Midterm Cases Flashcards
Which nerve segments are most frequently injured in obstetric brachial plexus palsy?
C5-C6
What condition is a risk factor for obstetric brachial plexus palsy?
Shoulder dystocia
The Assisting Hand Assessment is intended for use with children in which age range?
18 months - 12 years
What increases the risk of positional plagiocephaly in pre-term infants?
Diagnosis of chronic lung disease
What strategy promotes behavioral organization in the pre-term infant during PT session?
Grading tactile input and allowing rest between positional changes
PT is performing bedside Eval in NICU. List the following in order that would promote optimal neurobehavioral organization during PT session.
1. Observe the infant’s state, position, and movement patterns
2. Open the incubator door softly
3. Provide contained touch
4. Take note on vital signs at rest and all lines and tubes attached to the infant
4, 1, 2, 3
Children with spina bifida are at an increased risk of …
Hydrocephalus
UTI
Latex allergy
T/F: The ability of children with spina bifida to ambulate is dependent on the level of the spinal cord lesion.
T
Where are motor impairments in spina bifida?
Below the level of the lesion
How does brain damage in CP progress over time?
Children with CP have non-progressive damage or disturbance to the brain, although secondary changes in the MSK system may progress over time
Name the types of CP
Diplegia - LE
Hemiplegia - 1 side
Monoplegia - 1 limb
Quadriplegia - all 4 limbs
What intervention is important to initiate to promote physiological and psychosocial benefits for children with CP?
Passive standing in a prone stander daily
T/F: Children with idiopathic toe walking may have delays in language skills or language disorders
T
What exam finding is most suggestive of a non-idiopathic origin for toe walking?
Presence of spasticity in gastroc
Most appropriate PT recommendation: 15 mo intermittent toe walking with no other significant exam findings
Monitor. Toe walking prior to 2 years of age is commonly reported gait deviation
What disorders are typically associates with CMT?
Developmental hip dysplasia
Fibrosis of affected SCM
Plagiocephaly
T/F: abnormal tone is commonly associated with CMT
F
5 mo with 25 deg restriction of PROM cervical rotation to L and SCM mass. Category?
Grade 3 - early severe
5 mo with 25 deg restriction of PROM cervical rotation to L and SCM mass. What intervention should be included in the initial treatment session?
Passive cervical ROM
Describe the anatomic position of a clubfoot that is not completely corrected?
Retracted and plantar flexed first ray, forefoot adduction that does not correct past neutral, and prominent base of the 5th met on palpation
What is a common gait pattern with relapsing clubfoot?
Early heel rise after initial contact with intoeing during stance phase
What is an appropriate HEP for clubfoot?
Balancing on one foot
List types of DCD
Fine motor deficits
Visual perceptual deficits
Mixed dyspraxia
Constructional dyspraxia
Which outcome measure should be used for children with mixed dyspraxia DCD that is 6 yo?
MABC-2 (assess fine and gross motor; diagnostic)
What approach should be used for a child with mixed dyspraxia DCD?
Co-op program (task oriented training)
