PEDIALEC_S1_L2 - P7-P10 Flashcards
1
Q
SPECIAL TESTS (6)
A
Ortolani’s
Barlow’s
Galeazzi’s
Telescoping
Silfverskiold
Staheli
2
Q
Hip dislocation special test
A
Ortolani’s
3
Q
Hip relocation special test
A
Barlow’s
4
Q
t or f pt is in supine for both ortolani and barlow
A
t
5
Q
ortolani position
A
Hip and knee are flexed and the hip is ABducted
remember: ORAB
6
Q
barlow position
A
Hip and knee are flexed and the hip is ADducted
remember: BAD
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
8
Q
Test to check knee height difference
A
Galeazzi’s
9
Q
procedure of galleazi:
A
Hip slightly flexed to flex the knee
10
Q
t.or f in galleazi the pt is in sidelying
A
f, in supine
11
Q
Test to check hip joint laxity (dislocation)
A
telescoping
12
Q
Patient in prone for telescoping t or f
A
f, supine
13
Q
telescoping position of hip/knee
A
Hip and knee flexed in 90 degrees
14
Q
procedure of telescoping:
A
PT will push and pull the femur (up and
down movement)
15
Q
hand placement of telescoping:
A
one hand at hip jt, and other below the knee
16
Q
Test to evaluate the contraction of ankle joint; also for PF tightness
A
Silfverskiold
17
Q
Patient in supine for silverskiold t or f
A
t
18
Q
1st position of silverskiold
A
knee extended and passively
dorsiflex the ankle
19
Q
2nd position of silverskiold
A
knee flexed and passively
dorsiflex the ankle
20
Q
Used to identify the site of rotational
deformity of lower extremity in children
A
Staheli
21
Q
what muscle is tesetd in staheli
A
Iliopsoas tightness
22
Q
proecudre of staheli:
A
Extend the leg, the trunk will have an ant.
movement
23
Q
staheli position:
A
Long standing w/c use
24
Q
what special tests are valid for infants 6 mos & below
A
Ortolani’s, Barlow’s, Galeazzi’s, & Telescoping
25
angle between the longitudinal axis of foot and direction of gait progression:
Foot progression angle
26
foot progression angle (FPA) is what test of staheli
Staheli test 1
27
Foot progression angle gives a measure of degree of __
in or out due to contributions from foot, tibia and femur.
toeing
28
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
Staheli test 1: foot progression angle (FPA)
29
The normal foot progression is _ with a mean
angle of_ (range −5 to +15°) in children aged _ears
outward, 6, 1-3
30
Prone position with knees flexed to 90: what staheli test
Staheli test 2
31
staheli test 2 also called
Medial And Lateral Rotation Of Hip
32
Internal rotation of hip greater than 70 deg indicates excessive femoral anteversion in stage _
staheli test 2
33
Internal rotation of hip greater than 70o indicates _
excessive femoral anteversion
34
Determines the tibial torsion
Staheli test 3:
35
staheli test 3 also called
Thigh foot angle
36
Observed from above with patient in prone position and knee flexed to 90: what staheli test
Staheli test 3: Thigh foot angle
37
in staheli test 2, The foot deformity is assessed by noting the position
of _ in relationship to _by the _ ine.
forefoot, hindfoot, heel bisector
38
In infants, the average thigh-foot angle measures _ internal (range −30° internal to +20° external).
5
39
tibial rotational profile changes from _ torsion to _ torsion by _ years of age.
internal to external, 4-5
40
By the age of _ years, the thigh foot angle averages _ external
8 years, 10
41
GROSS MOTOR SKILLS (4)
Head control
Trunk control
Pelvic control
Balance and tolerance
42
Head control is assess at what month
4 mos and up
43
head control : what tests to do?
sitting, pull-to-sit, prone
44
head control is inappropriate for what month
1-3 mos
45
Support forehead/side of head in trunk control t or f
f, in head control
46
trunk control: what tests to do
roll-over, prone, sitting
47
pelvic control: what tests to do?
quadruped, kneeling, & standing
48
balance and tolerace: what tests to do?
sitting, kneeling, & standing
49
trunk control is assessed at what month?
6 mos
50
let go of the pelvis & support the trunk and head: what gross motor skill is tested here
pelvic control
51
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>
head, trunk, pelvic control
52
PT must be _ guarding when doing these gross motor skills
close
53
t or f Control is only assessed when the certain body part is not supported
t
54
t or f you can assess control in supine since the head, trunk, and pelvis.
f, cannot assess control in supine since the head, trunk, and pelvis are supported
55
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.
O> Gross motor skills > Poor head control in pull-to-sit. Pt cannot assume & maintain position.
56
t or f When positioning the child in prone, always rotate the head to
one side so they can breathe
t
57
poor tolerance: how many mins
< 15 min
58
fair tolerance: how many mins
16 to 30 mins
59
good tolerance: how many mins
31 to 45 mins
60
normal tolerance: how many mins
> 45 mins
61
Gross Motor Skills Grading: Can BOTH assume and maintain
good
62
Gross Motor Skills Grading: Can assume but not maintain
fair
63
Gross Motor Skills Grading: Can NEITHER assume or maintain position
poor
64
Gross Motor Skills Grading: Can maintain but not assume
fair
65
FUNCTIONAL BALANCE GRADES
normal
good
fair
poor
0
66
functional balance grading: Requires support to maintain balance
poor
67
functional balance grading: Requires maximal support to maintain balance
0
68
functional balance grading: Able to maintain balance s support;
can’t tolerate challenge & maintain balance while shifting weight
Fair
69
functional balance grading: Able to maintain balance without support;
accept maximal challenge & can weigh shift in all directions
normal
70
functional balance grading: Able to main balance s support; accepts mod
challenge & can shift weight, although limitations are evident
Good
71
FINE MOTOR SKILLS: what will u test
Reach grasp, carry, release
72
(RGCR) meaning
Reach grasp, carry, release
73
FINE MOTOR SKILLS: how to docu
Reach grasp, carry, release (RGCR)
laterality
Hand preference
Hand dominance
Handedness
voluntary RGCR
74
Handedness: what years old
7 y/o
75
hand dominance: what years old
5-6 y/o
76
Hand preference: what years old
2-4 y/o
77
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
O: GMS > F head control in sitting
78
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
O: GMS > F dynamic sitting balance
79
Similar to FA/FMT, can be documented under FA/FMT
ADLs
80
FEEDING ADLs
● 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
DRESSING ADLs
● Level of assistance/dependence
● Undress/dress UE/LE garments
● Cooperativeness
● Difficulty with type of garment
82
GROOMING/HYGIENE ADLs
● Level of assistance/dependence
● List down skills
● Cooperativeness
83
TOILETING ADLs
● Able to indicate needs
● Toilet-trained
84
MOBILITY/TRANSFER ADLs
● Rolling
● Cruising
● Creeping
● Crawling
● Kneel-walking
● Running
Wheelchair
85
MOBILITY & TRANSFERS GRADING: Modified independence
6
86
MOBILITY & TRANSFERS GRADING: complete independence
7
87
MOBILITY & TRANSFERS GRADING: supervision
5
88
MOBILITY & TRANSFERS GRADING: minimum assitance required
4
89
MOBILITY & TRANSFERS GRADING: max assist required
2
90
MOBILITY & TRANSFERS GRADING: Mod assist required
3
91
MOBILITY & TRANSFERS GRADING: total assist required
1
92
GMFCS is originall used for
CP
93
GMFCS cannot be used for other conditions t or f
f, can be used
94
GMFCS 1
Full ambulatory
95
GMFCS 3
c wc
96
GMFCS 2
c ad
97
GMFCS 5
bed bound
98
GMFCS 4
c powered wc
99
FUNCTIONAL GRADES FOR DMD in UE: 1
Starting with the arms at the sides, the patient can abduct the arms in full circle
100
FUNCTIONAL GRADES FOR DMD in UE: 5
Cannot raise hand to mouth but can hold a pen or pick-up pennies
101
FUNCTIONAL GRADES FOR DMD in UE: 2
Can raise the arms above the head only by flexing the elbow
102
FUNCTIONAL GRADES FOR DMD in UE: 4
Can raise hand to mouth but not an 8 oz glass of water
103
FUNCTIONAL GRADES FOR DMD in UE: 3
Cannot raise the hand above the head but can only raise an 8 oz glass of water
104
FUNCTIONAL GRADES FOR DMD in UE: 6
Cannot raise hand to mouth and has no useful hand function
105
FUNCTIONAL GRADES FOR DMD in LE: 10
confined to bed
106
FUNCTIONAL GRADES FOR DMD in LE: 3
Walks and climb stairs slowly c aid of railing
107
FUNCTIONAL GRADES FOR DMD in LE: 8
Stands in long leg brace but unable to walk c assistance
108
FUNCTIONAL GRADES FOR DMD in LE: 6
Walks only c assistance or walk indep c brace
109
FUNCTIONAL GRADES FOR DMD in LE: 5
Walks unassisted but cannot rise from chair or climb stairs
110
FUNCTIONAL GRADES FOR DMD in LE: 7
Walks in long leg brace but requires assistance for balance
111
FUNCTIONAL GRADES FOR DMD in LE: 1
Walks and climbs stairs s assistance
112
FUNCTIONAL GRADES FOR DMD in LE: 4
Walks unassisted and raise from chair but cannot climbs stairs
113
FUNCTIONAL GRADES FOR DMD in LE: 2
Walks and climbs stairs c aid of railing
114
FUNCTIONAL GRADES FOR DMD in LE: 9
W/c borne
115
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
O:> FA> GMFCS IIx
116
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.
O:> FA> (2) rolling supine → ® sidelying c +1 assist on shoulders
117
Walking c hand support (holding onto furnitures): WHAT IS THIS CALLED
CRUISE
118
HOPS: what years old
4 yo
119
SKIPS: what years old
5 yo
120
t or f creep is in prone position
f, quadruped
121
Baby on belly and moves forward: what is this
CRAWL
122
t or f Head control preceds before trunk control
t
123
lumbar lordosis precedes cervical lordosis t or f
f, cervical lordosis before lumbar lordosis
