Please read the following and answer the questions based on…

Please read the following and answer the questions based on information contained in the scenario. Donny Nutt was referred to you for therapy. The referral states his diagnosis as delayed development. He is 8 months old at the time you see him and the mother reports to you that he was born prematurely by C-section after she went into early labor at 32 weeks gestation. He had an APGAR of 4 at one minute, 6 at five minutes, and 6 at ten minutes. He required oxygen at birth and was in the NCU for 6 weeks. While in the NICU he had a cranial ultrasound that revealed an intraventricular hemorrhage (IVH) grade 3 on the right side of his brain. Today she reports to you that he has been a poor feeder, is unable to hold his bottle, is irritable, and never sleeps more than 2 hours at a time. When he cries he pushes and arches his back and becomes very stiff. He still has a difficult time holding his head up for long periods of time and when tired rests it to the side. You notice that when you speak to him he appears to look past you and does not make eye contact however he does smile and turn his head to locate sound. On a pull to sit his head initially lags behind but then he begins to right his head. When placed in sitting he folds into flexion over his legs and does not support on his arms. He rolls prone to supine with increased extensor tone and not segmentally. He does not roll supine to prone. When placed in standing he immediately comes up on his toes. Mom wants to know when he will walk. When dealing with a premature baby the “assessment expectations” are to be based on what age for this child?

You have a patient referred for an evaluation that has coord…

You have a patient referred for an evaluation that has coordination and balance issues. From talking to the parent he has had difficulty on the playground keeping up with his peers, He can’t ride a bike, tie his shoes, or button the top of his jeans. You suspect DCD although he doesn’t have a Dx. What would be the best choice for an assessment tool based on what you know about him and the assessments below?

Billy Jean comes to your clinic with a diagnosis of Down Syn…

Billy Jean comes to your clinic with a diagnosis of Down Syndrome. She is 18 months old and not yet walking, however can stand independently for 1 minute before LOB. You notice she does not perform active forward protective extension reactions. When up in standing you also notice bilateral knee hyperextension, lumbar lordosis, and bilateral pronation. Your most conclusive/appropriate treatment session would include the following:

Your new patient presents to your clinic in a manual wheelch…

Your new patient presents to your clinic in a manual wheelchair that they are able to propel on their own. When you are assessing patient up in standing she required use of HKAFOs for standing with a posterior walker, however was able to stand for up to 5 minutes without loss of balance. She was able to advance her legs while her knee joints were locked for 10 steps. She required min assistance to progress walker forward. What level of impairment is most probable?