When you perform a function-based examination there is a lot to get through. It can feel tedious and tiring for the child if you don’t have strategies to make the process fun and engaging to ensure that you get through your exam. This is 1 of 3 videos where I will go through 9 ways I make it through an extremely thorough examination in 15 minutes or less.
Kids respond to fun, challenges and different sensory stimuli. Knowing this, you can use that knowledge to your advantage. Here are the first 3 tips of 9 strategies I use in practice.
Lock them in
When I want to do neck ROM and thoracic ROM I sit on my stool and stand the child in front of me. Using the end of my knees I lock the child in, by gently supporting their hips with my knees. Of course if a child is a bit older I don’t need to do this, but for 3 yrs to 7 yrs it helps keep them in place for ROM testing.
I like to have fun in practice and will often use silly noises to keep kids engaged and put a smile on their face. When I perform the ROM tests I will usually get them to turn their head to me and say something silly like ‘hello’. They don’t realise they are getting tested but it makes them smile and enjoy the process.
Change up the pace
Variety is key when getting through a list of tests. When its time for muscle testing I will tend to speak faster when working on the arms vs the legs. When a child is sitting and looking at their arms they are more able to follow direction, where on their back doing muscle testing they are less engaged in the process and need more time to process what you say. Variety is key – but doing it in the appropriate spots is essential.
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