Spina Bifida Flashcards
What is Arnold-Chiari Malformation?
Brainstem is displaced inferiorly beyond the foramen magnum
What is a Syrinx?
Cyst in the spinal column
What are some associated complications with patients with spina bifida?
Shunt Malformation: a lot of signs and symptoms
Latex Allergies
Tethered Cord
When are valgus and varus deformities common?
Occur most frequently in L3 and above group
When are foot and ankle problems more common?
Lesion is at L5 and above
What are common joint limitations if lesion is L2-3 or L3-4?
Tight hip flexors
Adductor tightness
What level would you expect a lesion if the patient exhibits strong dorsiflexion?
L5
strong DFs, with no PF or toe flexors
What levels are required for bowel and bladder control?
S2-S4
There is no LE voluntary movement and patient cannot maintain upright positioning. Recommended orthotic is a THKAFO. Where is the lesion?
Somewhere in the thoracic
What type of orthotic would be needed in a patient with a lesion at L1-3?
HKAFO, or RGO
Patient can ambulate, but only over short household distances, they have hip flexion and ADD, but unable to maintain upright with hips extended. Where is the lesion?
L1-3
Where is the lesion if a patient needs a KAFO for ambulation?
L3-4
The patient has knee extension as well as upper level innervation. They have weak quads and M/L knee instability. They can ambulate in the house but are limited in the community. Where is the lesion?
L3-4
What movements will a patient still have if there is a lesion in L4-5?
They will have hip ABD, knee flexion, ankle DF/IN, toe extension and upper level innervation.
What type of orthotic will a patient with an L4-L5 lesion have?
AFO
