Medical Case Study: Prince

To address fine and gross motor skills for a Somali 18 month old boy I would develop a home program intervention to address his developmental motor delay. Children at the second year of their life are typically mastering and exploring objects. This includes copying and imitating simple action; gross motor activities such as throwing, kicking, and catching; and ideational

My Bachelor’s in Exercise Science has equipped knowledge of the human anatomy and physiology, and exercise testing and prescription for people of different ages and health conditions. During my attendance at the University of Texas at Arlington, I joined the Little Mavs Movement Academy directed by Dr. Priscilla Cacola. I volunteered for a year in this program; while in the program I had the opportunity to learn about developmental coordination disorder (DCD) and how it interferes with activities of daily living and learning of

How would Ed’s blood help protect him from a foreign invader such as the one now in his system?

Unit 6 Assessment Criteria 1.1 Explain the sequence and rate of development from birth to 19 years. Physical Development: Gross motor control: 0 – 3 years 1 month: Head droops if unsupported Pulled to sit, head lags Lies with head to one side Large jerky movements of limbs Arms active Turns head from cheek to cheek when on tummy Lifts head momentarily when on tummy Lifts head (bobbing) when held in vertical at shoulder Kicks legs rhythmically 2-3 cycles when on back Looks at faces and objects 3 mths. Head held erect for a few moments before falling forward Pulled to sit, a little head lag Lies with head in midline Movements smoother and continuous Kicks vigorously,

Olama, K.A., & Thabit, N.S. (2010) performed a randomized controlled trial to determine the efficacy of whole body vibration (WBV) and a designed physical therapy program versus suspension therapy and the same designed physical therapy intervention in balance control in children with hemiparetic CP. Criteria for inclusion for the study were children with hemiparesis cerebral palsy from both sexes ages 8 to 10 years old, able to understand commands given to them, able to stand and walk independently with frequent falling, and balance problems ( as confirmed by the Tilt Board Balance Test). The exclusion criteria consisted of presence of any medical condition such as vision and hearing loss, cardiac abnormalities, and musculoskeletal disorders. Children who met the criteria (n=30) were recruited from the outpatient clinic, College of Physical Therapy, Cairo University The randomization was done according to the Gross Motor Function Classification System (GMFCS). Treatment allocations were done by the selection of a closed envelope randomly selected. Parents and children were informed of the treatment allocation after the selection, procedures were explained to both of them and signed assent and consent were obtained.

DPT 788: Applied Physical Therapy III (Clinical Supervision Course) *served as course coordinator in 2017 as faculty on sabbatical 4-5 Spring 2015, Spring 2016, Spring 2017 Didactic Courses with Minor Teaching Responsibilities including Guest Lectures DPT 887: Professional Issues IV Responsible for grading learning contract for final clinical 2-3 Summer 2014, Summer 2015, Summer 2016 DPT 654: Theory and Practice IV “Pediatric Equipment for Ambulation” n/a Fall 2014, Fall 2015, Fall 2016 DPT 672: Physical Therapy Management of Complex Conditions I “Cardiopulmonary Conditions in the Neonate” n/a Fall 2014, Fall 2015, Fall 2016 DPT 772: Physical Therapy Management of Complex Conditions III “Musculoskeletal Conditions in Pediatrics” n/a Spring 2014, Spring 2015, Spring 2016, Spring 2017 HSC 512: Evolving Technologies in Health Sciences “Seating and Mobility in Pediatrics” n/a Summer 2014, Summer 2015, Summer 2016 Wendland Teaching Responsibilities as lab instructor or course instructor (one semester only) DPT 758: Theory and Practice V 2 Fall 2013 DPT 778: Physical Therapy Management of Complex Conditions VI 2 Fall 2013 DPT 666: Interactions III 3 Fall

The family I interviewed has a son named Cuyler that is 22 years old. I talked to Cuyler’s mom Cathie. He is the oldest of three kids. Cuyler was born at 24 weeks’ gestation and had a grade 3 brain bleed. Because of being born premature and the bleeding in his brain it led to some of the disabilities Cuyler has. His mom told me that Cuyler has spastic quadriplegia. His disabilities include cerebral palsy, blindness, and he is nonverbal. She also told me that Cuyler also has seizures at least once a month, is hypotonic, and is fed by a g-tube. As far as physical movement the only gross motor skills that Cuyler can do is roll over.

She demonstrates a steady tandem gait. Sensation to light touch to the upper extremities is grossly intact. Reflexes to the upper extremities is 2+. Tinel's is positive at the elbow and wrist on the right.

Tristan Jones is a 3 year, 0-month boy referred to occupational therapy by his family and physician for major developmental delays. He was born with spina bifida, Chiari malformation, and hydrocephalus. His past medical history includes the implantation of a gastric feeding tube via Nissen fundoplication, a back repair, placement of a ventriculoperitoneal shunt, removal of a large cyst on his spinal column, titanium rods in his skull, suboccipital craniectomy, C1 – C5 laminectomy, occipital-cervical fusion, and most recently a corrective eye surgery for strabismus. He currently wears ankle-foot orthotics and uses a posterior walker for balance and gait. He is prescribed oxybutynin for urinary incontinence and senexon as a stool softener.

When I attended the Terrace Child Development Centre, I witnessed one therapy session with a 7.5 month old who was born 5 weeks earlier. This child had two prior sessions with the occupational therapist to work on independent sitting, and rolling over. The therapy session for that day was about getting the infant to roll over properly and trying to get the infant to start crawl. The infant would roll over with a wide stance of legs and arms, using the arms and head to roll over, and not using the hips or legs. The occupational therapist showed the parents how to properly help the infant to roll over by getting the infant to roll with the leg and hip first with the use of the parent’s finger to guide the hip to roll over. The occupational therapist

Michael Jackson's doctor, Conrad Murray, spent two years in jail after being found guilty of manslaughter for the death of Michael Jackson. When he heard about Prince's death, he told Inside Edition that he immediately thought about Jackson. When asked if he thought Prince's doctor would end up with the same issues he had, he said that he did not think the two cases were similar, but that he should get a good lawyer anyway. "I would say clearly he needs an attorney, and a good one, because we have what we call ‘regular justice’ and ‘celebrity justice,’” Murray said.

“When he was nine months old I approached Dr Andrea Behrman who had some very good success with children with spinal cord injury,” she said. “I didn’t expect a response but she gave me a call… I met with her and we tried to work out a way to get him into an activity-based rehabilitation program."

On July 25th, 1995 a 5-pound baby boy was born at Rose Medical Hospital in Denver, Colorado. His name was William. He was born with a disease called mitochondrial myopathy, which is when the mitochondria in your cells do not form properly, resulting in weak muscles and a curved spine. This baby fought many setbacks as an infant, and was in the hospital many times for different medical concerns. William tried various walkers and braces to help him walk, but his muscles were too weak and he was forced into a wheelchair at a young age. He has always been small, weighing only 75 pounds at 20 years old today. He does not have a big appetite, and this was very hard on his mother when he was sick during infancy. Life went

Because CP describes a group of neurological and physical abnormalities, people affected by the disorder may have other neurological and physical problems. CP may not be noticeable at birth. Children with CP develop predictable developmental milestones slowly because of their motor impairments, and these delays in reaching milestones are usually the first symptoms (Gale Enc). Doctors diagnose CP by checking the infant’s motor skills, looking for developmental delays, and considering the child’s medical history. Many Doctors use the Early Motor Pattern Profile (EMPP) to help in their evaluations. The EMPP indicates variations in muscle tone, reflexes, and movement and is used to identify children during the first year of life who are at risk for the development of CP. The EMPP can be done during a routine office visit. Observation and minimal handling can detect abnormal motor patterns, making it quick and inexpensive. EMPP is the beginning of evaluation and intervention (“Early” 692). CP is a neurological disorder affecting motor control. It is the most common physical disability in childhood. It is a lifelong condition that varies from person to person. It can be very mild or extremely severe. There is no known cure, and the cause is not completely understood. The four main categories of CP are spastic, athetoid, ataxic, and mixed. Spastic is stiff and difficult movement. Athetoid is involuntary and uncontrolled movement. Ataxic is a disturbed sense of balance and

Developmental Coordination Disorder (DCD), also referred to as dyspraxia, is a motor disorder. The condition is characterized primarily by “lack of co-ordination/poor co-ordination,” “motor-difficulties/impairment,” “planning difficulties,” and “organizational difficulties” (Kirby, Davies, & Bryant, 2005, p. 124). DSM-IV-TR criteria for Developmental Coordination Disorder includes: (1) “marked impairment in the development of motor coordination,” (2) “significant interfere[nce] with academic achievement or activities of daily living,” and (3) the absence of “a general medication condition” or “Pervasive Developmental Disorder” (Lingam, Hunt, Golding, Jongmans, Emond, 2009, p. e695). Furthermore, in the