Treating the 30-Month Old Who Has Hypotonia – Secondary to a Syndrome

Barbara Hypes, PT 

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DVD Description:

Length of DVD: 75 minutes

This therapy demonstration has been narrated by the treating therapist.  It has only been minimally edited to allow the observer to see components of the session in real time.  In this session we see how a child's motor control can be adversely affected by the child's ability to tolerate and integrate sensory input.  Although this child is low tone and has ligamentous laxity, we see how adaptive equipment can provide support and alignment.  We also observe the therapist decrease her input and expectations once the child begins to be upset.  This child is easily frustrated and responds quickly with a "panic" type cry which is a fight or flight sympathetic nervous system reaction.  Therefore, the activity must be graded to the child's tolerance.  L was born at 40 weeks with complications secondary to an unknown genetic disorder. At birth she presented with Cushing's syndrome, which caused her to be a large infant.  She had chronic lung disease and required a G tube for all feeding.  She was hospitalized for most of the first 9 months of life.  She was evaluated by PT at 20 months and was receiving OT prior to that evaluation to increase her tolerance to any type of sensory input.  At the time of this taping she is 30 months old.

Learning Objectives:

The observer will:

1. Learn how the inability to integrate the sensory system can interfere with motor control.
2. Understand how the expectations of the session may have to be flexible enough to accommodate the child’s state throughout the session.
3. Understand how goals can be set to monitor the latency period between when a task is requested and when there is a response from the child.
4. Understand how therapy sessions require a child to multi-task integration of multiple stimuli even when it seems that the tasks are simple.

Educational Credits:

1.25 contact hours.  Certificates will be awarded.

Recognized by the NY State Education Department's State Board for Physical Therapy as an approved provider of physical therapy and physical therapy assistant continuing education.   Approved for .125 CEUs. 

TSI is an AOTA Approved Provider of continuing education. AOTA does not endorse specific course content, products, or clinical procedures. Approved by AOTA for .125 CEUs.

• $80.00; includes DVD, post-test, and certificate of completion  
• $65.00 when ordering 4 or more DVDs (does not include 2-volume DVD sets)
• Each additional viewer wanting CEUs: $25.00; includes post-test and certificate of completion.

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PLEASE NOTE: Certificates of completion will only be issued upon completion and return of post-test to TSI.

Questions?

Contact us through any of these methods and we will be happy to answer questions you may have about any aspect of our courses.

Therapeutic Services, Inc.
2409 Avenue K
Brooklyn, NY 11210
email: tsi@therapeuticservices.org
Phone: 718-692-1929
Toll Free: 1-888-7-THERAPY
Fax: (718) 338-3393

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