• Shuffle
    Toggle On
    Toggle Off
  • Alphabetize
    Toggle On
    Toggle Off
  • Front First
    Toggle On
    Toggle Off
  • Both Sides
    Toggle On
    Toggle Off
  • Read
    Toggle On
    Toggle Off
Reading...
Front

Card Range To Study

through

image

Play button

image

Play button

image

Progress

1/24

Click to flip

Use LEFT and RIGHT arrow keys to navigate between flashcards;

Use UP and DOWN arrow keys to flip the card;

H to show hint;

A reads text to speech;

24 Cards in this Set

  • Front
  • Back
4 things you need to do for preparation
Set-up the environment
Child’s positioning
Postural control & tone
Sensory modulation and discrimination
When a child is sitting, what is important to address
Seat height (feet on the floor)
Seat depth
Trunk support
Pelvis positioning
Work surface height and angle
If tone is high, how would you work with the child
work on decreasing tone overall (even if it is in the arm that you are not directly working with) and then work in U/E and hand.
What is your job when working with a child on FM skills
to promote mmt
Extension: fingers, wrist, elbow, etc.
Supination/Prontation
Shoulder flexion, etc.
is wrist extension easier with forarem stablized or without
WITH forearm stablization
What is the eariliest, developmental, UE function
Reach- Most proximal
Progression of UE function
General arm movement, then hand placement, then, finger extension during arm movement as a precursor to grasp, then hand function.
Would you work on side reaching or crossing midline first
same side reaching
what age does reach and grasp mature
10-12 years
A mature reach involves
Sustained trunk extension
Rotation of trunk towards object
Well controlled elbow extension
Where should guide reach from
the shoulder
Palmar grasp
Develops whne?
Need thumb activity and control to move beyond this grasp
At about 6-9 months grasping with active thumb use occurs.
Control, refinement, strength, gradation continue to mature
With grasp you want to work to the side to minimize...
Pronation of forearm and IR shoulder
what are the 5 basic patterns of In-hand manipulation
Finger to palm translation
Palm to finger translation
Shift
Simple rotation
Complex rotation
Translation
linear movement of an object in the hand (moving a coin from fingertip to palm)
Shift
linear movement of an object to reposition on the pads of the fingers (turning pages in a book)
Rotation
movement of an object around its axes in the hand (reorienting a puzzle piece, turning pencil over)
what 3 factors contribute to difficulty with in hand manipulation
Mobility - when range is limited.
Stability - especially with low tone.
Differentiation of radial and ulnar sides of hand.
How would you increase mobility
Weight bearing on open hand
Games to encourage movement
How could you work on stability with kiddos
Make a donut with theraputty or silly putty. Child spreads hand open.
Child opposes finger to thumb to form a circle. Therapist tries to open circle; child resists.
How can you work on differentiation
Spray bottle (squeezing a trigger)
Scissors
Tweezers
Clothespins
Hold small bottle (tube) in ulnar fingers and use thumb and index to unscrew lid.
Beginning In hand manipulation skills
Allow use of surface or some use of other hand.
Work on separation of radial and ulnar sides of hand.
Work on isolated finger movements.
Movements that require MCPs flexed with IPs extended.
Basic IHM skills
Expand of basic movements repertoire without stabilization, than add stabilization
Verbal cueing
Place food items in palm, and translate to fingers for eating.
Objects that have clearly marked top and bottom for simple rotation.
Intermediate IHM skills
Use of stabilization
Add rotation and shift
Smaller objects
Verbal cueing and feedback
Functional application: hygiene, dressing, school tasks.
Speed and accuracy