Pediatric Critical Care, CP, and Development Flashcards

Vocabulary-based flashcards covering Cerebral Palsy classifications, CIMT protocols, feeding developmental milestones, sensory feeding strategies, and transitioning/driving considerations in pediatric therapy.

Monoplegia

Involvement of one extremity.

Hemiplegia

Involvement of Upper Extremity (UE) and Lower Extremity (LE) on the same side.

Paraplegia/diplegia

Involvement of both Lower Extremities (LEs).

Quadriplegia

Involvement of all four limbs.

Tetraplegia

Involvement of all four limbs plus the neck and head.

Spasticity

Hypertonia and increased muscle tone often triggered by movements.

Athetosis

Slow, writhing involuntary movements combined with abrupt, irregular, jerky movements; tone fluctuates from normal to low with poor coactivation.

Choreoathetosis

Constant fluctuation in tone from low to high causing jerky, involuntary twisted postures that are triggered by movement.

Ataxic CP

Characterized by poor balance and coordination; voluntary movements are more successful, though the child may appear clumsy or have tremors.

Mixed CP

A combination of high and low tone; usually one motor type is dominant and the distribution is typically quadriplegic.

CIMT (Constraint-Induced Movement Therapy)

Standard pediatric practice involving constraint of the unaffected UE, high dosage practice ($3-6$ hours per day) for $14-21$ days ($42-128$ total hours), and use of shaping techniques.

M-CIMT (Modified Constraint-Induced Movement Therapy)

Variation of therapy involving constraint of the unaffected UE for $3$ hours per day, provided by a trained provider (not necessarily OT or PT).

CVI (Cortical Visual Impairment)

A brain dysfunction, rather than an eye dysfunction, caused by damage or malformation in the brain that interferes with the ability to understand visual information.

CVI Latency

Slow or delayed visual responses characteristic of children with Cortical Visual Impairment.

Feeding Development ($0-6$ months)

Breast or bottle feeding with first an anterior/posterior then a vertical suck.

Feeding Development ($8-9$ months)

Finger feeding and dissolvables are introduced, characterized by a vertical chew.

Feeding Development ($9-12$ months)

Lateral tongue movements evolve with chewing.

Feeding Development ($12-18$ months)

Diagonal jaw movements emerge; chewing strength increases and the child weans from bottle or breast to sippy cups.

Feeding Development ($24-36$ months)

Rotary movements emerge with increased strength and coordination for chewing and self-feeding.

Silent Aspiration

The entry of food or liquid into the airway without overt signs like coughing or choking.

Chin Tuck

A positioning technique for dysphagia used specifically for delayed swallow initiation.

Hypo-reactive (Low Registration) Feeding Strategy

Interventions designed to wake up the CNS using strong flavors, cold temperatures, colorful foods, or proprioceptive input like a z-vibe.

Hyper-reactive (Sensory Sensitivity) Feeding Strategy

Interventions designed to calm the CNS using blander flavors, deep pressure, or proprioceptive strategies.

Adult Developmental Level (Average Exposure)

In the context of school-age sexuality and media, $12$ is the average age of exposure.

Adolescent Driving Statistics

Driving accidents remain the leading cause of death and disabilities for the adolescent population.