Neuro!

Question 1

Generalize the expected mobility for children with spina bifida affecting various levels.

Answer 1

Thoracic to L2 will most likely use a WC for community mobility. L1, L2 can be expected to use orthosis (HAFO/KAFO) and crutches for household mobility. T8-T12 may use RGO in household. Lower levels lesions such as L3 and L4 may allow for community ambulation with orthosis and crutches. Only L5, S1 lesions allow expected ambulation with orthosis but without crutches.

Question 2

Most difficult static balance test

Answer 2

Tandem Rhomberg: EYES CLOSED in tandem stance. The sharpened romberg has 3 varieties: feet together, semi-tandem, tandem. each is performed with eyes open 10” and then closed 10”

Question 3

grand mal seizure- what to do?

Answer 3

FIRST remove potentially harmful objects from area. SECOND turn pt on side to avoid aspiration in case of vomit. To help protect pt you may place pillow under head. DO NOT place anything hard in mouth! You may use rolled up handkerchief if you wish. If seizure resolves, medical follow up is recommended. If it does not resolve, call EMS.

Question 4

Findings in postpolio syndrome

Answer 4

declining strength, joint pain, muscle pain, atrophy. Variable and asymmetrical.