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Neuromotor
PEDS: Neuromotor Function Evaluation and Intervention
| Question | Answer |
|---|---|
| What are we reviewing during a medical model eval? | Records sent by doctor or parents |
| Who are we interviewing during a medical model eval? | Child, parents, and family |
| Where are we observing during a medical model eval? | In the setting you will see the child |
| What assessment tools are we using during a medical model eval? | Standardized Assessments and Skilled Observation |
| Who are we interviewing during an education model eval? | Teacher, Psych, SLP/PT, other staff, parents |
| Where are you observing during an education model eval? | Students natural environment |
| What assessment tools are we using during an education model eval? | Standardized Assessments, Skilled observation, work sample collection |
| During an eval for a neuromotor impairment what are assessing? | -Tone -Posture -UE/LE asymmetries -Abnormal reflexes |
| During an eval for developmental delays what are we assessing? | -Delayed milestones -Neuromotor Impairment -Time spend on a device -Movement ability |
| What are the common features of movement issues in children with neuromotor impairments? | -Issues with muscle tone -Issues with postural control -Sensory processing issues |
| What are key factors using the biomechanical FOR? | -ROM -Head control -Trunk control -Control of UE movement -Mobility |
| What are key factors in the motor skill acquisition FOR? | -Provide match between person, task, environment -Pretty much PEO model |
| How can we assess tone? | -PROM/AROM -Traction response -Laying down -Hand positions |
| How can we assess motion? | -MMT and ROM -Antigravity positions -Protective/Righting responses -Look at key points of posture |
| What are the different parts of praxis? | -Ideation -Planning -Movement execution |
| Should we wait to treat delay or address them early? | Address early |
| What is the OT role in neuromotor intervention? | -Develop programming -Consult -Advocate -Educate |
| What are important aspects for coaching parents? | -Ask before helping -Respect them saying no -Provide limitations -Model for the parent |
| What is the flow of a typical OT intervention session? | -Warm up activity -Activity for postural control, BOS, joint stability, mobility that help to support performance of task -Integration of Activities |
| What can we do for prep activities? | Prepare ROM, joint alignment, tone relaxation, positioning |
| What can we do for different activities to address neuromotor problems? | -Handling -Inhibition and Facilitation -Weight shifting and bearing |
| What is positioning? | Static movement of the child with assistance |
| What is handling? | Provide hands-on moving of the child from one place to another |
| What are the guidelines for positioning and handling? | -Complete movement pattern or change positions slowly -Provide support to the involved joints -Not pulling into a position using distal joints |
| How should we position for supine? | -Hips should be flexed with legs separated, abducted and flexed -Head and arms in midline |
| How should we position for prone? | -Hips and legs should be extended and abducted -Elbows below shoulders -Encourage UE extension |
| What is a neutral position for decreasing reflex patterns and increasing postural organization? | Side-lying |
| Should we allow W sitting for long amounts of time? | No |
| How can we include weight shifting during intervention? | -Kneeling on rocker board -Swings -Stepping stones -Balloon tap |
| How can we address hypotonia during intervention? | - Follow developmental sequences -Grade input -Promote proper alignment -Decrease support over time |
| How can we address hypertonia during intervention? | -Tapping followed by pressure -Vibration -Brushing -Thermal/Electrical PAMs -WBing -Joint compression -Passive stretching -PNF |
Created by:
jkranz93
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