CRO & UE Flashcards

1
Q

What is synostotic plagiocephaly?

A

sutures fused early

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2
Q

The FDA has classified the cranial remolding orthosis as a class __ device

A

class 2

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3
Q

The male to female ration of plagio is:

A

3 male:1 female

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4
Q

What % of normal skull growth is achieved by 12 months?

A

85%

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5
Q

Positional plagio does not normally resolve itself after __ months of age

A

5 months

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6
Q

Including the auditory ossicles, how many bones make up the skull?

A

28

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7
Q

The best treatment period for an infant w/ plagio is:

A

3-8 months

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8
Q

About 80% of children w/ plagio show some sort of torticollis - t/f?

A

true

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9
Q

What nerve is affected with ape hand deformity?

A

median

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10
Q

What nerve is affected with wrist drop?

A

radial

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11
Q

What is normal position for the wrist and arm in a WHO?

A

15-30* wrist extension

neutral pronation/supination

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12
Q

What residual function would you expect with a complete C6 cervical lesion?

A

wrist extension

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13
Q

What is your orthotic recommendation for C6 complete cervical lesion?

A

wrist driven flexor hinge splint

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14
Q

How does a wrist driven splint work?

A

tenodesis action from wrist extension to grasp

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15
Q

Name 4 of the 6 prehension patterns

A
spherical
tip
palmar
cylindrical
hook
lateral
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16
Q

A thumb post should hold the thumb in what position?

A

oposition to index and second fingers

17
Q

What type of orthotic device(s) would you use for a patient with a complete C5 lesion?

A

static WHO

mobile arm supports

18
Q

What type of orthosis would you use for an intrinsic minus hand?

19
Q

What is clonus?

A

a rapid alternating involuntary movement elicited by stretch

20
Q

How many cervical neural segments are there?

21
Q

At neural segmental level of spinal cord lesion there will always be return of reflex action – t/f?

22
Q

Describe a rotator cuff injury.

A

damage to the SITS muscles in the shoulder

23
Q

What is your orthotic recommendation for rotator cuff?

A

immobilize shoulder in slight abduction

airplane splint

24
Q

Describe Erb’s palsy and make orthotic recommendations.

A

avulsion of C5-C6 roots resulting in flail arm

gunslinger orthosis to position hand and support shoulder

25
What type of neural injury normally results in flaccid paralysis?
peripheral nervous system injuries
26
What muscle flexes, abducts, extends, and supports the shoulder joint?
deltoid
27
What should one of your primary concerns be in upper extremity orthotics for SCI?
insensate skin sensitive to pressure
28
What orthosis would you recommend for a hand with lumbricals, interossei, and thumb abduction out? Why?
HO w/ C bar and MP ext stop to maintain thumb web space, flex MPs allowing long extensors to extend IP and DIP
29
Describe the etiology of CTS.
compression of the median nerve in the carpal tunnel
30
How would you treat a mid-humeral fracture with radial nerve lesion?
humeral fx brace w/ positional cock up splint and sling