Lecture 6 (final): Mamgement Of Neurologic And MSK Conditions Flashcards
T/F: it is typical for a kid to walk with a toe in gait
F , never
What is an important feature of the activity focused model
Integration of impairment focused interventions with functional practice
What are the specific classification systems fro cerebral palsy
▪ GMFCS Level - mobility
▪ FMS - mobility
▪ MACS – upper extremity function
What is a specific assessment tools for cerebral palsy
GMFM
What is the GMFCS level 1 requirement
- Childeren walk at home , school , outside and in the community
- Climb stairs without use of railing
- Perform gross motor skills such as running and jumping , but speed and balance and coordination are limited
Childeren walk at home , school , outside and in the community
Climb stairs without use of railing
Perform gross motor skills such as running and jumping , but speed and balance and coordination are limited
What GMFCS level is this
1
What is the description for GMFCS level 2
- walk in most setting
- climb stairs holding onto railing
- may experiences difficult walking long distances and balancing on uneven surfaces , crowded places
- may walk with AD or us WC over long distance
- only minimal ability to perform gross motor skills such as jumping and running
What is the descriptions for the GMFCS level 3 (walk , stairs, long distances)
- child walks using a hand held device indoor
- may climb stairs holding on railing w supervision or assistance
- child use WC when going long distances and may self propel short distances
What is the descriptions for the GMFCS level 4
- childs methods of mobility that require physical assistance or powered mobility
- may walk for short distances at home w physcial assistance or use of powered mobility or walker
- use WC for school, outside and in community
What is the description of the GMFCS level 5
- child are trasnfported in a manual WC everywhere
- limited in their ability to maintain antigravity head and trunk postures and control legs and arm movements
What is the Manual ability classification system used for (MACS)
The ability of children from 4 – 18 years old with CP to handle
objects in everyday activities can be categorized into 5 levels
MACS level is determined based on what
Knowledge about the child’s actual performance in daily life
How many classifications MACS is there
1-5 (more —> less)
What is the functional mobility scale designed to describe
Functional mobility in children with CP , ages 4-18 years as an aid to communication between surgeons and PT
What is the unique feature of the FMS
Freedom to score functional mobility over 3 distinct distances
What is the functional mobility scale for CP levels 1-3
1: uses a WC
2: used a walker or frame
3: used crutches
What is the functional mobility scale for CP levels 4-6
4: used sticks
5: independent on level surfaces
6: independent on all surfaces
What is the. Assessment tool
designed & evaluated to
measure changes in
gross motor function
over time or with
intervention in children
with cerebral palsy
Gross motor function measure
The newer version of the GMFS 66 age
5 years to 16 years
GMFM-88 is also validated to use with children with what?
Down syndrome
What are the 5 dimensions of the GMFM
- lying and rolling
- sitting
- crawling and kneeling
- standing
- walking; running; jumping
What is the score 0-3 for the GMFM
▪ 0 = does not initiate task
▪ 1 = Initiates task
▪ 2 = Partially completes task
▪ 3 = Completes task
The higher the score .. the ___ the outcome for the GMFM
Better
The validation sample for the original GMFM
included children in what agre
5 months to 16 years