Physical Therapy for Pediatric Conditions, HOSA Physical Therapy
Terms in this set (138)
A form of neural tube defect that results from a lack of the neural tube closure at the base of the brain. Not compatible with life and results in fetal death or death shortly after delivery.
Cerebral palsy (CP)
Group of conditions caused by a non-progressive lesion on the brain most often it has its origin before birth, at birth, or after birth and is caused by an interruption of oxygen to the brain of the fetus or new born.
A neural developmental disorder characterized by impairments in social interaction, communication skills, and repetitive behaviors.
Disorder in which the foot is turned inward and slanted upward
Congenital muscular torticolis (CMT)
(Twisted neck) the muscle extending down the side of the neck is tight and shortened. An infant holds his or her head to one side and has difficulties turning the head
Cystic fibrosis (CF)
Most common inherited chronic pulmonary disease among white children, characterized by production of thick mucous with progressive lung damage
Developmental coordination disorder (DCD)
Motor condition in children with dysfunctions and motor coordination problems such as: awkward running, frequent falling, slow reaction times, immature balance reactions, poor handwriting, difficulty with AILDs
Failure to obtain predictable movement patterns or behaviors associated with children of a similar chronological age
Developmental dysplasia of the hip (DDH)
Dislocation caused from abnormal development of structures surrounding the hip joint; allows the head of the femur to move in and out of the hip socket
Movement pattern that appears at a certain stage of growth and development
Examination that focuses on an individual's impairments, functional limitations, disability, and resultant restrictions in activities
Congenital developmental disability caused by a defect of chromosome 21 (trisomy 21)
Duchenne muscular dystrophy (DMD)
Progressive pelvic muscle weakness and waisting in a male child, combined with enlarged yet weak thigh muscles and tight heel chords
Dynamical systems theory
Treatment approach in children that incorporate all of the body's systems with the environment to facilitate or inhibit movements, emphasizes the process of moving rather than the product of a movement
Combination of therapeutic approaches used by the physical therapist and thought to be useful for a treatment of a given client
Examination process focusing on an individual's structural body and concurrent abilities while addressing age appropriate movement patterns and activities
Family interview, survey, or discussion used to obtain the families insights regarding a patient, especially a child; family history, relationships, concerns, needs, resources
Fetal alcohol syndrome (FAS)
Most severe condition in a continuum of alcohol induced disabilities related to high levels of alcohol consumption during pregnancy
Goal-directed movement approach
Treatment approach that emphasizes the importance of task and environment features as a primary impetus for movement
Individualized education plan ( IEP)
A collaboration of therapists and family members, educators, and other healthcare team members to provide direct intervention in the classroom setting
Individualized family service plan (IFSP)
Detailed total plan of care for the child and the context of the family unit
Juvenile rheumatoid arthritis (JRA)
Rheumatic disease characterized by inflammation of the connective tissue that manifests as a painful inflamed joint
begins in childhood
Benign herniation of meninges manifesting as a soft tissue cyst or lump surrounding a normal spinal cord and producing no neurologic deficits
Open congenital spinal cord region with minimal to no skin protection covering the deeper nerve roots most severe of these cases results in loss of motor function and sensation of the lower part of the body
Neural tube defect
The neural tube fails to clothes completely during the first month of gestational development
Neural developmental treatment (NDT)
Analyzes and treats neurologic disorders of posture an movement. Uses a motivating environment and a patients active participation.manual facilitation and inhibition techniques are employed by the therapist to present the patient with a "normal" sensory experience
Assessment based on a large number of participants to create a comparison group
Normal developmental theory
Therapy goals and objectives that are designed to follow the progression of a normal motor development, this assumes children with central nervous system damage will acquire motor skills in a similar way as children with normal developing systems
Osteogenesis imperfecta (OI)
Common and severe bone impairment of genetic origin, affects the formation of collagen during bone development resulting in frequent fractures during fetal and new-born period
Pervasive developmental disorder (PDD) (PDI)
A group of disorders of neural development characterized by impairments and social interaction and communication and the presence of unusual behaviour a such as repeating actions and poor play skills
Deformation of the skull during development caused by prolonged positioning in uterine or in the first few months of life
Prenatal cocaine exposure
Fetal exposure to cocaine in utero owing to maternal cocaine use during pregnancy symptoms after birth include hyper irritability, poor feeding patterns, high respiratory and heart rates, increase tremulous, irregular sleeping patterns
Lateral curvature of the spine; may be idiopathic neuromuscular or congenital
Condition that is potentially preventable and is a direct or indirect consequence of inadequate attention to a disability
Sensory integration (SI)
Technique based on the theory that poor integration and use of sensory input (feedback) prevent subsequent motor planning (output)
Providing controlled vestibular and somatosensory experiences enables the child to integrate the sensory info. To evoke a spontaneous, functional response
Congenital incomplete closure of the vertabrae
Spina bifida aculta
Congenital incomplete closure of a vertebrae (separation of the spinous process) that is not associated with disability
Spinal muscular atrophy
Genetic disorder characterized by severe muscle weakness in infancy and progressive respiratory failure
Type of formal test in which the evaluation procedures remain the same when administered by different therapists and at various test locations
deficiency or occlusion of blood flow through an artery
low grade, protracted inflammatory process
supportive, strong, and fibrous connective tissue protein that is found in dermis, tendon, cartilage fascia, ligament, and bone.
portion of the skin directly under the dermis; made up of fibrous connective tissue and supports sweat glands, sebaceous glands, nerves, and nerve endings, blood and lymph vessels, hair follicles and their allied smooth muscle
outer layer of the skin
supportive amorphous, gel-like substance secreted by fibroblasts; fills space between connective tissue fibers and cells
excess of collagen deposited at the site of a healing or healed wound that is noticeably different from the normal skin; scar remains within the boundaries of the original wound
phase of wound healing encompassing vascular reactions that decrease blood loss and initiate vessel repair, and cellular responses that moderate blood loss, fight infection, and provide nutrition and oxygen to initiate and sustain tissue repair
inflammatory skin diseases
diseases of the skin whose causes invoke an inflammatory response
excess of collagen deposited at the site of a healing or healed wound that is noticeably different from normal skin: scar commonly extends beyond the boundaries of the original wound
phase of wound healing that includes collagen synthesis and lysis, as well as reorientation of the collagen fibers that remain at wound site; remodling phase
neoplastic skin diseases
cancers affecting the skin
neopathic (nuerotropic) ulcer
skin lesion caused by a decreased cutaneous sensation that disallows protective responses such as weight transfer; these ulcers are commonly associated with diabetes mellitus
skin lesion caused by ischemia of the integument secondary to pressure; generally located at bony prominences
phase of wound healing that involves increased activity of fibroblasts, instigation of aggressive wound contraction, and epithelialization
permanent or relatively permanent lack of mobility of the scar tissue that results in functional and/or cosmetic impairment
total body surface area (TBSA)
the extent of the surface of the body covered by skin ; percent used to describe size of skin injury
Vancouver Burn Scar Scale
clinical method for assessing scar tissues. Characters of scar that are examined include pigmentation, vascularity, pliability, and height
deficiency or occlusion of blood flow through vein
Conditions that affect the musculoskeletal system are the primary domain of physical therapists who specialize in
orthopedic physical therapy
Physical Therapy for musculoskeletal conditions is the focus on a
Dysfunctions of the musculoskeletal system result in
symptoms of pain, stiffness, edema(swelling, muscle weakness or fatigue, or loss of range of motion
Range of Motion( ROM)
movement of a joint
The increased use of computers and other technical machinery recurring repeated motions has also had an impact on the incidence of overuse injuries in the upper extremity. They are at risk of...
the development of muscle injury or nerve entrapment requiring intervention by a PT
A orthopaedic PT may work with
athletes but may also treat a variety of musculoskeletal conditions that are not related to sports activities
Musculoskeletal injuries are sustained through
athletic participation, work related injuries, conditions resulting from orthopedic surgical procedures and degenerative changes that accompany the aging process
repeated stress to the musculoskeletal system can cause oversees injuries that may result in pain, inflammation, and dysfunction.
an inflammation of bursa, which are fluid-filled sacs located throughout the body that decrease friction between structures. Bursa become irritated and painful when they are repeatedly pinched between structures. EX: injury at the shoulder, the subacromial bursa may be pinched during repeated movements when the shoulder is in a overhead position, such as painting, reaching or throwing.
Tendons are the structures that connect muscle to bone. Repeated use or rapid over stretching of muscles can overload and injure the tendons. see pg. 176
Pressure on a nerve. Symptoms: tingling, pain, weakness, or any combination of these. Common Condition: Carpal Tunnel syndrome, patients usually complain of numbness in hands or fingers which is from the result of repeated activities with the wrist in a flexed position.
Musculoskeletal injuries that occur as a result of direct trauma. Bones, muscles, ligaments, and other soft tissue may be injured when they sustain a direct blow or when they are placed under excessive stretch.
supporting structures of joints that serve to stabilize the joint and prevent excess movement. When ligaments are overstretched fibers tear and cause pain and instability at the joint. Ex: ACL- result of a cutting or twisting movement of the knee when the foot is planted , commonly occurring in sports.
Direct trauma to the bone causing a break. Most common in older adults. Radiographs are used to diagnose.
A sudden contraction of a muscle fiber or excessive stretch on a muscle can cause tearing of the muscle fibers.
Total Joint Arthroplasty
Joints most commonly replaced are weight-bearing joints. A variety of plastic and stainless steel implants are used to effectively replace degenerated joint surfaces.
Postoperative physical therapy often includes exercises to maintain strength in the remaining of the limb, functional training with a prothesis, and activities to improve overall fitness and well being.
Subjective Examination/Objective Examination
The History of the Patient/The Remaining Parts
Questions asked during a patient interview
about the onset of the condition, current symptoms, previous physical therapy treatments, past medical history, and lifestyle and health habits pertaining to work and recreation. See page 179
Review of Symptoms(ROS)
is usually preformed by using checklists of common symptoms typically associated with various systems of the body.
the objective portion of the examination refers to quantize or qualitative measurements that are taken by the Pt.
Active Range of Motion
refers to the ability of the patient to voluntarily move a limb through an arc of movement. "willingness of patient to move"
Passive Range of Motion
refers to the amount of movement at a joint that is obtained by the therapists moving the segment without the assistance from the patient.
measures joint angles
can be defined as the amount of force produced during voluntary muscular contraction
Manual Muscle testing
allows the therapist to assign a specific grade to the muscle.
refers to the ability to move a ligament through specific ROM. The amount of flexibility at a given joint depends on: the soft tissue surrounding the joint most be pliable to allow movement between the joint surfaces. Also, the muscles crossing the joint must be at the appropriate length allow motion to occur.
the ability of the joint surfaces to glide, roll, and spin on each other.
are standardized instruments that measure an individuals actual or perceived activity limitations and participations restrictions and an individuals quality of life or health status.
used to examine specific joints to indicate the presence or absence of a particular problem.
PT's use their sense of touch, to assess what is occurring below the skin. The PT feels for areas of tenderness, areas of restrictions, swelling, and proper orientation of structures.
Patient Specific Functional Scale (PSFS)
The patient is asked to list up to five activities that he or she is having difficulty preforming because of his or her injury or condition. zero to 10 scale
are available for PTs to incorporate into the plan of care when treating patients with musculoskeletal problems. EX: heat, cold, electrical stimulation
is the use of a self-contained unit filled with corncobs finely chopped into a sawdust type substance.
the use of therapeutic effects of water
the use of therapeutic of high frequency sound waves that penetrate tissue and increase tissue temperature to promote healing and reduce pain.
the use of electromagnetic energy to produce deep heating effects
therapeutic cold may be applied to decrease tissue temperature.
Loss of voluntary movements
amyotrophic lateral sclerosis (ALS)
also known as Lou Gehrick disease rapidly progressive neurological disorder associated with a degeneration of the motor nerve cells
technique in which radiopaque material is injected into the blood vessels to to better visualize and identify such as blockage of blood vessels, aneurysms, and vascular malformations
slowness of movement
Neurologic technique based on the natural sequence of recovery after a stroke
computed (axial) tomography (CAT) (CT)
computer synthesis of x-rays transmitted through a specific plane of the body
Constraint-induced movement therapy
is a form of rehabilitation therapy that improves upper extremity function in stroke and other central nervous system damage victims by increasing the use of their affected upper limb
technique for recording the electrical potential or activity in the brain by placing electrodes on the scalp
technique for recording the electrical activity in the muscle during a state of rest and during voluntary contraction
impaired ability to express oneself
high muscle tone
low muscle tone
loco motor training
type of therapy to help improve and recover your walking movement through challenged practice and lower extremity weight bearing. You may benefit from therapy to recover locomotor abilities if you're experiencing: Impaired movement and sensations (impaired neurological body functions)
lumbar puncture (LP)
injection of a hypodermic needle into the lumbar sub-arachnoid space
magnetic resonance imaging MRI
creation of computer image by placing the body part in a magnetic field
ability to manipulate movement and non movement of the body's musculoskeletal components
age related processes of change in motor behavior
body's mechanism for acquiring or learning voluntary motor control
multiple sclerosis MS
disease in patches of demyelination occur in the nervous system, leading to disturbances in conduction of action potential along the nerves
nerve conduction velocity (NCV)
study that records the rate at which electrical signals are transmitted along peripheral nerves.
neurodevelopmental treatment (NDT)
Approach to both analyze and treat neurological of posture and movement.
the ability to of neurons in the brain to compensate for injury or disease
spinal cord damage and resultant loss of sensory or motor function affecting the lower leg trunk and legs
progressive condition caused by a lack of the neurotransmitter dopamine, characterized by tremors, rigidity, and bradykinesia and alkinesia
ability to to integrate various simultaneous sensory inputs and to respond appropriately
proprioceptive nueromuscular facilitation (PNF)
technique used to enhance movement and motor control, emphasizing proprioceptive (joint and position sense) stimuli but also using tactile, visual, and auditory stimuli
diminished ability to receive and interpret verbal or written communication
disturbance of muscle tone; manifests as a resistance when the limbs are passively moved
ability to receive sensory input from within and outside the body and transmit it through nerves to interpret in brain
(from Greek spasmos-, meaning "drawing, pulling") is a feature of altered skeletal muscle performance with a combination of paralysis, increased tendon reflex activity and hypertonia. It is also colloquially referred to as an unusual "tightness", stiffness, or "pull" of muscles.
spinal cord injury (SCI)
damage to the spinal cord that results in neurological dysfunction
stroke or cerebrovascular accident (CVA)
neurological problem arising from disruption of of blood flow in the brain
intervention technique used for nueromuscular conditons that focuses on the specific intended task and retraining using functional activities to accomplish the task
spinal cord damage damage resulting in loss of sensory or motor function in all limbs
tension exerted and or maintained by muscles at rest and during movement
traumatic brain injury (TBI)
damage to the brain caused by physical means and resulting in dysfunction
alternating contractions of opposing muscle groups
sensation of spinning or whirling that occurs as a result of a disturbance in balance