Pediatric HIV Physiotherapy June 12, 2009 Vera Carmini.

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Presentation transcript:

Pediatric HIV Physiotherapy June 12, 2009 Vera Carmini

transmission HIV virus can be transmitted from mother to baby during pregnancy, at birth, or through breastfeeding. Keeping mothers viral load low will decrease the change of the virus transmission to the baby

The virus and the child HIV - & exposed to ARV HIV + –Suppressed –Unsuppressed

Clinical presentation Feeding problems HIV encephalopathy Cardiorespiratory issues MSK issues

Role of PT Assessment Intervention Follow-up

Intervention Neurodevelopment Pain management Range of Motion & Strengthening exercises Posture & alignment Aerobic fitness Environment modification to facilitate function

Burdens Secrecy –Undisclosed –disclosed School –Missing days –Friends relationship Teens issues –Dating –Transition

What helps with transition Transfer reminders Checklists Certificates Information letter

Transition to Adult care Is the system prepared for them? Are they prepared to face the system? Educational material

Educators –Basic knowledge –Stigma –Treatment –Outcome –Support

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