Part 3 Flashcards
COG initially towards ___ and then moves towards ____
head
pelvis
Define the high guard position
UE retracted, abducted, externally rotated secondary to decreased trunk control
Input for inhibition
Repetitive passive movement, elongation/stretch, traction, joint compression, rocking, swinging, whole body movement, weight shift
Input for faciliation
Traction, joint compression, tapping or vibration to muscle belly, active movement (weight shift)
With ribcage hanbdling, it is not uncommon to see
some changes in breathing patterns and possibly some increase in bowel movements or increase in burping
Stage 1 of play is Play ___ (birth-_ years)
Solitary
2
Stage 2 or play is ___ play (~2-_ years)
Parallel
3
Stage 3 of play is ____ play (~3-__ years)
associative
4
Stage 4 of play is ___ play (~4-__ years)
cooperative
5
High school play
○ School clubs
○ Community-based clubs
○ After-school activities
Injury precautions for spinal cord injury and Spina Bifida
■ Don’t perceive pain, pressure sores,
■ Check skin and look for contusions
Injury precautions for Cerebral Palsy
■ Prone to ligament and muscle sprains
Injury precautions for Muscular Dystrophy
■ Falls
■ Endurance/fatigue
Injury precautions for Down Syndrome
■ hypotonia, orthopedic issues, atlantoaxial instability
Splinting molding characteristics
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
Protective Orthoses
- 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
Corrective Orthoses
- Correct contracture of joint
* Correct tendon and/or joint subluxation
• NICU splinting:
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
