Lecture 7

Question 1

Name 4 Developmental Assessments for Pediatric PT

Answer 1

• Alberta Infant Motor Scale (AIMS)
• Batelle Developmental Inventory (BDI)
• Test of Infant Motor Performance (TIMP)
• Peabdy Developmental Movement Scale

Question 2

Name 3 Functional Assessments in Pediatric PT

Answer 2

• Gross Motor Function Measure (GMFM)
• Pediatric Evaluation of Disability Inventory (PEDI)
• School Function Assessment (SFA)

Question 3

What are some common disorders with Hypotonia?

Answer 3

• Down Syndrome
• Malnutrition
• Chronic system illness
• Prader-Willi Syndrome
• Cerebral Palsy
• Spinal muscle atrophy
• Autism Spectrum Disorder (ASD)

Question 4

What are some common disorders associated with hypertonia?

Answer 4

• Cerebral Palsy
• Traumatic brain injury
• Myelodysplasia
• Infarcts/ strokes
• Familial
• Metabolic

Question 5

In reference to spastic catch, what are R1 and R2 points?

Answer 5

R1 = point of first resistance
R2 = where joint stops

Question 6

What are the GMFCS skill Levels?

Answer 6

Level I: walks without limitations
Levels II: walks with limitations
Level III: Walks using an AD
Level IV: self-mobility with limitations
Level V: transported in a passive device

Question 7

What is the Modified Ashworth Scale?

Answer 7

0 = No increase in muscle tone
1 = slight increase in MT, catch/ release at the end of the range
2 = Slight increase in MT, catch and minimal resistance through rest of range
3 = More marked increase in MT through most of range
4 = Considerable increase in MT, passive movement difficult
5 = Affected parts rigid

Question 8

What is the Modified Tardieu Scale?

Answer 8

• Measures the muscle response to slow vs. fast velocities
• • Note the point of resistance to maximum velocity stretch (R1) and compare to amount of muscle contracture/ length (R2) … compare R1/ R2 relationship
• Large difference is LARGE DYNAMIC COMPONENT which means it is mostly reflexive/ neural component
• Small difference = FIXED CONTRACTURE in the muscle (mostly musculo-skeletal)

Question 9

What is Neurodevelopmental Treatment Principles (NDTs)?

Answer 9

• Based on the neural-maturationist, it involves facilitation and inhibition techniques, tone reduction with normal development to increase motor repertoire and advance handling skills.
• Goals: provide external stability, normalize movement patterns/tone, facilitate or inhibit muscle groups, inhib. abnormal patterns, provide sensory input, dissociate body segments (scapular mobilization), bilateral movement patterns to integ. both sides of body into function
• Other ways to develop NDTs: Oral meds, injectibles (BOTOX),intrathecal pumps and orthopedic surgery

Question 10

What is the GMFM?

Answer 10

• Measures the gross motor function in children with CP
• 66 version specific to CP
• 88 version specific to CP AND Downs Syndrome
• May be used on children whose motor motor skills are at or below those of a typical 5 year old
• Designed to measure change over time