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Assessment/Planning

Art and science


Observation
Building rapport
Listening
Assessment
 General health
 Arousal
 Neurological system
 Musculo-skeletal system
 Respiratory system
 Gastrointestinal system
 Intugementary system,
 Urinary tract system
 Dental system
 Limbic system.
 Strenghts,impairements,limitations,home,school,commni
ty set-up.
If walking- with/without assistive
devices
crouch, equinus, calcaneus,
int,/ext rotation,
narrow, broad-based
pelvic tilt, circumductory
Stance, swing phase, heel-strike,
step/stride length
cadence, base of gait,
p.c.i, how much child can walk
stair climbing, slopes, uneven
ground, crowded places.
Sitting, posture/balance, shifts,
transitions, side, cross, ring, chair
sitting, sit to stand,
creeping, crawling, kneeling,
transitions
squat to stand, quality
of movement, initiation
sustaining, completion
Reciprocal movts, protective
extension of arms,
alignment in different postures,
head/trunk
assymetries
chest wall/breathing
scars/tubes
Mas, rom, tardieu scale
head circumference, chest
expansion
limb length measurement, girth
measurement
,Sensations, Mmt, pci, video
gmfcs, gmfpm,bbs,fim,bartel
index
pedi, prs, macs, melboune
scale.
Surgery
Orthopedic surgery/
Neurosurgery,
Gi tract.
Aims
1)to have functional mobility
2)to set realistic goals with parents
3)play/dynamism,active
involvement of child,family,care-
givers
4)ndt,and ecclectic approach,
5)head/trunk
control,alignement,symmetry
6)Facilitate good patterns
7)postural correction
8) spasticity, strength
management,rom
9)musculo-skeletal care of
carers
10)monitiring growth,serial
assesments,control weight gain.
11)putting on,taking off orthosis
ROLE OF PAEDIATRIC
PHYSIOTHERAPIST.
 MOTIVATOR OF MOVEMENT.
 FACILITATOR OF DEVELOPMENT.
 ANALYST, CATALYST, GUIDE.
 ACHIEVING IN PARTNERSHIP WITH
DOCTORS, PARENTS/CARE-GIVERS
AND PATIENTS OPTIMUM ACHIEVABLE
FUNCTION.
ROLE OF PAEDIATRIC
PHYSIOTHERAPIST
 GOAL SETTING WITH DOCTORS
PARENTS AND CHILD ABOUT
TREATMENT INTERVENTIONS AND
MODALITIES.
 ENSURE GOOD SEATING AND
PREPARE FOR FUNCTIONAL
AMBULATION ,INDOORS AND IN THE
COMMUNITY.
ROLE OF PAEDIATRIC
PHYSIOTHERAPIST
 GOAL SETTING WITH DOCTORS
PARENTS AND CHILD ABOUT
TREATMENT INTERVENTIONS AND
MODALITIES.
 ENSURE GOOD SEATING AND
PREPARE FOR FUNCTIONAL
AMBULATION ,INDOORS AND IN THE
COMMUNITY.
 MONITOR GROWTH, DEVELOPMENT
TILL SKEKETAL MATURITY.
 LIASING AND COUNSELLING LONG-
TERM, HAVING GOOD
INTERPERSONAL RELATIONSHIPS.
 WORKING AS A INTEGRAL MEMBER
OF A TEAM .
 WORKING FOR A COMMON GOAL,OF
INDEPENDENCE CONSISTENT WITH
THE EXTENT OF THE HANDICAP.
 FAMILY ADVISOR HOSPITAL, HOME,
SCHOOL, LEISURE SETTINGS.
 SENSITISATION OF
COMMUNITY,ADVOCACY.