Pediatrics

Question 1

grasp patterns (6)

Answer 1

1. hook
2. power
3. lateral pinch
4. spherical
5. cylindrical
6. disk

Question 2

Which grasp patterns do not require thumb opposition?

Answer 2

hook grasp
power grasp
lateral pinch

Question 3

Which grasp patterns use thumb opposition?

Answer 3

tip and palmar pinches

Question 4

hook grasp (4)

Answer 4

1. transverse metacarpal arch is flat
2. fingers adducted
3. IP flexion
4. MP flexion or extension
   * must be maintained to carry objects

Question 5

lateral pinch (3)

Answer 5

1. partial thumb adduction
2. MP flexion
3. slight IP flexion

Question 6

cylindrical grasp (3)

Answer 6

1. transverse arch is flattened (to allow the fingers to hold against the object)
2. fingers are only slightly ABducted
3. IP and MP joint flexion (graded according to size of the object)
   * when additional force is required, more palmar surface contacts the object

Question 7

spherical grasp (5)

Answer 7

1. significant wrist extension
2. finger ABduction
3. some degree of MP and IP flexion
4. stability of longitudinal arch necessary for larger objects
5. hypothenar eminence lifts to assist the cupping of the hand to control objects

Question 8

disk grasp (6)

Answer 8

1. finger ABduction (graded according to size of object)
2. MP hyperextension
3. IP flexion
4. wrist flexion (more flexion when objects are larger and only pads of fingers contact object)
5. thumb extension (increases with object size)
6. transverse metacarpal arch flattened

Question 9

children who can benefit from splinting (4)

Answer 9

1. sustained abnormal posturing
2. increased tone or markedly decreased tone
3. limitations in movement of the hand
4. limitations in functional skills

Question 10

Children with severe motor disability associated with CNS dysfunction may benefit from splinting to reduce ___ and improve ___ and ___ skills.

Answer 10

tone
mobility
functional

Question 11

considerations in splinting children (5)

Answer 11

1. nonverbal children with sensory deficits
2. night vs. day splinting
3. static
4. dynamic
5. spasticity reduction splints

Question 12

syndactyly

Answer 12

joining of the fingers

congenital

Question 13

polydactyly

Answer 13

extra digits or duplication of digits

Question 14

radial clubhand

Answer 14

underdevelopment or absence of the radius

Question 15

congenital constriction band syndrome

Answer 15

aka amniotic band syndrome

strands of tissue wrap around baby in womb restricting growth

Question 16

When splinting a child with severe flexion tone, you might need to start with the wrist in what position?

Answer 16

wrist flexion