Part 3

Question 1

COG initially towards ___ and then moves towards ____

Answer 1

head

pelvis

Question 2

Define the high guard position

Answer 2

UE retracted, abducted, externally rotated secondary to decreased trunk control

Question 3

Input for inhibition

Answer 3

Repetitive passive movement, elongation/stretch, traction, joint compression, rocking, swinging, whole body movement, weight shift

Question 4

Input for faciliation

Answer 4

Traction, joint compression, tapping or vibration to muscle belly, active movement (weight shift)

Question 5

With ribcage hanbdling, it is not uncommon to see

Answer 5

some changes in breathing patterns and possibly some increase in bowel movements or increase in burping

Question 6

Stage 1 of play is Play ___ (birth-_ years)

Answer 6

Solitary

2

Question 7

Stage 2 or play is ___ play (~2-_ years)

Answer 7

Parallel

3

Question 8

Stage 3 of play is ____ play (~3-__ years)

Answer 8

associative

4

Question 9

Stage 4 of play is ___ play (~4-__ years)

Answer 9

cooperative

5

Question 10

High school play

Answer 10

○ School clubs
○ Community-based clubs
○ After-school activities

Question 11

Injury precautions for spinal cord injury and Spina Bifida

Answer 11

■ Don’t perceive pain, pressure sores,

■ Check skin and look for contusions

Question 12

Injury precautions for Cerebral Palsy

Answer 12

■ Prone to ligament and muscle sprains

Question 13

Injury precautions for Muscular Dystrophy

Answer 13

■ Falls

■ Endurance/fatigue

Question 14

Injury precautions for Down Syndrome

Answer 14

■ hypotonia, orthopedic issues, atlantoaxial instability

Question 15

Splinting molding characteristics

Answer 15

Molding Characteristics
• Translucency
o Transparent or opaque when heated?
• Memory
o Does it return to its original size and shape when heated?
• Conformability
o How easily does it mold to the contours of the body?
• Stretch
o Correlates to conformability/drape
• Ease of Finishing –
o Smooth edges, etc. for cosmesis
• Surface Impressionability
o How easily is the material imprinted by fingernails or other textures?
• Surface Stickiness
o How easily does the material stick to itself when heated?
• Working Temperature
o How quickly does it cool?
• Working Time
o Length of time material is malleable

• Shrinkage
o Was the material stretched during molding
o Some material continues to contract for a few hours following molding

Question 16

Protective Orthoses

Answer 16

• Immobilize to promote optimal joint alignment and prevent motion
• Block movement outside allowed range (orthopedic conditions)

• Maintain mobility of joint/prevent deformity

• Provide stability at unstable joint, tendon, or ligament
• Exert traction on joint while allowing motion (damaged cartilage)
• Continuous Passive Motion (CPM) braces

• Protect patient from self-injurious behavior

• Maintain open position at joint and/or web space to prevent skin breakdown

Question 17

Corrective Orthoses

Answer 17

• Correct contracture of joint


* Correct tendon and/or joint subluxation

Question 18

• NICU splinting:

Answer 18

o Splinting may be indicated to address hypertonicity, congenital anomalies, or to stabilize/protect
o Recommended materials include lightweight thermoplastics, neoprene, foam, or taping
o Splinting may not be recommended if the splint will interfere with developing flexor tone and strength or hand to mouth exploration, if the patient has poor skin integrity, or positioning aids or PROM is sufficient to address the problem