Myelodysplasia Flashcards
1
Q
T6-L1 Ortho Concerns
A
- Kyphoscoliosis, increased lumbar lordosis, coxa valga hip dislocation, decreased bone density, fractures
- Contractures: Hip (abduction, flexion, ER); Knee (flexion, extension), foot (heel cord, club foot)
2
Q
T6-L1 Orthotics
A
- TLSO; night splints
- Early: Parapodium (up to 2 years)
- Later: Stander, RGO, HKAFO, KAFO
- Focus on UE function
3
Q
T6-L1 Equipment for Mobility
A
- Community: Wheelchair
- Home: walker/crutches, stander
4
Q
L2-L3 Ortho Concerns
A
- Scoliosis, overuse of UE, excessive lumbar lordosis, hip subluxation, coxa valga hip dislocation, decreased bone density, fractures
- Contracture: Hip (flexion), Knee (flexion, extension), foot (heel cord, clubfoot)
5
Q
L2-L3 Orthotics
A
- Night hip abduction splints
- Early: Parapodium (up to 2 years)
- Late: Stander, RGO, HKAFO, KAFO (quads < 3/5)
- May need derotation straps
6
Q
L2-L3 Equipment for mobility
A
- Community: Wheelchair
- Home: Stander
- Early: Walker/crutches
- Late: Wheelchair only
7
Q
L4-L5 Ortho concerns
A
- Excessive Lumbar lordosis, coxa valga
- Contractures: Hip flexion, knee flexion, Foot (tight heelcord, calcaneovalgus, equinovarus, paralytic vertical talus)
8
Q
L4-L5 Orthotics
A
- Night hip abduction splint
- Early: Parapodium (up to 2 years)
- Late: RGO, HKAFO, KAFO (quads < 3/5)
- Toe in gait and weak gluts - rotation straps
9
Q
L4-L5 Equipment for Mobility
A
- Community: Wheelchair, walker, crutches, cane
- Home: Early no support, later UE support
10
Q
S1-S2 Ortho concerns
A
- Monitor hips
- Contractures: Foot - tight heelcords, calcaneovalgus, pes cavus, club foot, toe clawing, heel/foot ulcers
11
Q
S1-S2 Orthotics
A
- AFO, SMO, Toe out gait, Crutches
12
Q
S1-S2 Equipment for Function
A
- Community: Walker, crutches, cane, wheelchair, bike, scooter
- Home: None
13
Q
S3-S5 Ortho Concerns
A
None
14
Q
S3-S5 Orthotics
A
Shoe inserts
15
Q
S3-S5 Equipment
A
None
