Other Flashcards
Congenital hip dysplasia
Etiology:
Signs and symptoms:
Malalignment of femoral head in acetabulum-develop in last trimester of utero
Culture, malposition in utero, genetics
Asymmetrical, hip abduction, femoral shortening on involve side
Positive special tests
Can genital hip dysplasia treatment?
Harness, bracing, splinting, traction, casting
Physical therapy intervention for consequences of bracing/casting
Strengthening
Congenital torticollis
Etiology:
Signs and symptoms:
Unilateral contracture of SCM muscle
Male positioning in utero, or birth trauma
Lateral cervical flexion, same side, rotation, opposite side, facial asymmetry
Can genital tools treatment?
Stretch
AROM
Position
Caregiver education
May require surgical release of muscle
Juvenile rheumatoid arthritis
Etiology:
Signs and symptoms:
Chronic rheumatic disease in children – inflammation of joint connective tissue
Virus, infection, or trauma causing auto immune response – theory
s/s depend on classification
Systemic JRA S/S
High fevers, rash, enlarged spleen and liver, inflammation of lungs and heart
Poly articular JRA S/S
Significant rheumatoid factor
Arthritis in 4+ joints – symmetrical joint involvement
Oligoarticular JRA S/S
Most common type
Less than five joints affected
Asymmetrical involvement
Juvenile rheumatoid arthritis treatment
PROM
AROM
Positioning
Splinting
Strengthening
Endurance training
Weight-bearing
Functional mobility
Pain management
Scoliosis
Etiology:
signs and symptoms:
Idiopathic
Shoulder level, a symmetry, rib, hump
Functional scoliosis
Add melodies in body, indirectly impacting spine
Muscle imbalance, poor posture, etc
Neuromuscular scoliosis
Developmental pathology changes in spine
Degenerative scoliosis
Changes in spine curvature due to normal aging
Scoliosis treatment
Muscle strengthening
Flexibility
Bracing
Treat cause
Surgical intervention more than 40° curvature
Scoliosis naming
Based on direction of curve
Rheumatoid arthritis
Etiology:
Signs and symptoms:
Auto immune disorder presenting with chronic inflammation, causing erosion of cartilage
Unknown cause
Pain, tenderness, morning, stiffness, warm joints, decrease in appetite, malaise, increased fatigue, Swan, neck, deformity, boutonniere deformity
Swan neck deformity?
DIP flexion, PIP hyper extension
Boutonniere deformity?
DIP extension, PIP flexion
