Term
| What are the elements of Patient Management? |
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Definition
Examination
Evaluation
Diagnosis
Prognosis (POC)
Intervention
Outcomes |
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Term
| when considering you plan of care it is important to remember what about this child? |
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Definition
| That what you do now will effect them for the rest of their life and may determine key things like walking? |
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Term
| WHat does the POC include? |
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Definition
Long Term goals
Short Term goals
Intervention
Frq
Intensity
duration |
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Term
what is the first step in formulating a POC?
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Definition
Start wtih the goals in order to know what you are trying to head towards
* Important to understand why the child cannot preform the goal right now in order to guide what interventions you might choose ( i.e. if cannot climb stairs is it bc of strength ROM etc which one will you target) |
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Term
| In NDT handling is done by using....? |
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Definition
| Key points of control primarly that are in the trunk |
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Term
| What are some rish factors when dealing with a person with downs syndrome? |
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Definition
| Low tone, hypermobility, increase risk of cardiac defects, loser ligament * really important between the Dens and atlas bc could seperate and be fatal |
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Term
| An individual with downs syndrome is typically function at what level compared to their same age peers? |
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Definition
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Term
| IN downsyndrome are their typically issue with sensory intergration of the integumentary? |
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Definition
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Term
in the education setting what kind of standardized test do you need to conduct in order to qualify for services?
what are some names of these tests? |
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Definition
Norm References
PBODY, GMGM, AIMs |
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Term
| how can the longterm goal be helpful when writing the short term goal? |
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Definition
| the short term goals activities can be used in order to faciliate the long term goal. (i.e.Do short term goals need to be strengthening in order so the patient can walk?) |
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Term
| what are some advantages of the different swings? |
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Definition
* Plateform swing: Large BOS so can place them in mang positions or activities depending on what the goal is
* Bolster: Smaller surface area (challege), stretch on the ADD, improves the posture of the child ( forced extension)
* Sling: Used in order to stimulate the vestibular system for those children who do not move
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Term
| With the Task-oreinted approach the training is task and context specific? |
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Definition
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Term
what are some different concepts of Therapeutic PRactice?
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Definition
Prganization of systems around a task or task-oriented movements (goal-directed functional motor behaviors)
PTs as agents of change( instruction, verbal & manual guidance, motivation, task and environmnet modification
Always need to make sure that the task is hard enough to challege the patient |
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Term
what is activity focused practice?
what elements does activity focused practice included? |
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Definition
Working on a task in many different ways with many different variables that you can work on
Activity Related goals
Intevention plan
Activity-Focused
Inteventions
Task<->CHild<-> Envir
Body structure-Focused Interventions
Active functional
Active Therapeutic
Passive |
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Term
| what are components of activity related goals? |
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Definition
Long-terms goals: in collaboration with child and family: IFSP
IEP
Short Objectives to achieve long-term goals |
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Term
| Activity-Focused Interventions |
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Definition
1. Repeated Trials (lots of practice)
2. Make practice fun and motivating
3. Determine the focus of the activity
4. Use toys to promote desired functional outcomes
5. Adapt tasks to reduce complexity and difficulty
6. schedule practice to enhance tetention and transfer (practice conditions)
7. Thoughtfully provide feedbakc
8. Apply behavioral strategies for children unable to benefit from verbally mediated guidance and feedback |
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Term
| When you give the patient options what do you not want to do? |
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Definition
| You do not want to give them the option to say no (i.e. Brad do you want to get up today?) |
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Term
| Body structure -Focused interventions |
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Definition
Active- Involving purpsoedful activity
Passive:
Does not involve purposeful activity
Preparatory to purposeful activity
(i.e. a child with spastic diaplegia may have tight hamstrings that need to be stretched before the activity can be done) |
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Term
What is IDEIA?
What was is it's purpose? |
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Definition
Individuals with disabilitites Education Improvement Act
Parts A-E:
Purpose: Allows for children to recieve approperiate education |
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Term
| What does ideia focus on? |
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Definition
Individuals with disabilities education improvement act
Focus: Strengthening parent responsibility
improving academic/functional performance of students w/ disabilities |
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Term
| Is PT a related or primary serivice in the school system? |
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Definition
related (need to help the child denefit from special education)
teach is a primary service |
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Term
| In the school setting what are the models of related service delivery? |
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Definition
Direct (PT one on one contact with the child, child is pulled out of classroom )
Integrated (indirect): both direct and indirect, works with the child and teachs the teacher how to do things, care given in the classroom
Consultative: PT advises teacher of what they can do, intevention is provided by the teacher
Monitoring: Check back into the class room in 3 months
Collaborative: all of this is collaberative if in the school system, transdisciplinary team interaction, provided in classroom setting |
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Term
| who remburse PT care in the school system? |
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Definition
| the state or fedral not insurance companies |
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Term
| Hadders-Algra article put forth what concepts? |
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Definition
Variation: Presence of a broad repetoire of behaviors for a specific motor function "whole bunch of options"
Variability: Capacity to select the best motor strategy given a situation. Selecting best stretegy
Conclusion: children with decreased variability may benefit from variable self produced trial and error activities |
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Term
| Dusing SC and Harbourne RT article stated what? |
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Definition
| Children with atypical motor behaviro have more stereotypical movemnts and less complexity, variation and variability in movement |
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Term
| Ulrich B. article state what? |
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Definition
| Historically we have been less aggressive with intervention, intensity duration with infants and some evidence demonstrates infants can tolerate more aggressive intervention with better outcomes (i.e. infants with treadmill training) |
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Term
| Harbourne RT Willett S article show what? |
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Definition
| Direct perceptual motor based intervention using variability and complexity of mv had better outcomes than home based early intevention |
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