1. Pediatric HIV Physiotherapy June 12, 2009 Vera Carmini

2. 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

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

4. Clinical presentation Feeding problems HIV encephalopathy Cardiorespiratory issues MSK issues

5. Role of PT Assessment Intervention Follow-up

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

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

8. What helps with transition Transfer reminders Checklists Certificates Information letter

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

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