Assistive Devices

Question 1

1. A 2-year-old child diagnosed with Cerebral Palsy requires an assistive device and the mother asks you which device would be warranted. With the child’s restrictions and abilities, which would be the most accurate choice:
   
   1. A gait trainer for a child that is full weight bearing w/ available ROM for reciprocal steps
   2. A posterior (reverse) walker for a child that has within normal upright posture.
   3. A walker for a child that can take reciprocal full weight bearing steps.
   4. A gait trainer for a child that has poor trunk and LE strength and diminished cognitive ability.

Answer 1

3 is correct answer

Question 2

1. This equipment would be chosen for a child as the least restrictive device that allows for a variety of gait patterns.
   
   1. Gait trainer
   2. Walker
   3. Wheelchair
   4. Loftstrand Crutch

Answer 2

4 is the correct answer

Question 3

1. Which is FALSE regarding positioning system equipment used for pediatrics:
   
   1. Used for positions such as supine, prone, and standing.
   2. Used for children between 0-36 months of age.
   3. Used for children with low tone, developmental delay, premature birth, weakness.
   4. Used to build static strength in a variety of positions.

Answer 3

1 is the correct answer

Question 4

You are treating a 3 year old female patient with spastic diplegia. The patient is able to maintain sitting with UE support, but she is unable to maintain standing without assistance. She is able to climb up onto a bench with assistance, preferring to initiate with her R hip, and she is able to reciprocally crawl forward toward a toy. Which of the following equipment prescriptions would be the LEAST appropriate for this child?

a. Stander
b. Gait trainer
c. Stroller
d. Bath chair

Answer 4

c is correct answer

Question 5

Which of the following patients would be MOST likely to benefit from a walker?

a. A 3 year old male who is able to stand with intermittent UE assistance and demonstrates reciprocal crawling
b. An 8 month old male who demonstrates difficulty maintaining independent sitting
c. A 2 year old female who is unable to creep forward toward a toy
d. A 14 month old female who has demonstrated significant limitations in hip ROM but is able to stand with support

Answer 5

A is the correct answer

Question 6

Positioning systems are great to work on which of the following

a. Building static strength in a variety of positions
b. Working on transfer training to achieve different positions
c. Assisting the child in standing for feeding, occupational therapy, and physical therapy
d. Assisting with proper extremity positioning during gait only if they are partial weightbearing

Answer 6

a