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PHT573 Physiotherapy In Paediatrics UITM Assignment Answer Malaysia 

 The PHT573 Physiotherapy in Paediatrics course at UITM is designed to provide students with a comprehensive understanding of human and movement development, specifically focusing on children. Throughout the course, students will learn about motor control and motor learning concepts, which are essential in the field of paediatric rehabilitation.

A significant aspect of the course is the application of the International Classification of Functioning, Disability & Health (ICF) by the World Health Organization (WHO) in conjunction with specific outcome measures used in paediatric rehabilitation. This approach enables students to assess and evaluate the functioning and disability of children in various aspects of their lives.

The course aims to equip students with the knowledge and skills to conduct assessments specific to paediatric physiotherapy. Students will learn how to analyze physical impairments and design targeted treatment approaches based on the functional limitations of each individual patient.

 

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Assignment Task 1: Describe the principle of human development, the concept of motor control & motor learning and International classification of Functioning, Disability & Health (ICF) (WHO, 2001) in pediatric rehabilitation

Principle of Human Development:

The principle of human development refers to the systematic changes and advancements that occur in individuals from conception to adulthood. It involves the physical, cognitive, emotional, and social development of a person. Human development is a continuous process influenced by various factors such as genetics, environment, and individual experiences. It can be broadly categorized into different stages, including prenatal, infancy, childhood, adolescence, and adulthood. Each stage is characterized by unique milestones, challenges, and opportunities for growth and development.

Concept of Motor Control and Motor Learning:

Motor control refers to the ability to coordinate and execute movements. It involves the integration of sensory information, the processing of that information in the central nervous system, and the execution of motor commands by the muscles. Motor control allows individuals to perform precise and coordinated movements necessary for various activities.

Motor learning, on the other hand, refers to the process of acquiring and refining motor skills through practice and experience. It involves the formation of neural pathways and the development of motor memory. Motor learning enables individuals to improve their motor skills and adapt to different environmental demands. It occurs through repetitive practice, feedback, and the consolidation of motor skills into long-term memory.

The ICF consists of two main components: functioning and disability, and contextual factors. The functioning and disability component includes body functions and structures, activities and participation, and environmental factors. Body functions and structures refer to the physiological and psychological functions of the body, while activities and participation encompass the individual’s ability to perform tasks and engage in societal roles. Environmental factors comprise the physical, social, and attitudinal aspects of the individual’s environment.

The ICF recognizes that disability is not solely determined by a person’s health condition but also influenced by contextual factors. It promotes a biopsychosocial model of health, emphasizing the interaction between biological, psychological, and social factors in understanding disability and health.

In pediatric rehabilitation, the ICF provides a framework for assessing and managing the physical impairment and functional limitations in children with various health conditions. It helps clinicians consider the broader context of a child’s life, including their family, school, and community, when planning interventions and support services. By using the ICF, healthcare professionals can take a holistic approach to pediatric rehabilitation and address the child’s physical, cognitive, emotional, and social needs.

Assignment Task 2: Perform pediatric physiotherapy assessment and intervention techniques in common pediatrics disorders in respiratory, musculoskeletal, neurological, special conditions, neonatal cases (PLO2 – C2, P2 and A3).

Pediatric physiotherapy involves the assessment and treatment of children with various disorders affecting their respiratory, musculoskeletal, neurological, special conditions, and neonatal cases. Here are some common assessment and intervention techniques used in each category:

Respiratory Conditions:

  • Assessing respiratory function through observation, auscultation, and pulmonary function tests.
  • Implementing breathing exercises, chest physiotherapy, and airway clearance techniques.
  • Providing education and training to parents and caregivers on respiratory management.

Musculoskeletal Disorders:

  • Conducting a thorough musculoskeletal assessment, including range of motion, muscle strength, and joint stability.
  • Developing an individualized exercise program to improve strength, flexibility, and coordination.
  • Utilizing manual therapy techniques such as mobilization, manipulation, and soft tissue techniques.
  • Incorporating modalities like heat or cold therapy, electrical stimulation, or ultrasound as adjuncts to treatment.

Neurological Conditions:

  • Assessing motor function, balance, coordination, and sensory integration.
  • Designing and implementing activities to promote gross motor skills, gait training, and balance exercises.
  • Utilizing neurodevelopmental techniques like Bobath or Proprioceptive Neuromuscular Facilitation (PNF).
  • Implementing task-specific training and functional activities to enhance motor learning and functional abilities.

Special Conditions:

  • Assessing specific functional limitations and impairments associated with the particular condition.
  • Tailoring interventions to address the unique needs of children with special conditions such as genetic disorders, developmental delays, or sensory processing disorders.
  • Collaborating with a multidisciplinary team to provide comprehensive care.

Neonatal Cases:

  • Assessing motor development, muscle tone, and reflexes.
  • Providing gentle handling and positioning techniques to support optimal development.
  • Promoting early mobility and sensory stimulation through age-appropriate activities.
  • Educating parents on infant care and facilitating parent-infant bonding.

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Assignment Task 3: Manage the physical impairment and functional limitation in common pediatrics disorders in respiratory conditions, musculoskeletal, neurological, special conditions and neonatal cases

In the management of physical impairment and functional limitation in common pediatric disorders, the following approaches can be applied:

Respiratory Conditions:

  • Developing an individualized treatment plan to improve respiratory function and reduce symptoms.
  • Implementing airway clearance techniques, breathing exercises, and inhalation therapy.
  • Providing education and support to parents and caregivers on home management and prevention of respiratory complications.

Musculoskeletal Disorders:

  • Implementing therapeutic exercises and activities to improve strength, flexibility, and joint stability.
  • Utilizing orthotic devices, assistive devices, or adaptive equipment as needed.
  • Providing pain management techniques such as heat or cold therapy, transcutaneous electrical nerve stimulation (TENS), or therapeutic ultrasound.
  • Educating parents and children on proper body mechanics, ergonomics, and injury prevention strategies.

Neurological Conditions:

  • Developing a comprehensive rehabilitation program to address motor impairments and enhance functional abilities.
  • Utilizing a combination of therapeutic exercises, functional activities, and task-specific training.
  • Implementing specialized techniques such as neurodevelopmental approaches, constraint-induced movement therapy, or robotic-assisted therapy.
  • Collaborating with occupational and speech therapists to address associated cognitive and communication difficulties.

Special Conditions:

  • Providing individualized interventions targeting the specific impairments and functional limitations associated with the condition.
  • Incorporating strategies to enhance sensory processing, social skills, and self-care abilities.
  • Collaborating with educators and community resources to support the child’s integration into educational and recreational activities.

Neonatal Cases:

  • Implementing early intervention programs to support the optimal development of premature infants or infants with developmental delays.
  • Utilizing age-appropriate therapeutic activities, positioning, and handling techniques.
  • Educating parents on infant care, developmental milestones, and strategies to promote optimal growth and development

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