lab 12: telehealth Flashcards
motion analysis is the standard of care for children with CP who are getting ORTHO surgery to IMPROVE GAIT (not pain relief)
T or F
TRUE:
need to figure out primary, secondary impairments and coping responses
What foot fungus happens a lot with patients wearing AFOs?
athletes foot
*emphasize clean socks, ensuring clean feet
Smart Knit AFO or KAFO socks
silver max AFO liner sock
10 year old male with spastic diplegic CP functioning at GMFCS level 2: outgrows last years bilateral solid AFOs. He plays competitive soccer w/o AFOs
exam barefoot:
IC: decreased DF
stance: pronation
midstance: mild knee flexion 10 deg
R1: -10
R2: +5
(mild spasticity in PFs)
could be SMO with toe off
could be SMO with posterior leaf
What is a primary impairment?
1mary: tib ant weakness causing foot drop in IC
2ndary impairment: PF contracture from walking like this a lot
What is a coping response?
compensatory mechanisms
ex: tib ant weakness causing foot drop –> other leg starts toe walking, other hip hikes
foot progression angle should never be
INTERNAL, should be slight ER
In motion analysis, what measures
kinematic:
kinetic:
kinetic: force plates measure kinetic GFR
kinematics: markers
FAQ: functional assessment questionaire
standardized assessment tool for walking ADLs
for children with CP or neuro conditions
10 level walkiing scale
GOAL: goal outcomes assessment list
patient reported outcome measure questionaire
gait, mobility, ADLs, pain, PA, appearance, ADs, self esteem
*for 6-18 yrs children with CP, ambulatory
addresses all domains of WHO-ICF
