peads pain

Question 1

is acute pain more relevant than chronic

Answer 1

yes - immediate coping, around the time of nociception

Question 2

central sensitization is in acute or complex pain

Answer 2

complex

Question 3

factors in development of complex pain

Answer 3

genetics
female
stressors
change in PA

Question 4

3 P management strategy for pain

Answer 4

physiotherapy
psychology
pharmacology

Question 5

CRPS difference in kids

Answer 5

LL
female
usually cooler and from minor injury
less sympathetic symptoms

Question 6

somatic symptom disorder

Answer 6

emotional distress experienced by physical symptoms

Question 7

congenital limb deficiency UL or LL

Answer 7

UL > LL

Question 8

transverse limb deficiency

Answer 8

disruption of previously normal limb

Question 9

longitudinal limb deficiency

Answer 9

associated with syndromes of chromosomal abnomilies

Question 10

when do you evaluation ambulation options

Answer 10

when they are learning pull to stand (8-12 months)

Question 11

initial appointment w prosthetist

Answer 11

3-9 months

Question 12

when is initial fit for TT or TF (unilateral) fit

Answer 12

6-9 months

Question 13

when is bilateral TF

Answer 13

9-12 months - ambulates without assistive devices

Question 14

do stubbies have a knee joint

Answer 14

no

Question 15

pre op PT for kids

Answer 15

gait aid training
ROM
strength
balance

Question 16

post op PT for kids

Answer 16

home equipment
scar / skin
mobilize

Question 17

3 post op complications

Answer 17

shorter limb
phantom
overgrowth

Question 18

how is overgrowth reduced

Answer 18

joint disarticulation rather than amputation

Question 19

how does overgrowth present

Answer 19

pain, redness or poor socket fit

Question 20

risk factors for phantom

Answer 20

pre amp pain

neurotoxic chemo

Question 21

benefits of rotationplasty

Answer 21

allows growth
only 1 surgery
reduced complication as you can WB
proprioception
function / QOL

Question 22

complications of rotationplasty

Answer 22

vascular compromise
skin breakdown
nerve injury
seating (amp board fitting)

Question 23

goals for PT

Answer 23

prevent contracture
promote party-cation
normal gross motor development