Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Peadiatrics Assx
| Question | Answer |
|---|---|
| What is a registration tactile test? Clue: Annie has mosquitp bites everywhere. And how is it performed? | - Semmes-Weinstein Monofilaments = Can't feel the sensation Start grade 4 of monofilament 3 dermatomes, 3 times each + 4 sham trials. Am i touching you now? |
| What is a Unilateral Spatial Perception test, Clue: Andrews handwriting is so messy and he pushes way too hard on the pencil. Instructions? | - Single point localisation = Start with No. 20, test front back, side of fingers, trial out of 12 - Two point discrimination = Disk-Criminator, start at 4/5mm, record distance achieved correctly 7/10 trials |
| What is a Bilateral spatial perception test. Clue: Greg is excellent with his left hand. Instructions? | - Double simultaneous = 2 x blunt tooth picks, bilateral pairs 4 x 4, different fingers 2 x 4 . out of 24 trials |
| What is a spatial perception test? clue: Greg cannot locate items from his pencil case. Instructions? | - Stereognosis = 9 objects to identify. tester puts object in hand to feel. blinfolded |
| What is a texture perception test? | AsTex - child moves finger along bumpy lines that get smoother |
| What is a bilateral temporal perception test? | Temporal order judgement - both fingers on tactile stimuli, computer will generate stimulis. child to feel which comes first. |
| lf you only had 10mins to complete a tactile Ax, what are 3 main tests that you would include? And if only choosing 1? | 1. Tactile Registration 2. Single point localisation <<<< 3. Double simultaneous |
| What are some angles of concern for Ax of foot progression angle? And what is more concerning? | >30deg out-toeing <-5deg in-toeing In-toeing is more concerning |
| How to perform Observation in stance? And a sign of concern? | 1. walk on spot 2. Observe symmetry - butt, thigh creases, patella 3. obs patella 4. obs malleoli (med should be ant to lat) 5. Forefoot bisection angle Deviation from expected alignment = further Ax |
| What are some signs of concern fro LL discrepancy? | Asymmetrical hip abduction - infants: developmental hip dysplasia refer Asymmetrical knee hyperextension - children: small leg length measure |
| What are the contributing in-toeing factors? | 1. Femoral Anteversion 2. Internal tibial torsion 3. Metatarsus Adductus - Forefoot bisection angle |
| When Ax rotational profile/ Hip rotation, what is normal and what is signs of concern? | Ext: 30-60 norm <20 ab Int: 20-60 norm >70 ab |
| Ax of thigh foot angle, what are signs of concern? | Int/medial torsion <-10 Ext/lat torsion >35 |
| Ax Heel Bisection Test, what is expected? | Bisection between the second and third toe. Ruler must be aligned directly through the calcaneus otherwise false negative. |
| Frontal plane profile development, explain the ages and changes | 18m Genu Varum (bowed legs) 3-4yrs Genu Valgum (knocked knees) >6y Legs straight |
| How to perform an Ax of Frontal plane profile? | supine or standing. neutral knees, knees of feet togather, measure either Intercondylar distance if ankles touch or intermalleolar distance if knees touch |
| How do you Ax for a flexible or flat foot response in saggital plane profile? | Passive great toe extension in standing active tip-toe test standing look for Medial longitudinal arch |
| What is Congenital Vertical Talus? | Often noticed in utero, plantarflexion, rockerbottom - has to be surgically corrected |
| What is the Apgar Score? | Screening test used to quickly assess the health of an infant 1 and 5 mins after birth (muscle tone, crying/resp, reflexes, pulse, skin colour |
| What is the difference between resting and active tone? | Resting tone includes resistance to passive stretch while in a relaxed state whereas active tone is the ability to respond to environmental demands. |
| What is an Ax of visual-motor planning? | - Cratty's arm position sequencing (visual demonstration) - Cratty's jump sequencing (jump to different numbers) - Cratty's gross motor sequencing (Visual demonstration) |
| What is an Ax of auditory-motor planning? | - Cratty's arm position sequencing (verball cue) - Cratty's jump sequencing (Say number sequence) - Cratty's gross motor sequencing (verbally) - Auditory clap patterns (rhythmic/non-rythmic) |
| What is Ideo-motor planning? | Translating ideas to actions e.g. make a bridge |
| What is a dysdiadochokinesia Ax? | Rapid alternating mvts - forearm supination & pronation |
| What in an example of goal directed movement? | Finger-nose-finger |
| What is an Ax of repeated motor planning? | jump repetitions side to side and forward and backward |
| What are the 2 types of tone to assess for? | Resting tone (resistance to passive stretch) and active tone (ability or readiness to resond to demands) |
| what are some muscle tone contributors? | Neural: stretch reflex, peripheral input, descending commands Non-neural: muscle properties, extracellular matrix, titin, dystrophin |
| What is an Ax of tone determining? | 1. Type: Low, normal, high, fluctuating 2. Distribution: Quadriplegia, diplegia, hemiplegia, other |
| What are some genetic conditions associated with hypotonia? | - Down Syndrome - ABI - Cerebellar Ataxia - Guillain-Barre syndrome - ASD |
| What are some genetic conditions associated with hypertonia? | - Cerebral Palsy - TBI - Tumor - Spina Bifida - Spinal cord injury - Tetanus |
| How is spasticity assessed? and what does it feel like? | - Move limb passively through ROM at range of velocities abnormal response appears as velocity increases Feels like catch then release of resistance |
| What are some important clinical observations of spasticity? | - Evident more proximally - Reduced mvt in affected parts - no involuntary mvts in affected parts |
| What are some secondary effects of spasticity? | - contractures towards mid position - balance reactions affected - functional problems - emotion - frightened by mvt |
| What are some factors that may increase spasticity? | - use of spasticity to move - lack of mvt - repetition of mvts within the pattern of spasticity |
| What is dyskinesia? | Involuntary uncontrollable movements and fluctuating tone occurs due to extrapyramidal brain injury - affecting the basal ganglia which is responsible for motor control |
| What are the two types of dyskinesia and there subcategories? | Hyperkinetic Type: Athetosis & Chorea (excessive unwanted mvt) Hypokinetic: Dystonia (less mvt overall) |
| Describe Athetosis | - Slow, involuntary, snake-like mvts - Affects fingers, hands, toes & feet - caused by damage to the basal ganglia |
| Describe Chorea | - Greek for dancing - Quick, involuntary mvts - Affects hands and feet - Caused by excess dopamine |
| Desscribe Dystonia | - Sustained abnormal mvt - due to basal ganglia dysfunction |
| What tool would you use to differentiate between dystonia and spasticity? | The HAT Manual Tool |
| What is the Barry Albright Dystonia Scale? | A scale to measure the severity of dystonia especially in children with CP. *-8 point mvt scale Scored 0-4 |
| What is the School Function Assessment (SFA)? and age? | A productivity Ax of functional tasks & activities supporting participation in school. Facilitates collaborative program planning for students with disabilities. Age 5 - 12yrs |
| What is the Paediatric Evaluation of Disability Inventory (PEDI)? and age? | A self-care Ax to evaluate and identify performance to guide Rx planning Age 6m to 7y |
| What is the Children's Ax of Participation and enjoyment & preferences for activities of Children (CAPE-PAC) and what age? | A leisure Ax that is used independently or together. CAPE = Day-to-day participation for intervention planning/measuring outcomes PAC = Assess an individuals preference for activities Age 6 - 21y |
| What is the Ax of Life Habits (Life-H)? And age? | An Ax of multi-dimensional Ax's - Assess participants on 77 life habits. Based on difficulty & assistance required. Age V1 (0-4y) V2 (5-13y), V3 teenage - adult |
| What is the Canadian Occupational Performance Measure (COPM)? | Another dimensional Ax. Aisst therapists to use a family-centred approach by identifying & prioritising a child/family's priorities |
Created by:
HollyRicho