NICU

Question 1

Tests and Measures

Answer 1

• Neurologic function
• Neurobehavioral function
• Motor behavior
• Oral-motor function

***Test of Motor Performance (TIMP) for infants as young as 32 week GA has become the most widely used assessment of infant functional motor behavior in the NICU

Question 2

General Movement Assessment

(Prechtl)

Answer 2

• Main purpose is to predict risk for CP
• Persistence of cramped synchronous movements and absence of fidgety movements are valid predictor of CP in children as young as ___
• Sensitivity and specificity >95% in predicting CP

Question 3

Musculoskeletal system

Answer 3

• Musculoskeletal system very susceptible to positional deformities resulting from NICU positioning
• PT to position to encourage midline head positioning
• Arms and legs flexed and close to body

—>Simulates intrauterine environment

Question 4

Neurobehavioral

Answer 4

—Neurobehavioral state dictates what you can do with neonate (especially since self-regulation is compromised)

• Deep sleep
• Light sleep
• Drowsy
• Quiet awake
• Active awake
• crying