Torticollis, osteogenesis imperfecta, cystic fibrosis

Question 1

What is torticollis?

Answer 1

• “twisted neck”

- contracture of SCM with head bending to affected side

Question 2

How is torticollis diagnosed?

Answer 2

1. clinical observation

2. radiographs to rule out other problems

Question 3

How is torticollis treated?

Answer 3

1. AROM and PROM
2. positioning
3. soft tissue release and massage

Question 4

What is osteogenesis imperfect?

Answer 4

1. congenital and genetic - “brittle bone disease”
2. disoreder of collagen synthesis affecting bones and connective tissue
3. can be AUTOSOMAL RECESSIVE or AUTOSOMAL DOMINATE depending on type

Question 5

How is osteogenesis imperfecta diagnosed?

Answer 5

1. clinical observation
2. serologic tests
3. bone scans and radiographs
4. hx of multiple fractures
5. skeletal deformities

Question 6

What is the treatment and therapies for osteogenesis imperfecta?

Answer 6

• no known treatment
• Therapies
  1. handling techniques
  2. family education
  3. light resistive exercises
  4. posistioning
  5. mobility

Question 7

What is Cystic Fibrosis?

Answer 7

• AUTOSOMAL RECESSIVE on chromosome #7
• most common of teh life threatening diseases that are genetic
• PROGRESSIVE AND TERMINAL
• affects approx 1 in 2,500
• disorder of the management of water and salts in the body. Secretions are thicker and sticker.
• disorder of the exocrine glands
• can be obstructive or suppurative
• survival past 30 y.o. is unusual (now 40)
• activity tolerance training required

Question 8

What are the S/S of CF?

Answer 8

1. History of cough
2. thick, tenacious sputum
3. reurrent pulmonary infection and recurrent bronchitis which progresses to pneumonia/bronchiectasis; cor pulmonale; exercise intolerance and fat in the stool
4. pancreatic insufficiency

Question 9

What are the interventions of CF?

Answer 9

1. postural drainage and chest PT
2. antibiotics; medication
3. low fat, high protein diet and vitamins
4. lung transplant