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
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Slide1
INFANT ASSESSMENT & ADJUSTING METHODS
Andrew
DeSaro
, EMT-B, BS, DC, DICCP,
PhC
(hon)
Slide2Where It All Begins
Office Setup
Procedures
Vision
Slide3Neonatal Examination – 4 steps
Observation
Slide4Observation and Assessment
Muscle Tone
Overall Posture & Movement
Palpation
Reflexes & Milestones
Slide5Normal Posture
Slide6Neonatal Examination
Observation
Infant Automatisms
Slide7Neonatal 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
Slide8Neonatal Examination
Galant Reflex
Birth to 4-6 months
Infant prone, stroke along spine
Infant hip laterally flexes to stimulation
Slide9Palmar Grasp & Plantar Reflex
Slide10Neonatal 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
Slide11Neonatal Examination
Placing Reflex
Birth to 12 months
Hold infant erect
Dorsum of foot touches table top
Hip flexion followed by leg extension
Slide12Rooting, Latching, & Suckling
Slide13Tonic Neck Reflex / Fencer Test
Slide14Neonatal Examination
Observation
Infant Automatisms
Inversion
Slide15Neonatal 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
Slide16Neonatal Examination
Barlow Test
Not a Reflex
Hip flexed, thigh Adducted & pressed posteriorly
Palpable Femoral Head dislocation
Confirm Diagnosis w/ Ortolani Test
Slide17Neonatal 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
Slide18Reflex
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
Slide19Neonatal Examination
Observation
Infant Automatisms
Inversion
Sacral Deviation
Slide20Neonatal 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
Slide21Slide22Slide23DECISION MAKING
HR LF
HR HF
LR LF
LR HF
Frequency
RISK
Slide24Adjusting Techniques
Infant Toggle Recoil
Diverisifed
– modified
Contact & Hold
Sacral Adjusting
Slide25Slide26Birth
Trauma
Slide27Follow-Up Care
Pre- & Post-Evaluation
Re-Examinations
Schedule of Care
Slide32Slide33Chiropractor’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
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?”
Slide36Toddler Cole
Otitis Media
Slide37Soccer Brian
Asthma
Slide38Rolled off Bed Sara
Trauma
Slide39Clavicle Greenstick Fracture
Slide40Infant Eva
Fever