Test 2 Flashcards
Newborn anteversion
40
Newborn tranmalleolar
0
Newborn foot thigh angle
5-10 Int
2 year old tma
10-15 ext
5 year old ante
23-26
5 yo tma
20-30 ext
5 year old thigh foot
10 ext
15 yo tma
20-30
15 yo thigh foot
12-30 ext
15 yo ante
10-15
Anteversion + tibial ext does what to the q angle?
Increases, 20+
Femoral retro version + tibial internal does what to the Q angle?
Decreases
Patient first or device first?
Patient first!
What’s the cons of an overlapping joint
It must follow anatomical motion
What are the indications of a tamarack joint
Dorsiflexion assist
Smaller sizes
What are the cons of a tamarack joint?
Will not resist excessive torsion
What are the 4 common gait deviations of hemiplegia
Hemipelvis retraction
Increased push off at unaffected side
Early firing of fibularis longus
What are the 5 parts of gait
Stance stability
Swing clearance
Positioning for initial contact
Adequate step length
Energy conservation
What might hip circumduction compensate for
Inadequate hip flexor, knee flexor
Excessive hip IR
ankle plantarflexion
Scissoring is what plane
Coronal
Malrotation is what plane
Transverse
Excessive hip flexion is what plane
Sagittal
Stance phase errors are due to
Abnormal position or malrotation
Swing phase errors are due to
Inadequate ROM or weakness
excessive plantarflexion effects what phases of gait
Initial contact and mid stance
Hemiplegic foot
Post tib and gastroc
Inv and varus
Diplegic foot
Peronus brevis and gastroc
Calcaneal eversion and valgus
What are the 4 lever arm dysfunction types
Malrotation
Loss of stable fulcrum
Loss of boney rigidity
Shortening of lever arm
What is a normal foot progression angle?
0-10 ER
Abnormal muscle tone
Primary impairment
Loss of selective muscle control
Primary impairment
Dependence on primitive reflexes
Primary
Muscle weakness
Primary
Imbalance between agonist and anatagonist
Primary
Impaired coordination
Primary
Loss of sensation
Primary
Abnormal m force
Secondary
Contractures
secondary
Boney deformity
Secondary
Loss of selective two joint muscle control
Secondary
Functional solutions to primary and secondary impairments
Coping responses
Stability in stance can be challenged by
Abnormal foot position
Compromised balance
Foot clearance in swing challenged by
Inadequate motion at hip, knee, ankle
What is the FAQ
Functional assessment questionare
Assesses walking abilities of children with CP using self report
What outcome measure emphasizes the specific goals set by the child
GOAL goal outcome assessment list
What ages is the GOAL for
6-18!
CMT ITW OI and Arthrogryposis
MSK diagnosis
CP, BP, DCD, autism, myelodysplagia
Neurological diagnosis
Why do we classify CP (4 reasons)
To describe
To predict
To compare
To evaluate change
A series of tests that assess how a child processes sensory input
Sensory integration and praxis test
Assessments that evaluate a child’s sensory processing patterns in the home school community
Sensory profile 2
What are the 3 sensory profiles
Infant toddler
Adolescent adult
Sensory profile school companion
DCD has what kind of tone
Decrease
Repeat UTI
Tethered cord
Object control tested in how many months?
16
T or F: similar skills are noted on the bottom of each item of the Peabody
T
FMS is valid in what ages
4-18
What is included in the diagnostic matrix of cerebral palsy
Imaging
GMFCS
FMS
Patient self report
Gait pattern/ IGA and VGA
E medical record
Standardized physical examination
What are the 5 dimensions of the GMFM
Lying rolling
Sitting
Crawling kneeling
Standing
Walking
Running jumping
GMFM 66 differences
Shorter
Barefoot
5 years - 16
Part B of IDEA applies to what aged
3-21
