Hypotonic – Flashcard
Unlock all answers in this set
Unlock answersquestion
Goals for PT
answer
independence,
Stabilization/Posture
Transitional movements
Mobility
ADLs
Stabilization/Posture
Transitional movements
Mobility
ADLs
question
If a child cant move on their own what should you do.
answer
You move them to experience the necessary positions
question
T/F - Moving a child, assistive devices for sitting upright, and a HEP done by parents will all be part of positioning and handling
answer
True
question
T/F - Moving a child, assistive devices for sitting upright, and a HEP done by parents will all be part of positioning and handling
answer
True
question
What are three topics to teach parents positioning
answer
bathtime, diaper change
pictures of positioning
using assistive device/placement
pictures of positioning
using assistive device/placement
question
We position in alignment to avoid ________.
answer
Deformities
question
Positioning and posture will help with _________, ________, ________
answer
maintain posture
weight shifting
change positions during the day
weight shifting
change positions during the day
question
Lift by _____ hips and holding child close to body. Do not lift under the
answer
flexing, underarm
question
Extremity or trunk prep with approximation may be needed before
answer
weight bearing
question
A graded compression to the head down through the spine requires ______ _______ for approximation
answer
good alignment
question
Before movement begins the therapist may need to
answer
increase tone, correct alignment, control proximal joints
question
If you want a child to control a joint in weight bearing you should stabilize the ______ joint. ( you hold knee, while baby controls hip)
answer
distal
question
key points of control for movement preparation are the ______ joints.
answer
proximal
question
Which maneuver is great for head control.
answer
Pull to sit - use wedge, supine -rotate child toward you and pull slowly on arms
question
T/F - Head control should be encouraged in supine but not prone.
answer
False - both need to be practiced
question
resting tone needed for movement preparation
answer
postural readiness
question
Rhythmic rotation is used for a _______ child but not hypotonic.
answer
hypertonic
question
When a child substitutes while doing pull to sit what should you do?
answer
Do not allow it. Manually prevent it.
question
Using a suspension sling to put a child in for prone head control can be exciting. What should you avoid?
answer
Overstimulating the vestibular system, use varying movement and rhythm
question
What position would you choose to control the head and trunk in sitting and start learning how to weight shift onto their weak side.
answer
Side sitting, the child is propped up on one arm. This allows approximation and learning to shift weight to the effected side. Or supported sitting upright, or sitting on a ball.
question
Advantages of supine position
answer
upper trunk flexion in supine can decrease STLR , can begin early weight bearing on LEs
question
The neutral position of the head in side lying is great for ____
answer
dampening tonic reflexes
question
This position allows protraction of the shoulder and pelvis, functional rolling, dissociation of upper and lower trunk and trunk elongation.
answer
side-lying
question
This position promotes weight bearing through the UEs. Stretches hip and knee flexors. Facilitate hand eye relationships ( on elbows).
answer
prone
question
This position promotes head and trunk control, free arms for play, vestibular development, feeding, righting reactions.
answer
sitting
question
Which position is best for decreasing excessive plantarflexion
answer
standing
question
Name five different sitting positions
answer
Propped forward on both arms
Propped Forward on one arm
Propped laterally on both arms
No hand support
Side sitting with or without hand support
Propped Forward on one arm
Propped laterally on both arms
No hand support
Side sitting with or without hand support
question
T/F You should facilitate supine to sit but not prone to sit.
answer
False - there are many transitional positions. Encourage all of them.
question
Allows weight bearing on back of thighs and ischial tuberosities.
answer
90-90-90 rule
question
Keep the depth of a seat no more than ______ of the length of the thigh
answer
7/8ths
question
the position for UE function
answer
sitting
question
sitting position good for weight shift
answer
side sitting
question
T/F sitting propped laterally on both arms is easier than side sitting with hand support.
answer
True
question
T/F side sitting without hand support is easier than upright sitting with no hand support.
answer
False
question
_________ are used to encourage trunk rotation and trunk control.
answer
transitions
question
Goals for adaptive equipment include all of the following except:
a) Reinforce typical movement
b) postural alignment
c) prevent hypermobility
d) increase comfort
e) increase opportunity for social and educational interactions
a) Reinforce typical movement
b) postural alignment
c) prevent hypermobility
d) increase comfort
e) increase opportunity for social and educational interactions
answer
C