ride a tricycle
3 y/o
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when should a kid ride a bike w/o training wheels
6-9 yrs, or as early as 5
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when should a kid gallop
4 y/o
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when should a kid skip
5-6 y/o
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when should a kid start to run
6-7 months after starting to walk
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when should a kid start kicking things
6-8 y/o
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when should a kid do pronated grasp
2-3 y/o
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when should a kid do tripod grasp
3-4 y/o
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an injury seen as a result of shaking a baby
retinal hemorrhages
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pathophys of shaken baby syndrome
strethc at craniocervical junction --> damages the corticospinal axons and cervical nerve roots --> apnea --> hypoxic brain injury
can also get subdural hemorrhages bc the brain moves w the subdural space, stretching and tearing the subdural veins
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functional reach test starting age?
5-6 y/o
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how far should a 5/6 y/o reach on the FRT?
21 cm
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how far should an 11-15 y/o reach on the FRT?
32 cm
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Pediatric Balance Scale ages?
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TUDS score for 8-10 y/o
8.3 sec
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3 developmental scales / motor assessments / activity asessments
- Peabody (PDMS)
- BOT-2
- Test of Gross Motor Dev (TGMD)
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3 participation screens
- WeeFim
- SFA
- PEDI (pediatric eval of disability inventory)
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WeeFIM ages
- 6 mo - 7 yrs -- healthy child
- 6 mo - 12 yrs -- disabled
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PEDI ages
- 6 mo to 7.5 yrs
- (can use on older kids, but then it's not norm ref any more)
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Peabody (PDMS) ages
0-71 months
we do locomotion, stationary, and either reflexes or object manipulation
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tests that are graded 2, 1, or 0
- TGMD (0 or 1)
- functional skills on the PEDI (0 or 1)
- Peabody (0, 1, or 2)
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scoring the TGMD
- looks at the quality of the movement
- 2 trials
- take the sum
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neuropraxia
a condition in which a nerve remains in place after a severe injury although it no longer transmits impulses
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axonotmesis
- nerve injury characterized by disruption of the axon and myelin sheath but with preservation of the connective tissue fragments, resulting in degeneration of the axon distal to the injury site
- regeneration of the axon is spontaneous and of good quality
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neurotmesis
partial or complete severance of a nerve, with disruption of the axon and its myelin sheath and the connective tissue elements
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1st thing most parents notice before diagnosis in a kid w CF
salty skin
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appropriate interventions for a preschool kid w CF?
- blowing bubbles
- huffing in a mirror
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lung transplant in CF pts?
can receive double lung transplant which will remiss CF allowing normal life span
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which tool is used to eval brachial plexus kids?
Mallet
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most severe type of nerve injury?
neurotmesis
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Of those children diagnosed with the most mild type of brachial plexus palsy(disruption of nerve conduction from stretching the brachial plexus), what is thepercentage of the patients who progress to spontaneous recovery?
60-90%
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3 primary methods to prevent obstetrical brachialplexus palsy?
- Blood sugar monitoring in case the mother has gestational diabetes and increased risk of over-nourishment of the baby
- Consult with obstetrician regarding advanced planning of delivery
- McRobert’s Maneuver to push mother’s knee back and down for widerpelvic opening during delivery
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which types of spinal muscle atrophy are most common?
2 & 3
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an intervention for SMA?
- NOT: positioning in all positions including side lying, prone, and supine
- NOT: long duration sitting to increase head and trunk stability
- YES: the use of hammocks, velcro wristbands with weighted rattled, and short duration sitting to prevent fatigue
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primary cause of muscle weakness in SMA?
defect of gene that maintains the anterior horn cell
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is exposure to toxins a risk factor for down syndrome?
no
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biggest reason for early death of Down's pts?
cardiopulm complications
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posture developed by Down's kids?
Hip Abduction, External Rotation, Foot pronation
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best kind of exercise for kids w down syndrome?
endurance
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when you're doing goniometry with an OI pt, how do you get the joint into place?
- AROM, and you record an approximate number
- (don't do PROM or AAROM)
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