PEDIATRIC REHABILITATION Prof.Dr. Şafak Sahir Karamehmetoğlu Prof.Dr. Şafak Sahir Karamehmetoğlu İstanbul University Cerrahpaşa Medical Faculty İstanbul University Cerrahpaşa Medical Faculty Physical Medicine and Rehabilitation Department Physical Medicine and Rehabilitation Department
PEDIATRIC REHABILITATION. Prof.Dr. Şafak Sahir Karamehmetoğlu İstanbul University Cerrahpaşa Medical Faculty Physical Medicine and Rehabilitation Department. HISTORY (1). Prenatal: Age of the mother Previous diseases Coincident diseases Habits Unusual weight gain or loss. HISTORY (2). - PowerPoint PPT Presentation
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
PEDIATRIC REHABILITATION
Prof.Dr. Şafak Sahir Karamehmetoğlu Prof.Dr. Şafak Sahir Karamehmetoğlu İstanbul University Cerrahpaşa Medical Facultyİstanbul University Cerrahpaşa Medical Faculty
Physical Medicine and Rehabilitation DepartmentPhysical Medicine and Rehabilitation Department
HISTORY (1)Prenatal: 1. Age of the mother
2. Previous diseases
3. Coincident diseases
4. Habits
5. Unusual weight gain or loss
HISTORY (2)
Prenatal:
6. Drugs
7. Radiation
8. Trauma
9. Rh factor discrepancy
10.Genetic disease
HISTORY (3)Perinatal:
1. Delivery duration
2. Prematurity
3. Anesthesia
4. Drugs (induction)
5. Trauma
ÖYKÜ (4)Perinatal:
6. Low birth weight
7. Low Apgar scores
8. Incubator
9. Intensive care
10.Sucking reflex
HISTORY (4)
ÖYKÜ (5)Postnatal:
1. Trauma
2. Infection
3. Metabolic diseases
4. Vascular anomaly
5. Oxygen deficiency
HISTORY (5)
School age:1. Previous diseases2. Coincident diseases3. Allergy4. Drugs5. Epileptic seizure
Flexor tonus predominates, when prone turns head to side, automatic reflex walking, rounded spine when held sitting, hands fisted, grasp reflex
Cry, head turning to voice, basic trust, mistrust, does not differantiate between self and mother
4
months
Head midline, when prone lifts head to 90° and chest slightly, turns to supine, hands mostly open, midline hand play
Recognizes bottle, laughs, responsive vocalization, lap baby, sense of basic trust
7
months
Maintains sitting, may lean on arms, rolls to prone, bears all weight, bounces when held erect, cervical lordosis, intermediate grasp, bangs objects
Differentiates between familiar person and stranger, holds bottle, looks for dropped object, talks to mirror image, uses single words
10
months
Creeps on all fours, pivots in sitting, stands momentarily, slight bow leg, increased lumbar lordosis, pincer grasp, mature thumb to index grasp, finger feeds, bangs two cubes
Shouts for attention, imitates speech, waves bye-bye, uses “mama” and “dada” with meaning, inhibits behavior to “no”, can retrieve an object hidden from view
DEVELOPMENT - 2
Motor function Cognitive function
14
months
Walks alone, arms in high or mid- guard, wide base, excessive knee and hip flexion, foot contact on entire sole, slight valgus of knees and feet, pelvic tilt and rotation, piles two cubes, holds crayon full lenght in palm,
Uses spoon with overpronation, removes a garment, understands simple commands, shame and doubt, pleasure in controlling muscles and sphincters
18 months
Arms at low guard, mature supporting base and heel strike, seats self in chair, walks backward, emerging hand dominance, holds crayon end in palm
Imitates housework, carries, hugs doll, drinks from cup neatly, points to named body parts, identifies one picture, says “no”, jargons
2 years Begins running, walk up and down stairs alone, jump on both feet in place, builds 8-cube tower,
Two word phrases, uses verbs, “me” “mine”, follow simple commands, comprehends symbols
3 years Walks upstairs alternating feet, uses overhand throw, catches with extended arms hugging against body, imitates three cube bridge
Most children toilet trained day and night, pours from pitcher, washes and dries hands and face, deals with issue of genital sexuality
DEVELOPMENT - 3
Motor function Cognitive function
4 years
Walks down stairs alternating feet, hops on one footplantar arches developing, sits up rom supine position without rotating, handles a pencil by finger and wrist action like adults
Cooperative play, dresses and undresses with supervision , gives connected account of recent experience, questions why, when, how, repeats four digits
5 years
Skips, tiptoes, balances 10 seconds on each foot, hand dominance expected, draws man with head body, and extremities, throws with diagonal arm and body rotation, catches with hands
Creative play, competitive team play, uses fork stabbing food, brushes teeth, self-sufficient in toileting, has number concepts to 10, adjust himself to the inorganic laws
6 years
Rides bicycles, roller skates, prints alphabet; letter reversals still acceptable, mature catch and throw of ball
Uses fork appropriately, knife for spreading, plays table games, shows mastery of grammar, uses proper articulation
7 years
Continuing refinement of skills Comb hair, grooming, capable of logical thinking