Hypotonic – Flashcard

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