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mski > PEDIALEC_S1_L2 - P7-P10 > Flashcards

PEDIALEC_S1_L2 - P7-P10 Flashcards

1
Q

SPECIAL TESTS (6)

A

Ortolani’s
Barlow’s
Galeazzi’s
Telescoping
Silfverskiold
Staheli

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2
Q

Hip dislocation special test

A

Ortolani’s

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3
Q

Hip relocation special test

A

Barlow’s

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4
Q

t or f pt is in supine for both ortolani and barlow

A

t

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5
Q

ortolani position

A

Hip and knee are flexed and the hip is ABducted
remember: ORAB

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6
Q

barlow position

A

Hip and knee are flexed and the hip is ADducted
remember: BAD

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7
Q

t or f barlow and ortolani should always be
done to test for dislocation

A

f, Not usually done since it is dangerous

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8
Q

Test to check knee height difference

A

Galeazzi’s

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9
Q

procedure of galleazi:

A

Hip slightly flexed to flex the knee

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10
Q

t.or f in galleazi the pt is in sidelying

A

f, in supine

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11
Q

Test to check hip joint laxity (dislocation)

A

telescoping

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12
Q

Patient in prone for telescoping t or f

A

f, supine

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13
Q

telescoping position of hip/knee

A

Hip and knee flexed in 90 degrees

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14
Q

procedure of telescoping:

A

PT will push and pull the femur (up and
down movement)

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15
Q

hand placement of telescoping:

A

one hand at hip jt, and other below the knee

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16
Q

Test to evaluate the contraction of ankle joint; also for PF tightness

A

Silfverskiold

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17
Q

Patient in supine for silverskiold t or f

A

t

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18
Q

1st position of silverskiold

A

knee extended and passively
dorsiflex the ankle

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19
Q

2nd position of silverskiold

A

knee flexed and passively
dorsiflex the ankle

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20
Q

Used to identify the site of rotational
deformity of lower extremity in children

A

Staheli

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21
Q

what muscle is tesetd in staheli

A

Iliopsoas tightness

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22
Q

proecudre of staheli:

A

Extend the leg, the trunk will have an ant.
movement

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23
Q

staheli position:

A

Long standing w/c use

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24
Q

what special tests are valid for infants 6 mos & below

A

Ortolani’s, Barlow’s, Galeazzi’s, & Telescoping

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25
Q

angle between the longitudinal axis of foot and direction of gait progression:

A

Foot progression angle

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26
Q

foot progression angle (FPA) is what test of staheli

A

Staheli test 1

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27
Q

Foot progression angle gives a measure of degree of __
in or out due to contributions from foot, tibia and femur.

A

toeing

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28
Q

Foot progression angle gives a measure of degree of toeing in or
out due to contributions from foot, tibia and femur: what test of staheli

A

Staheli test 1: foot progression angle (FPA)

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29
Q

The normal foot progression is _ with a mean
angle of_ (range −5 to +15°) in children aged _ears

A

outward, 6, 1-3

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30
Q

Prone position with knees flexed to 90: what staheli test

A

Staheli test 2

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31
Q

staheli test 2 also called

A

Medial And Lateral Rotation Of Hip

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32
Q

Internal rotation of hip greater than 70 deg indicates excessive femoral anteversion in stage _

A

staheli test 2

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33
Q

Internal rotation of hip greater than 70o indicates _

A

excessive femoral anteversion

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34
Q

Determines the tibial torsion

A

Staheli test 3:

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35
Q

staheli test 3 also called

A

Thigh foot angle

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36
Q

Observed from above with patient in prone position and knee flexed to 90: what staheli test

A

Staheli test 3: Thigh foot angle

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37
Q

in staheli test 2, The foot deformity is assessed by noting the position
of _ in relationship to _by the _ ine.

A

forefoot, hindfoot, heel bisector

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38
Q

In infants, the average thigh-foot angle measures _ internal (range −30° internal to +20° external).

A

5

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39
Q

tibial rotational profile changes from _ torsion to _ torsion by _ years of age.

A

internal to external, 4-5

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40
Q

By the age of _ years, the thigh foot angle averages _ external

A

8 years, 10

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41
Q

GROSS MOTOR SKILLS (4)

A

Head control
Trunk control
Pelvic control
Balance and tolerance

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42
Q

Head control is assess at what month

A

4 mos and up

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43
Q

head control : what tests to do?

A

sitting, pull-to-sit, prone

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44
Q

head control is inappropriate for what month

A

1-3 mos

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45
Q

Support forehead/side of head in trunk control t or f

A

f, in head control

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46
Q

trunk control: what tests to do

A

roll-over, prone, sitting

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47
Q

pelvic control: what tests to do?

A

quadruped, kneeling, & standing

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48
Q

balance and tolerace: what tests to do?

A

sitting, kneeling, & standing

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49
Q

trunk control is assessed at what month?

A

6 mos

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50
Q

let go of the pelvis & support the trunk and head: what gross motor skill is tested here

A

pelvic control

51
Q

if you want to check head, trunk, and pelvic control in quadruped
position, let go of the patient but be in close-guard position: what gross motor skills do you test
here>

A

head, trunk, pelvic control

52
Q

PT must be _ guarding when doing these gross motor skills

A

close

53
Q

t or f Control is only assessed when the certain body part is not supported

A

t

54
Q

t or f you can assess control in supine since the head, trunk, and pelvis.

A

f, cannot assess control in supine since the head, trunk, and pelvis are supported

55
Q

case: PT pulled to sit the pt but PT obsevred that pt cannot. So
PT put the pt in an upright position, but pt cannot maintain also. Document it.

A

O> Gross motor skills > Poor head control in pull-to-sit. Pt cannot assume & maintain position.

56
Q

t or f When positioning the child in prone, always rotate the head to
one side so they can breathe

A

t

57
Q

poor tolerance: how many mins

A

< 15 min

58
Q

fair tolerance: how many mins

A

16 to 30 mins

59
Q

good tolerance: how many mins

A

31 to 45 mins

60
Q

normal tolerance: how many mins

A

> 45 mins

61
Q

Gross Motor Skills Grading: Can BOTH assume and maintain

A

good

62
Q

Gross Motor Skills Grading: Can assume but not maintain

A

fair

63
Q

Gross Motor Skills Grading: Can NEITHER assume or maintain position

A

poor

64
Q

Gross Motor Skills Grading: Can maintain but not assume

A

fair

65
Q

FUNCTIONAL BALANCE GRADES

A

normal
good
fair
poor
0

66
Q

functional balance grading: Requires support to maintain balance

A

poor

67
Q

functional balance grading: Requires maximal support to maintain balance

A

0

68
Q

functional balance grading: Able to maintain balance s support;
can’t tolerate challenge & maintain balance while shifting weight

A

Fair

69
Q

functional balance grading: Able to maintain balance without support;
accept maximal challenge & can weigh shift in all directions

A

normal

70
Q

functional balance grading: Able to main balance s support; accepts mod
challenge & can shift weight, although limitations are evident

A

Good

71
Q

FINE MOTOR SKILLS: what will u test

A

Reach grasp, carry, release

72
Q

(RGCR) meaning

A

Reach grasp, carry, release

73
Q

FINE MOTOR SKILLS: how to docu

A

Reach grasp, carry, release (RGCR)
laterality
Hand preference
Hand dominance
Handedness
voluntary RGCR

74
Q

Handedness: what years old

A

7 y/o

75
Q

hand dominance: what years old

A

5-6 y/o

76
Q

Hand preference: what years old

A

2-4 y/o

77
Q

A PT wants to know a patient’s skills. When PT positioned the child in sitting,
the PT needs to position the child’s head upright and notes that the child can do this without
external support for almost 10 minutes. However, when child was pushed forward, the
child’s head bent and lagged forward. DOCUMENT

A

O: GMS > F head control in sitting

78
Q

A child was able to look for toy using his head in sitting without falling.
However, when the child tried to reach for toys beyond arm’s length, the child falls. DOCUMENT

A

O: GMS > F dynamic sitting balance

79
Q

Similar to FA/FMT, can be documented under FA/FMT

A

ADLs

80
Q

FEEDING ADLs

A

● Hand-to-mouth pattern
● Bottle feeding/fed
● Finger feeding
● Spoon feeding/fed c or s spillage
● Able to drink from glass/cup or sip from straw
● Position while feeding
● Diet: liquid, semi-solid, solid
● Amount of food per meal
● Time spent in feeding

81
Q

DRESSING ADLs

A

● Level of assistance/dependence
● Undress/dress UE/LE garments
● Cooperativeness
● Difficulty with type of garment

82
Q

GROOMING/HYGIENE ADLs

A

● Level of assistance/dependence
● List down skills
● Cooperativeness

83
Q

TOILETING ADLs

A

● Able to indicate needs
● Toilet-trained

84
Q

MOBILITY/TRANSFER ADLs

A

● Rolling
● Cruising
● Creeping
● Crawling
● Kneel-walking
● Running
Wheelchair

85
Q

MOBILITY & TRANSFERS GRADING: Modified independence

A

6

86
Q

MOBILITY & TRANSFERS GRADING: complete independence

A

7

87
Q

MOBILITY & TRANSFERS GRADING: supervision

A

5

88
Q

MOBILITY & TRANSFERS GRADING: minimum assitance required

A

4

89
Q

MOBILITY & TRANSFERS GRADING: max assist required

A

2

90
Q

MOBILITY & TRANSFERS GRADING: Mod assist required

A

3

91
Q

MOBILITY & TRANSFERS GRADING: total assist required

A

1

92
Q

GMFCS is originall used for

A

CP

93
Q

GMFCS cannot be used for other conditions t or f

A

f, can be used

94
Q

GMFCS 1

A

Full ambulatory

95
Q

GMFCS 3

A

c wc

96
Q

GMFCS 2

A

c ad

97
Q

GMFCS 5

A

bed bound

98
Q

GMFCS 4

A

c powered wc

99
Q

FUNCTIONAL GRADES FOR DMD in UE: 1

A

Starting with the arms at the sides, the patient can abduct the arms in full circle

100
Q

FUNCTIONAL GRADES FOR DMD in UE: 5

A

Cannot raise hand to mouth but can hold a pen or pick-up pennies

101
Q

FUNCTIONAL GRADES FOR DMD in UE: 2

A

Can raise the arms above the head only by flexing the elbow

102
Q

FUNCTIONAL GRADES FOR DMD in UE: 4

A

Can raise hand to mouth but not an 8 oz glass of water

103
Q

FUNCTIONAL GRADES FOR DMD in UE: 3

A

Cannot raise the hand above the head but can only raise an 8 oz glass of water

104
Q

FUNCTIONAL GRADES FOR DMD in UE: 6

A

Cannot raise hand to mouth and has no useful hand function

105
Q

FUNCTIONAL GRADES FOR DMD in LE: 10

A

confined to bed

106
Q

FUNCTIONAL GRADES FOR DMD in LE: 3

A

Walks and climb stairs slowly c aid of railing

107
Q

FUNCTIONAL GRADES FOR DMD in LE: 8

A

Stands in long leg brace but unable to walk c assistance

108
Q

FUNCTIONAL GRADES FOR DMD in LE: 6

A

Walks only c assistance or walk indep c brace

109
Q

FUNCTIONAL GRADES FOR DMD in LE: 5

A

Walks unassisted but cannot rise from chair or climb stairs

110
Q

FUNCTIONAL GRADES FOR DMD in LE: 7

A

Walks in long leg brace but requires assistance for balance

111
Q

FUNCTIONAL GRADES FOR DMD in LE: 1

A

Walks and climbs stairs s assistance

112
Q

FUNCTIONAL GRADES FOR DMD in LE: 4

A

Walks unassisted and raise from chair but cannot climbs stairs

113
Q

FUNCTIONAL GRADES FOR DMD in LE: 2

A

Walks and climbs stairs c aid of railing

114
Q

FUNCTIONAL GRADES FOR DMD in LE: 9

A

W/c borne

115
Q

Though with gait deviations, a child with CP is observed to walk
indep inside the facility. However, the father reports the the child uses walker for school.
DOCUMENT

A

O:> FA> GMFCS IIx

116
Q

A PT prompted the child to reach for toys using both hands sideways to the
right in supine. The child needs the PT to push on the pt’s shoulders to complete
the task. Upon pushing, the PT notes that the child is “heavy” and doesn’t seem to
follow even if it is evident that the child wants the toy. DOCUMENT.

A

O:> FA> (2) rolling supine → ® sidelying c +1 assist on shoulders

117
Q

Walking c hand support (holding onto furnitures): WHAT IS THIS CALLED

A

CRUISE

118
Q

HOPS: what years old

A

4 yo

119
Q

SKIPS: what years old

A

5 yo

120
Q

t or f creep is in prone position

A

f, quadruped

121
Q

Baby on belly and moves forward: what is this

A

CRAWL

122
Q

t or f Head control preceds before trunk control

A

t

123
Q

lumbar lordosis precedes cervical lordosis t or f

A

f, cervical lordosis before lumbar lordosis

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