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IER Chapter 7
Pediatric PT (IER Chapter 7)
| Question | Answer |
|---|---|
| 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
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