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History and examination pediatric examination

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Pediatric Physical Therapy EXAMINATION General guidelines: • Format • Structure of the pediatric rehabilitation • Examination at different ages. • Specific details of diagnostic • Signs and interpretation of findings. PEDRIATRIC EXAMINATION 1. Observation • Specific behaviors to observe and note include reaction to separation from the parents (in young children); apparent visual and auditory awareness; temperament (calm or hyperactive, compliant, or difficult) spontaneous exploration and interest in toys, games, or books in the room; style, concentration, attention span, or distractibility during play; level and manner of motor activities; attempts to engage the parents and the examiner in conversation, vocabulary, complexity of language, and quality of speech; and interaction with parents or examiner (appropriate shy, or demanding). • The actual hands-on examination, consisting of bodily handling and manipulation, is the last stage; anxietyprovoking or painful tests are deferred to the end. • If the examination requires placement of the child on a table, the mother can sit at the end and let the child’s head rest in her lap. With anxious children, performance of gross motor activities, such as sitting, crawling, standing, or walking, also can be conducted through the parent. • One should note the quality of movements, postures, weakness, incoordination, asymmetry, or reflex abnormalities that reflect a motor deficit. • Range of motion, deep tendon ...
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