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IER Chapter 7

Pediatric PT (IER Chapter 7)

Normal gestational period 38-42 weeks
Babinski Reflex Stroke lateral aspect of plantar surface of foot to get extension and fanning of toes (0-12 months)
Galant (trunk incurvation) reaction Stroke along paravertebral line from scapula to iliac crest results in ipsilateral lateral flexion (0-2 months).
Moro reflex Sudden extension of neck results in elbow & shoulder flex/ext/abd patterns. Test last because it may cause crying as well (0-4 months).
Primary standing reaction Infant in supported standing responds by extending all joints of lower extremities. May interfere with walking if this reflex persists
Rooting Reflex Stroking around the mouth results in head turning to that side with mouth opening (0-3 months).
Tonic labyrinthine reflex Prone = flexor tone, supine = extensor tone (0-6 months). If this persists it may interfere with rolling
Asymmetrical tonic neck reflex (ATNR) Head rotation causes extension of extremities on face side & flexion of extremities on skull side (0-5 months).
Pull to sit from supine UE will flex & head will lag until 4-5 months.
Symmetrical tonic neck reflex Cervical extension = UE extension & LE flexion; Cervical flexion = UE flexion & LE extension (6-8 months). If this persists, it may interfere with development of quadruped positioning & creeping.
Landau's reaction If infant is held in ventral suspension = neck, trunk & hip extension (4-18 months).
Spina Bifida Occulta No spinal cord involvement. May be indicated by a tuft of hair and/or dimple.
Spina Bifida Meningocele Cyst with cerebrospinal fluid, spinal cord intact
Spina Bifida Myelomeningocele Cyst with cerebrospinal fluid and cord involvement
Erb's Palsy Involves C5-6, upper arm paralysis. Characteristic position is: shoulder adduction & internal rotation with elbow extension, pronation & wrist flexion (Waiter's tip position)
Klumpke's Palsy Involves C8-T1, lower arm paralysis
Erb-Klumpke Palsy Whole arm paralysis
Key words for Duchenne's Muscular Dystrophy Boys only; hypertrophic calves, progressive weakness from prox to distal; Gower's sign; max exercise may injure (overwork); night splints
Key words for Down Syndrome Hypotonia; heart defects; hearing & vision loss; ligament laxity (especially atlantooccipital); Short, frequent feedings for energy consumption;
Created by: carsonwolf