PT 731 Osteogenesis Imperfecta spring 2026

Diagnosis/prognosis

PT infancy examination

Passive ROM to end range is contraindicated

Strentching is contraindicated

Some people may do passive range to tension but stop as soon as they get any kind of resistance

Eval is mainly subjective, observation, observational function of range and mobility, and POTENTIALLY ROM to resistance

Normall look at getting in/out of chair, going up on their toes, bending to pick something up

PT infancy examination continued

physical therapy treatment infancy

In NICU you cant touch them because of such a high risk for fx – parental stresses because of this as well

We will have the role of educating and being there for the parents saying this is what I am doing and if you get trained you will be able to starting doing this when you are home

PT treatment infancy: education

PT treatment infancy: diaper, cars, chest PT

PT treatment infancy: positioning

PT treatment infancy: toys, developmental activities

PT treatment infancy: hand placement

Pull to sit from the hands is CONTRAINDICATED (same as pulling legs to change diaper)

PT examination preschool age (assessment)

PT treatment preschool age: what is present

Protected weightbearing is key – we want them to function, we want them to be safe

We want them to be active – but be mindful for safety

PT treatment preschool age: equipment modifications, weight bearing, orthotics

Ex. From SFO to AFO – make sure you are not causing pressure issues, don’t want to end up with fx of foot because its on the wrong way or fit incorrectly

Air casts and air splints are better for this population because they are supported but have some give for pressure

Watch torque on long joints but we want active

If you are running aquatic be aware of breathing issues (aquatic works well this population)

PT treatment preschool age: active exercise

PT treatment preschool age: aquatics

PT treatment school age and adolescents: reduced mobility

why does the fracture rate decrease?

PT treatment school age and adolescents: continue to address

PT treatment school age and adolescents: strength and endurance

PT implications transition to adulthood

OI conclusions