Spina Bifida Flashcards

Question

PT for Growing Child

Answer 1

Long-range plan of care Based largely on objective findings from PT's eval Repeated MMT and careful observation of child's development - ID child's strengths and weaknesses - Intervention directed at specific needs of LEs and gross motor development

Answer 2

Equilibrium and righting rxns Prone positioning Early WB Assessment of quality of movement

Answer 3

Can have a negative impact on motor development and sensorimotor learning Therapist should discourage use of these Encourage active participation of these upright experiences by parents

Answer 4

Predictable level of mobility exists for children at each motor level - more individualized and "conservative" Early standing and gait training for as long as seems reasonable - as functional for as long as possible

Answer 5

Posture of flaccid lower extremities and at risk for developing a frog-legged deformity Total contact body brace Include a lower leg section to hold ankle in neutral or plantigrade position

Answer 6

Upper trunk working No LE mm working Tendency to have... Kyphoscoliosis Frog contractures Club feet Orthosis needed - TLSO, AFOs, night splints, leg wraps Parapodium

Answer 7

May show some potential for upright mobility when young and may grow out of this potential

Answer 8

Require a high level of bracing for standing and ambulation Are at high risk for hip subluxation/dislocation

Answer 9

Mm working - hip flexors, ADD, minimal knee ext Tendency to have - hip flex contracture, hip dislocation, wind blown posture, scoliosis Orthosis needed - ABD splint, A-frame Parapodium early, HKAFO later, RGO (reciprocating gait orthosis)

Answer 10

Mm working - Knee ext, ankle investors, ankle DF, hip ABD, minimal knee flex Tendency to have - hip flexion contractures, hip dislocations, lumbar lordosis, Calcaneovarus Orthosis needed - night splint (ABD), RGO, HKAFO, KAFO, AFO later

Answer 11

Strong hip flexors and ADD Calcaneal Valgus/varus deformities Clubfoot deformity RGOs AFOs if trunk control KAFO if crouch present

Answer 12

Mm working - knee flexors, hip ext, ankle evertors and PFs, toe flexors Tendency to have - Calcaneovalgus or varus, toe clawing, foot ulcers Orthosis needed - AFO, SMO, shoe inserts, nothing, need caution with choice of foot wear

Answer 13

Most control of hip/knee AFOs Work on active trunk and lower extremity alignment

Answer 14

Usually required for 2-8 weeks after surgery Consider positioning while in the cast Prevention of pressure sores Decreased mobility experiences

Answer 15

Bracing may help decrease, but not eliminate progression Function becomes difficult Surgical option for fusion

Answer 16

Allergic rxn can develop with increased exposure Increased incidence for children with SB

Answer 17

Wide variety of cognitive levels Some studies show increased attn deficit Decreased ocular fx

Answer 18

Adapted strollers for young children Standard wheelchair by school age Power wheelchair and scooters as child ages

Answer 19

Prevention of weight gain and promotion of life-long health related fitness Hormonal changes, growth, weight gain can cause fatigue and loss of interest in walking Spinal stabilization procedures often occur in adolescence and can lead to loss of ambulation Larger school communities require faster mobility of the wheelchair Moving to a wheelchair should not be see as failure Educational and vocational opportunities must be explored

Answer 20

``` Obesity Incontinence Recurrent urinary tract infections Chronic decubiti Joint pain Hypertension Neurologic deterioration Depression ``` Self-image important UTI issues most common cause of morbidity

Answer 21

Neural tube defect causing neurological dysfunction Second most common birth defect