Tx of MSK impairments in persons w/ neurologic pathology

Question 1

t/f, a static splint or orthotic can help gain ROM

Answer 1

false, won’t help gain range

Question 2

What are conservative treatment options for contractures?

Answer 2

stretching and exercise, dynamic splinting, serial casting

Question 3

What are common precautions common to all tenotomies?

Answer 3

initially nwb, initiation of WB varies
start with AROM
ask when PROM, stretching, ROMin wb and strengthening will be able to be started
movement retraining in new ROM
*BACK OFF IF YOU CAUSE PAIN

Question 4

T/f, you want to allow the pt to have a posterior pelvic tilt in a wc after a hamstring release

Answer 4

false, do not allow posterior pelvic tilt

Question 5

t/f, weakness is a consequence of a plantar flexor release

Answer 5

true! want to focus on strengthening when appropriate after a PF release

Question 6

What are the different types of osteotomy?

Answer 6

rotation and wedge

Question 7

How is a wedge osteotomy different from a rotation osteotomy?

Answer 7

A wedge shortens bone a little bit while a rotation osteotomy cuts and turns the bone to fix it

Question 8

What are the different types of limb shortening?

Answer 8

bone resection, epiphysiodesis, epiphyseal plate stapling

Question 9

What is the purpose of a epiphysiodesis surgery?

Answer 9

slows rate of growth of long leg-> to allow short leg to catch up

Question 10

What are the limb lengthening surgeries?

Answer 10

ilizarov procedure, debastiani

Question 11

t/f, healing time of limb lengthening surgery depends on extent of lengthening

Answer 11

true, each 1 cm (o.4in) requires 36 days of healing

Question 12

What are the advantages and disadvantages of epiphysiodesis?

Answer 12

advantage- shorter healing time
disadvantage- timing is CRITICAL, causes short stature, fewer risks, less precise

Question 13

What are the advantages and disadvantages of limb shortening?

Answer 13

advantage- more precise
disadvantage- more invasive, longer recovery time, may cause short stature

Question 14

What are the advantages and disadvantages of limb lengthening surgery?

Answer 14

advantage- very precise, does not reduce stature
disadvantage- MOST invasive, long recovery (follow-up, rehab)

Question 15

What are the general guidelines for limb length? (measurements and tx options)

Answer 15

less than 2cm- orthotic lift
2-6cm: epiphysiodesis or shortening procedure
greater than 6cm: lengthening procedure, staged or combined with epiphysiodesis

Question 16

____ is done if a limb length procedure fails

Answer 16

amputation