Pediatric Therapeutic Interventions Flashcards

When starting partial body-weight-supported treadmill training for a child with CP, how much body weight support is typically used at first?

Answer: Up to about 30-40% of body weight, reduced as the child progresses

Support usually begins at no more than about 30-40% and is reduced as weight-bearing and stepping improve.

After Ponseti correction of clubfoot, how is the foot abduction brace (boots and bar) usually worn?

Answer: 23 hours per day for about 3 months, then nights and naps until about age 4-5

Full-time bracing for about 3 months, then nights and naps for several years, is key to preventing relapse.

What should parents of an infant in a Pavlik harness for developmental dysplasia of the hip be taught?

Answer: Keep the harness on as prescribed, with hips flexed and in gentle abduction, and avoid forced abduction

The harness keeps the hips flexed and in safe abduction, and forced abduction raises the risk of avascular necrosis.

A child with acute lymphoblastic leukemia on vincristine develops toe walking and reduced ankle dorsiflexion. Which intervention is most appropriate?

Answer: Heel cord stretching, dorsiflexor strengthening, and night splints or AFOs

Vincristine neuropathy often causes dorsiflexion weakness and heel cord tightness, managed with stretching, strengthening, and orthoses.

Which airway clearance technique can an adolescent with cystic fibrosis perform independently without any device?

Answer: Autogenic drainage

Autogenic drainage uses controlled breathing at different lung volumes and needs no equipment.

Which strategy best helps prevent exercise-induced bronchospasm in a child with asthma during PT sessions?

Answer: A gradual 10-15 minute warm-up and a prescribed short-acting bronchodilator about 15 minutes before exercise

A gradual warm-up and pre-exercise bronchodilator use lower the risk of exercise-induced bronchospasm.

Which physical activity guideline applies to school-age children and adolescents?

Answer: 60 minutes of moderate-to-vigorous activity daily, including muscle- and bone-strengthening activity at least 3 days per week

U.S. guidelines advise 60 minutes or more of daily moderate-to-vigorous activity, with muscle and bone strengthening at least 3 days per week.