Clinical Procedures Peds Midterm

1. Various positioning
supine or sitting
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Terms in this set (14)
1. Various positioning
supine or sitting
Muscle Tone Testing Position
Take extremity through range of motion
Quick stretch to test for spasticity
Muscle Tone Procedure
Placed on mat/plinth
Musculoskeletal Deformities and postural alignment Testing position
1. AROM of limb/spine
2. PROM of limbs and spine
3. Visual inspection
4. Palpation
5. Shoulder flexion and extension, Internal and external rotation, Abduction and adduction, Horizontal Abduction and adduction
6. Elbow and forearm supination and pronations
7. Wrist: radial and ulnar deviation and finger AB &Adduction
8. Thumb opposition
9. Infants: Lower extremity - heel to ear, popliteal angle, leg abd, dorsiflextions of foot
Musculoskeletal Deformities and postural alignment Procedure:
Testing position:
1. Sitting with back unsupported, therapist facing child
Wheelbarrow position
Co-contraction of muscles and joint stability Testing position
Procedure
1. Child grabs your thumbs. Ask child to stay still. Begin pushing and pulling motion up and toward child and down and away from them without letting the childs elbows lock
2. Ask child to assume wheelbarrow positions (child's hand flat on floor lift and hold legs at knees to facilitate walking)
Co-contraction of muscles and joint stability
Test positions:
Various positions on the matt or plinth
Muscle strength testing position
older children. how many sit-ups and push-ups in 1 minute

Infant/ young child. Have them get in multiple positions and give toys that have resistance. (items that can be pushed or pulled)
Muscle Strength clinical Procedure
Test Positions
1. Supine, arms crossed on chest, neck, hips, knees flexed (like a ball)
2. Prone - with shoulders in abduction, elbows in extension, legs in/with knees off the floor. (like airplane)
Postural control in antigravity - procedures for older children; observe positions in infants
Procedure:
1. Record how many seconds a child can assume supine flexion and apply gentle resistance to forehead pushing toward neck/ and to knees toward hip
Record how long in seconds the child can assume the position
Postural control in antigravity
Testing positions: Sitting, therapist facing child for allMotor Coordination: testing positionProcedures 1. Rapid, alternating movements (diadochokinesis). Therapist demonstrates rapid supination/ pronations by slapping the thighs gently. First with one hand then with both. Instucts child to do it fast, Count # on times in seconds (around 10) 2. Thumb-finger touching. Show child then ask child to touch thumb to each finger from index to little. Do again with blocked vision for proprioception 3. Finger to nose. Therapist hold index finger in fron of own nose. Ask child to touch tip of your finger and then their nose, moving back and forth 3-5 times. Do one hand at a timeMotor Coordination: testing procedureTesting Positions 1. Therapist faces child supine for infants or sit 2. Therapist facing child in sitting positionOculo-motor control/ visual motor coordination - visual pursuits, visual tracking. And localization Testing position:Procedure: 1. Infant or young child. Observe eyes while holding and moving toys in different directions. (horizontal/vertical/diagonal) 2. Older Child. Ask child to keep head still while allowing eyes to move. Move a pencil or penlight slowly horizontally, vertically, diagnolly, about 8-10 inches from the childs eyes 3. Ask child to look at an object while you move it quickly in different planes. Ask child to look at the object.Oculo-motor control/ visual motor coordination Procedure