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   Define Pediatrics
   Describe the focus of pediatric physical
    therapy
   What pediatric PTA’s do
   Discuss common diagnoses of pediatric
    patients
   School Settings
   Special Certifications




                                               2
Pediatric Physical Therapy



                             3
   "Pediatrics is concerned with the health of
    infants, children and adolescents, their
    growth and development, and their
    opportunity to achieve full potential as
    adults." (Richard E.Behrman in Nelson's
    Textbook of Pediatrics)
   Pediatrics became a medical specialty in the
    mid-19th century. Before that time the care
    and treatment of childhood diseases was
    included within such areas as general
    medicine and obstetrics (and midwifery).


                                                   4
   These therapists are specialized in the diagnosis,
    treatment, and management of infants, children,
    and adolescents with a variety of congenital,
    developmental, neuromuscular, skeletal, or
    acquired disorders/diseases. Treatments focus
    on improving gross and fine motor skills, balance
    and coordination, strength and endurance as well
    as cognitive and sensory processing/integration.
   Most therapy is incorporated into play utilizing
    toys such as: therapy balls, various swings, and
    riding toys to improve strength, balance and
    coordination.


                                                         5
   Teach children to use assistive devices
    including walkers, wheelchairs, or crutches.

   Assess the need for braces or orthotics and
    perform evaluations for adaptive equipment.

   Work on many different muscle strengthening
    exercises.

   Other typical physical therapy treatments.


                                                   6
   Children with:
    ◦ Cerebral Palsy - a disability resulting from damage to the
      brain before, during, or shortly after birth and outwardly
      manifested by muscular incoordination and speech
      disturbances.
    ◦ Spina Bifida - a congenital cleft of the spinal column with
      hernial protrusion of the meninges and sometimes the
      spinal cord.
    ◦ Muscular Dystrophy - any of a group of hereditary
      diseases characterized by progressive wasting of muscles.
    ◦ Traumatic Brain Injury - a non-degenerative, non-
      congenital insult to the brain from an external mechanical
      force, possibly leading to permanent or temporary
      impairment of cognitive, physical, and psychosocial
      functions, with an associated diminished or altered state of
      consciousness.


                                                                     7
◦ Shaken Baby Syndrome - injuries, particularly to the
  head, caused by violently shaking an infant which can cause
  brain damage, visual problems, psychological
  consequences and learning difficulties.
◦ Fetal Alcohol Syndrome - the sum total of the damage
  done to the child before birth as a result of the mother
  drinking alcohol during pregnancy. Fetal alcohol syndrome
  (FAS) always involves brain damage, impaired growth, and
  head and face abnormalities.
◦ Down Syndrome - common chromosome disorder due to
  an extra chromosome number 21 that causes mental
  retardation, a characteristic face, and multiple
  malformations and affects both the physical and intellectual
  development of the individual.
◦ Developmental delays – children behind schedule in
  reaching milestones of early childhood development.



                                                                 8
◦ Scoliosis - a lateral curvature of the spine.
◦ Autism - a spectrum of neuropsychiatric disorders
  characterized by deficits in social interaction and
  communication, and unusual and repetitive behavior. Some,
  but not all, people with autism are non-verbal.
◦ Sports Injuries – injuries such as sprained knees, ankles,
  wrists, ect. Any injury that would require surgery.
◦ Burns
◦ Asthma - common disorder in which chronic inflammation
 of the bronchial tubes makes them swell, narrowing the
 airways. Asthma involves only the bronchial tubes and does
 not affect the air sacs or the lung tissue itself.
◦ Other congenital defects
◦ Other types of traumatic injuries, such as those
  from car accidents or household accidents

                                                               9
   Only about 2.5% of PTA’s work in a school
    setting.
   A PTA working in a school setting may not
    make as much as they would in another
    setting, however the benefits are sometimes
    better. The PTA would get good healthcare
    and the same vacations as the students.




                                                  10
   There is no information for specialized
    certifications for PTA’s but there is for PT’s.
   It is not a requirement. All special
    certifications are voluntary.
   There is a test to be taken in order to be
    certified in your specialty.




                                                      11
Facilities PTA’s Work In




                           12
Annual PTA Income




                    13
   www.apta.org
   O’Shea, Roberta (Sept 2008) Pediatrics for the
    Physical Therapist Assistant. SAUNDERS
   Inverarity, Laura (Nov 28, 2007) Types of
    Physical Therapy. Retrieved Nov 11, 2009
    from
    http://physicaltherapy.about.com/od/typesof
    physicaltherapy/a/typesofpt.htm
   www.medterms.com (for all medical
    definitions)



                                                     14

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Intro

  • 1. 1
  • 2. Define Pediatrics  Describe the focus of pediatric physical therapy  What pediatric PTA’s do  Discuss common diagnoses of pediatric patients  School Settings  Special Certifications 2
  • 4. "Pediatrics is concerned with the health of infants, children and adolescents, their growth and development, and their opportunity to achieve full potential as adults." (Richard E.Behrman in Nelson's Textbook of Pediatrics)  Pediatrics became a medical specialty in the mid-19th century. Before that time the care and treatment of childhood diseases was included within such areas as general medicine and obstetrics (and midwifery). 4
  • 5. These therapists are specialized in the diagnosis, treatment, and management of infants, children, and adolescents with a variety of congenital, developmental, neuromuscular, skeletal, or acquired disorders/diseases. Treatments focus on improving gross and fine motor skills, balance and coordination, strength and endurance as well as cognitive and sensory processing/integration.  Most therapy is incorporated into play utilizing toys such as: therapy balls, various swings, and riding toys to improve strength, balance and coordination. 5
  • 6. Teach children to use assistive devices including walkers, wheelchairs, or crutches.  Assess the need for braces or orthotics and perform evaluations for adaptive equipment.  Work on many different muscle strengthening exercises.  Other typical physical therapy treatments. 6
  • 7. Children with: ◦ Cerebral Palsy - a disability resulting from damage to the brain before, during, or shortly after birth and outwardly manifested by muscular incoordination and speech disturbances. ◦ Spina Bifida - a congenital cleft of the spinal column with hernial protrusion of the meninges and sometimes the spinal cord. ◦ Muscular Dystrophy - any of a group of hereditary diseases characterized by progressive wasting of muscles. ◦ Traumatic Brain Injury - a non-degenerative, non- congenital insult to the brain from an external mechanical force, possibly leading to permanent or temporary impairment of cognitive, physical, and psychosocial functions, with an associated diminished or altered state of consciousness. 7
  • 8. ◦ Shaken Baby Syndrome - injuries, particularly to the head, caused by violently shaking an infant which can cause brain damage, visual problems, psychological consequences and learning difficulties. ◦ Fetal Alcohol Syndrome - the sum total of the damage done to the child before birth as a result of the mother drinking alcohol during pregnancy. Fetal alcohol syndrome (FAS) always involves brain damage, impaired growth, and head and face abnormalities. ◦ Down Syndrome - common chromosome disorder due to an extra chromosome number 21 that causes mental retardation, a characteristic face, and multiple malformations and affects both the physical and intellectual development of the individual. ◦ Developmental delays – children behind schedule in reaching milestones of early childhood development. 8
  • 9. ◦ Scoliosis - a lateral curvature of the spine. ◦ Autism - a spectrum of neuropsychiatric disorders characterized by deficits in social interaction and communication, and unusual and repetitive behavior. Some, but not all, people with autism are non-verbal. ◦ Sports Injuries – injuries such as sprained knees, ankles, wrists, ect. Any injury that would require surgery. ◦ Burns ◦ Asthma - common disorder in which chronic inflammation of the bronchial tubes makes them swell, narrowing the airways. Asthma involves only the bronchial tubes and does not affect the air sacs or the lung tissue itself. ◦ Other congenital defects ◦ Other types of traumatic injuries, such as those from car accidents or household accidents 9
  • 10. Only about 2.5% of PTA’s work in a school setting.  A PTA working in a school setting may not make as much as they would in another setting, however the benefits are sometimes better. The PTA would get good healthcare and the same vacations as the students. 10
  • 11. There is no information for specialized certifications for PTA’s but there is for PT’s.  It is not a requirement. All special certifications are voluntary.  There is a test to be taken in order to be certified in your specialty. 11
  • 14. www.apta.org  O’Shea, Roberta (Sept 2008) Pediatrics for the Physical Therapist Assistant. SAUNDERS  Inverarity, Laura (Nov 28, 2007) Types of Physical Therapy. Retrieved Nov 11, 2009 from http://physicaltherapy.about.com/od/typesof physicaltherapy/a/typesofpt.htm  www.medterms.com (for all medical definitions) 14