537 Pediatrics > School Based PT > Flashcards

School Based PT Flashcards

(52 cards)

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1
Q

When did PTs begin serving students with special needs in schools?

A

Late 1800s and became common in the early 20th century

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2
Q

What was the Education for all Handicapped Children Act?

A

On November 29th, 1975
Free appropriate public education for all children with disabilities from the age of 6 to 21

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3
Q

What were the provisions of the Education for all Handicapped Children Act?

A
  • Zero reject
  • Least restrictive environment (inclusion)
  • Right to due process
  • Nondiscriminatory evaluation
  • Individualized Education Program
  • Parent participation
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4
Q

What were the revision and name change to the Education for all Handicapped Children Act?

A

1986
- Added early intervention (3-21 years)

1990
- Name change to Individuals with Disabilities Education Act (IDEA)

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5
Q

What is the purpose of IDEA?

A

To ensure that all children with disabilities have available to them a free appropriate public education that emphasizes special education and related services designed to meet their unique needs and prepare them for further education, employment, and independent living

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6
Q

What are the four parts of IDEA?

A

A - General Provisions
B - School aged
C - Early intervention
D - National programs for children with disabilities

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7
Q

Who is responsible for implementation of IDEA part B?

A

Each Local Education Agency (LEA) or school district

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8
Q

In what ways does IDEA provide free and appropriate public education?

A

Covers all children 3 to 21
All settings are included, even hospital and jail

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9
Q

How does IDEA promote an unrestricted environment?

A

They promote children with disabilities to be educated alongside children who are not disabled

Separate and special classes occur only when the disability prevents satisfactory participation in normal classes.

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10
Q

What does the APTA say about Physical Therapy in the school setting?

A

PTs work with a student’s IEP team and participate in screening, evaluation and program planning, and intervention

PTs assist students and are hired through the school district, intermediate unit, or a contract with a private practice.

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11
Q

What are the eligibility requirements for Physical Therapy?

A

The child must have an educational need for special education

The disability adversely affects educational performance

The initial evaluation determines if the child has a disability

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12
Q

What are the categorical definitions of disability?

A
  • Autism
  • Deaf-blindness
  • Developmental Delay
  • Emotional Disturbance
  • Hearing impairment
  • Mental Retardation
  • Orthopedic impairment
  • Health impairment
  • Speech and language impairment
  • Traumatic Brain Injury
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13
Q

What is Section 504 of the Rehabilitation Act?

A

Rehabilitation Act of 1973 prohibits discrimination of persons with a disability in a setting receiving federal funding

This expands a student’s eligibility for related services

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14
Q

How does Section 504 define “Qualified Handicap”?

A

Has a physical or mental impairment which substantially limits one or more major life activities

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15
Q

How does Section 504 define Lift Activities?

A

Functions such as caring for yourself, performing manual tasks, walking, seeing, hearing, speaking, breathing, learning, and working

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16
Q

What are the standardized tests of motor performance in a PT Evaluation?

A

Peabody Developmental Motor Scales (PDMS-3)
Bruininks Osretsky test of Motor Proficiency (BOT-III)
Gross Motor Function Measure (GMFM)

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17
Q

What are the Functional Ability exams in a PT Evaluation?

A

Pediatric Evaluation of Disability Inventory (PEDI)
School Function Assessment (SFA)

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18
Q

What are the parts of the School Function Assessment (SFA)?

A

I. Participation
II. Task Supports (Behavioral/Physical)
III. Activity Performance (Physical/Cognitive)

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19
Q

How is an Individualized Education Program developed?

A

Through a multidisciplinary team of the Teacher, Parents, PT, OT, ST, Nurse, Psychologist, and PE teacher

If qualified, a written IEP is developed in 30 days

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20
Q

What are the school based levels of frequency?

A
  • Direct
  • Integrated
  • Consultative
  • Monitoring
  • Collaborative
  • Relational Goal Oriented
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21
Q

What are the educational related PT goals?

Study These Flashcards
A

Setting: Lunch, Recess, Classroom
Activity: Running, Stair Climbing, Walking
Modifiers: Adaptive Equipment, Level of Assistance or Supervision

Must focus on educational needs of the student, architectural barriers, and function in school environment

22
Q

What are SMART goals?

Study These Flashcards
A

Specific
Measurable
Achievable
Relevant
Time Bound

23
Q

What are the roles of PT in a School Setting?

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A

Participation in screening, evaluation, program planning, and intervention

Consult teacher and other service providers, manage equipment, and attend annual and triennial IEP meetings

24
Q

What are the transition services with PT in a school setting?

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A

Part C to part B

Part B to Adult Community
- Start at age 16, states at age 14
- Based on unique needs of the child
- Post-secondary education, vocational, employment
- Living, working, transportation

25
What does documentation depend on with PT in the school setting?
Depends on local education agencies and school districts Reports are made Quarterly, Annually, and Triennially (Formal)
26
What is the Family Educational Rights Privacy Act?
Federal law to protect students and family's education records Different from HIPPA, only FERPA applies
27
What are the years of Early Intervention?
Part C: 0-3 years (until they turn 3)
28
What does Part C of IDEA do for Early Intervention?
Part C authorizes federal assistance to states to provide early intervention services for eligible infants and toddlers from birth to 3 years of age and their families
29
What does the law mandate in Early Intervention?
Mandates family-centered services in natural environments to promote development and participation in daily activities and routines
30
What is the definition of Early Intervention in IDEA?
Developmental services that are provided under public supervision, are provided at no cost except where federal or state law provides a system for payments by families, including a schedule of sliding fees, and are designed to meet the developmental needs of an infant with disability in any of these areas: Physical, Cognitive, Communication, Adaptive, and Social or Emotional Development
31
What are some Early Intervention Services within IDEA?
Family training, home visits Special instruction SLP and Audiology/Sign Language Occupational Therapy Physical Therapy Psychological Services Service Coordination Medical Services Social Work Vision and Assistive Tech Transportation
32
What is the Eligibility of EI
Children who experience developmental delays as measured by appropriate diagnostic instruments and procedures in (Cognitive, Physical, Communication, Adaptive, and Social or Emotional development)
33
What is the purpose of EI
- Enhance development - Minimize delay - Reduce future costs - Maximize potential - Educate families - Access to services
34
What are the components of an Individualized Family Service Plan?
- Child's current level of functioning - Family's concerns, priorities, and resources - Early intervention services - Service Coordinator - Transition plan from IFSP to IEP
35
What is the role of the Physical Therapist in EI?
Provide intervention to promote children's activity and participation including motor learning, environmental adaptations, assistive technology, family support, and education Identify signs and symptoms that indicate the need for referral to another health professional
36
What is used for testing in EI?
Bayley Scales of Infant and Toddler Development
37
What are the multidisciplinary interventions for PT in a school setting?
Physical Development Cognitive Development Communication Development Social/Emotional Development Adaptive Development
38
What is Family-Centered Care?
Full involvement of the family in all aspects of the EI program Therapist as model and teacher to the caregivers
39
What are the key elements of Family-Centered Care?
- Listening and respecting each child and their families - Offer family choices and be responsive to family needs, beliefs and cultural values - Sharing complete and honest information so family can partake in decision making - Ensuring formal and informal support - Promoting family-professional collaboration - Appreciating and fostering strengths
40
How are Natural Environments described by IDEA?
Settings that are natural or normal for this child's age peers who have no disabilities Not limited to physical locations, includes the people and their relationship
41
How are services provided in Natural Environments?
Home Environment (toys) Community (Playground)
42
Why are natural environments beneficial
- Teaching skills in context - Focus on function and socialization - Emphasize family and child's activities
43
What does Activity Based Instruction offer?
- Child directed - Embedded in routine - Multiple learning opportunities - Functional & Integrated tasks - Problem solve everyday issues - Coaching
44
What is Teamwork in PT in a school setting?
- Assessment require multiple specialists and family involvement - Interdisciplinary interaction - Transdisciplinary shared info - Cataloging and matrix
45
What does California Children Services (CCS) do?
Provides medically necessary services and rehabilitation to children with disabilities from birth to 21 years (Must have eligible CCS medical condition)
46
Examples of CCS eligible Medical Conditions
Cerebral Palsy Spina Bifida Muscular Dystrophy Rheumatoid Arthritis Spinal Cord Injuries Arthrogryposis Osteogenesis Imperfecta Head Injuries Juvenile Idiopathic Arthritis Limb Anomalies Condition with Ataxia/Dystonia
47
What is the Medical Therapy Program?
- No cost to the family - Focusing on improving Impairment and Function - Treat in MTC - Consult in schools, home, community - Consult with specialists, teacher, and caregivers - Assess for equipment
48
What are the types of Dynamic Movement Intervention?
Reactive Postural Control Anticipatory Postural Control
49
What is Dynamic Movement Intervention?
Technique to treat children with a motor delay by improving automatic postural responses and promoting progress towards developmental milestones.
50
What is the goal of Dynamic Movement Intervention (DMI)?
To provoke a specified active motor response form the child in response to defined dynamic exercises
51
What are two interventions for pain and tightness?
Whole Body Vibration to decrease spasticity, increase sensory, and improve blood flow Total Motion Release (TMR) to address pain and tightness through pain free movements
52
What are Garments for School-based PT?
SPIO Suit (Stabilizing Pressure Input Orthosis) Therasuit
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