Myelo PPT Flashcards
What are the primary impairments of Myelomeningocele?
Paralysis/imbalance Flaccid/spastic Sensory deficit Deformities Hydrocephalus Arnold-Chiari Malformation Incontinent
2ndary impairments to Myelomeningocele?
contracture UE restrictions rotational deformity to LE Spinal deformity (lordosis) OP Obese
Myelo at T-L2?
Contractures: K+H flexion/Hip abd+ER/Ankle PF
hip dislocation
Ambulate with KAFOs or RGOs w/ AD
Myelo L3-5
Contracture: K+H flex/ Genu+calcaneal Valgus
Foot Pronated
Ambulation for L3?
4?
5?
KAFO w/ forearm crutch
AFO (GR) +Forearm crutch
Foot orthosis for push off. or have a lurch
Sacral lesion? myelo?
Contracture: Mild H+K flex
Ankle varus/valg clawing
Gait of sacral lesions?
Gluteal Lurch
crouched unless gastric is Gr 3
weak pushoff
orthotic for stability
What happens when there is a shunt Malfunction?
Fever/Malaise Headache Change of vision/speech/appetite/weight Dec activity/strength/performance Incontinence/Seizure/spasticity
What happens with Tehtering?
worsening gait/ strength Progressing foot deformities rapid change of scoliosis Increase incontinence Back pain Spasticity
What are some gait predictors?
Iliopsoas is best (0-3= WC dep)
Medius is best of aids/orthosis (0-1= aid)
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What is included in Examination of Myelo?
ROM Tone/strength Posture Sensation Motor development ADLs Mobility w/w.o device Accessibility of equipment/env.
Tx of myelo?
decrease impairment increase Fx/safety Strengthen PRotect joints Gait/WC training
