Pediatric Therapeutic Interventions Flashcards

Which element is considered essential to the effectiveness of constraint-induced movement therapy (CIMT) and HABIT for children with unilateral cerebral palsy?

Answer: High-intensity, repetitive, task-specific practice with the involved limb

Both CIMT and HABIT rely on high doses of structured, goal-directed practice to drive motor learning and neuroplasticity.

A 10-year-old with spastic diplegic CP begins a progressive resistance program. Which frequency is most consistent with pediatric strength-training guidelines?

Answer: 2-3 nonconsecutive days per week for at least 8-12 weeks

Pediatric guidelines recommend 2-3 nonconsecutive days per week over at least 8-12 weeks, and strengthening does not worsen spasticity.

An infant has right congenital muscular torticollis (head tilted right, chin rotated left). Which stretch targets the involved sternocleidomastoid?

Answer: Lateral flexion to the left and rotation to the right

Stretching the right SCM requires lateral flexion away from it (left) and rotation toward it (right).

Which exercise recommendation is most appropriate for an ambulatory 7-year-old with Duchenne muscular dystrophy?

Answer: Submaximal aerobic activity such as swimming or cycling, avoiding exhaustion

Eccentric and high-resistance exercise can damage dystrophic muscle, so submaximal aerobic activity without overexertion is recommended.

During serial casting for ankle equinus in a child with CP, casts are typically changed at what interval?

Answer: Approximately every 5-7 days

Casts are usually replaced about weekly to gain progressive range while limiting skin breakdown and atrophy.

Research on treadmill training for infants with Down syndrome (Ulrich et al.) showed which outcome?

Answer: Earlier onset of independent walking compared with controls

Infants who received home treadmill practice walked independently significantly earlier than controls.

The Cognitive Orientation to daily Occupational Performance (CO-OP) approach for children with developmental coordination disorder uses which global strategy?

Answer: Goal-Plan-Do-Check

CO-OP is a top-down, task-oriented approach in which the child learns the Goal-Plan-Do-Check problem-solving strategy.