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What is developmental delay?
Development that does not occur within the expected age range
Why is family assessment important in pediatric PT?
The child is treated in the context of the family system
What is a major goal of pediatric PT intervention?
Help the child function in natural daily environments
What does neurodevelopmental treatment emphasize?
Movement quality + caregiver training
What does the Task-Oriented Movement Model use?
Goal-directed movement in task-specific environments
At what age does a child normally sit alone?
4-8 months
At what age does a child normally pull to stand?
5-12 months
At what age does a child normally walk alone?
9-17 months
What is developmental dysplasia of the hip (DDH)?
Femoral head can slip in and out of the acetabulum
What is osteogenesis imperfecta (OI)?
"Brittle bone disease" from altered collagen formation
Who typically manifests Duchenne muscular dystrophy?
Males
When does weakness usually begin in Duchenne muscular dystrophy?
3-5 years
What is spina bifida?
Faulty closure of the neural groove during the first month of pregnancy
Which type of spina bifida is not associated with disability?
Occulta
Which type of spina bifida can cause lower-body motor or sensory loss?
Meningomyelocele
What chromosome is affected in Down syndrome?
Chromosome 21 — trisomy 21
What is cerebral palsy (CP)?
A group of conditions affecting brain control of nerve and muscle activity
What are the main goals of pediatric adaptive equipment?
Positioning, mobility, and ADLs
Is adaptive equipment equivalent to therapy?
No
What can happen if adaptive equipment is overused?
It may slow motor development
What type of walker do ambulatory children tend to use?
Reverse walker
What is osteoarthritis?
Degeneration of cartilage
What is rheumatoid arthritis?
Immune-system disease causing chronic joint inflammation
What is osteoporosis?
Decreased mineralization of bone
Why are hip fractures a major concern in older adults?
Osteoporosis + falls
What is static balance?
Balance while standing still
What is dynamic balance?
Balance while moving
What does the Functional Reach Test help predict?
Likelihood of falling
What does the Timed Up and Go (TUG) Test help predict?
Falls
What is examination in the Patient/Client Management Model?
Gathering history, systems review, and tests/measures
What is evaluation in the Patient/Client Management Model?
Clinical judgment based on examination findings
What is diagnosis in the Patient/Client Management Model?
Categorization of examination findings
What is prognosis in the Patient/Client Management Model?
Prediction of improvement and time needed
What is intervention in the Patient/Client Management Model?
Procedures performed to achieve the desired outcome
What is outcome in the Patient/Client Management Model?
Results of the interventions and plan of care
Who performs the initial evaluation and develops the plan of care?
PT
Who has ultimate responsibility for physical therapy services?
PT
What can a PTA do within the plan of care?
Provide and modify delegated interventions
What is active range of motion (AROM)?
Patient voluntarily moves through the range
What is active-assisted range of motion (AAROM)?
Patient moves with assistance
What is passive range of motion (PROM)?
Movement provided manually or mechanically
Can a PTA perform soft-tissue mobilization?
Yes
In Pennsylvania, can a PTA perform joint mobilization?
No