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INFANT ASSESSMENT & ADJUSTING METHODS INFANT ASSESSMENT & ADJUSTING METHODS

INFANT ASSESSMENT & ADJUSTING METHODS - PowerPoint Presentation

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INFANT ASSESSMENT & ADJUSTING METHODS - PPT Presentation

Andrew DeSaro EMTB BS DC DICCP PhC hon Where It All Begins Office Setup Procedures Vision Neonatal Examination 4 steps Observation Observation and Assessment Muscle Tone ID: 813553

birth infant examination amp infant birth amp examination neonatal reflex observation hip months test fencer sacral ortolani automatisms leg

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Presentation Transcript

Slide1

INFANT ASSESSMENT & ADJUSTING METHODS

Andrew

DeSaro

, EMT-B, BS, DC, DICCP,

PhC

(hon)

Slide2

Where It All Begins

Office Setup

Procedures

Vision

Slide3

Neonatal Examination – 4 steps

Observation

Slide4

Observation and Assessment

Muscle Tone

Overall Posture & Movement

Palpation

Reflexes & Milestones

Slide5

Normal Posture

Slide6

Neonatal Examination

Observation

Infant Automatisms

Slide7

Neonatal Examination

Moro Reflex

Birth to 4 months

Head suddenly shifts position or startled

legs and head extend, arms jerk up and out with the palms up and thumbs flexed

Afterward the arms are brought inward, hands clench into fists, & the infant cries loudly

Slide8

Neonatal Examination

Galant Reflex

Birth to 4-6 months

Infant prone, stroke along spine

Infant hip laterally flexes to stimulation

Slide9

Palmar Grasp & Plantar Reflex

Slide10

Neonatal Examination

Stepping/Walking Reflex

Birth to 2-3 months, then reappears

Soles of feet touch flat surface

Place one foot in front of the other

Slide11

Neonatal Examination

Placing Reflex

Birth to 12 months

Hold infant erect

Dorsum of foot touches table top

Hip flexion followed by leg extension

Slide12

Rooting, Latching, & Suckling

Slide13

Tonic Neck Reflex / Fencer Test

Slide14

Neonatal Examination

Observation

Infant Automatisms

Inversion

Slide15

Neonatal Examination

Inverted Fencer Reflex

Birth to 12 months

Infant supine, grasp both ankles in each hand & slowly stand until infant is in full vertical position

Next, gently place the weight onto 1 leg by relaxing off of the other; do both sides

Infant turns toward bent leg

Slide16

Neonatal Examination

Barlow Test

Not a Reflex

Hip flexed, thigh Adducted & pressed posteriorly

Palpable Femoral Head dislocation

Confirm Diagnosis w/ Ortolani Test

Slide17

Neonatal Examination

Ortolani Test

Not a Reflex

Provocative test – Hip Disloaction

Developmental Hip Dysplasia

Thigh Abduction w/ Anterior pressure of the Greater Trochanter

‘Clunk’ heard or felt is a positive

Slide18

Reflex

Age

Neutral

Dysfunction

Left Right

Comments

Ortolani

/Barlow

Newborn 1

st

exam

Moro/Startle

Birth

to 4mos

Plantar/Grasp

Birth to 5-6mos

Galant

Birth to 4-6mos

Stepping/Walking

Birth to 2-3mos

Placing

Birth to 12mos

Fencer

Birth to 4-5mos

Inverted Fencer

Birth to 12mos

Rooting, Latching,

& Suckling

Birth to 4mos

Slide19

Neonatal Examination

Observation

Infant Automatisms

Inversion

Sacral Deviation

Slide20

Neonatal Examination

Sacral/Gluteal Cleft

Infant prone w/ gluteal cleft observed

Equally squeeze medially the buttock soft tissue together

Observe the superior portion of the cleft

Deviation points to side of Sacral Subluxation

Slide21

Slide22

Slide23

DECISION MAKING

HR LF

HR HF

LR LF

LR HF

Frequency

RISK

Slide24

Adjusting Techniques

Infant Toggle Recoil

Diverisifed

– modified

Contact & Hold

Sacral Adjusting

Slide25

Slide26

Birth

Trauma

Slide27

Slide28

Slide29

Slide30

Slide31

Follow-Up Care

Pre- & Post-Evaluation

Re-Examinations

Schedule of Care

Slide32

Slide33

Chiropractor’s Role

Loving support & Service

Sharing what we know

Empower Parents

Get people to think for themselves

Touch, Move & Inspire

Our Goal

:

Families living healthy, happy, successful lives

Slide34

Get the Priorities Straight!

Slide35

“The Bigness of the Fellow Within” 1949 Chapter 11, page 33

“This Inner Power Speaks

We Chiropractors work with the subtle substance of the soul.

We release the

prisoned

impulse, the tiny rivulet of force that emanates from the mind and flows over the nerves to the cells and stirs them into life.

And yet you ask, “Can Chiropractic cure appendicitis or the ‘flu’?”

Have you more faith in a knife or a spoonful of medicine than in the Innate power that animates the internal living world?”

Slide36

Toddler Cole

Otitis Media

Slide37

Soccer Brian

Asthma

Slide38

Rolled off Bed Sara

Trauma

Slide39

Clavicle Greenstick Fracture

Slide40

Infant Eva

Fever