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56 Cards in this Set
- Front
- Back
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Name the types of walkers (familiarity with names)
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Kaye, Guardian, Bugsy, Rifton, Cricket, Up and Go walker
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What do a pt need to use a walker
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UE support, WB on LE
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When use Anterior
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when forward propulsion is emerging, when need for safety
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When use posterior
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to faciitate huip > and a more upright posutre, needs to be sage to fall forward
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Describe swivel walekers
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high level of UE control, demanding for timing of movement
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what is used to stabilize hips
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used for pelvic support hip quards
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Other accessories for walker
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forearm props, fold down seat
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what determines the number of wheels
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speed of child
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Describe a gait trainer
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similar as for infant, just bigger. Used for stability
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What do you need to consider when putting a child in a walker
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need to be able to use UE, be able to grasp, have cognitive ability, trunk control, take weight on LE, safety concern
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What population would you NOT give a posterior walker
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pts with weak glutes
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When do you give a gait trainer to a child
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does not support self well, when child is w/c or seated bound, to facilitate WB and reciprocal stepping, can act like a standar
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What are problems with a gait trainer
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is big a bulky, difficult to get around even with mini van
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When do you use a suspension walker
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when arms are not available for support, use partial WB treadmill training, when full WB is not avaliab or helpful
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T/F: gait trainers are functional for community ambulation
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False, not functional for community or school ambulation. Only functional for home and exercise
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What does PBW suspension gait trainer allow for
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development of reciprocal stepping with out need of uni FWB, used over a treadmill, UE may or may not be involved, allows for increased proximally stabiliyt to faciliate stepping
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T/F: gait trainers are used post surgical
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Yes, after rhizomy because of spaticity decreased, and weakness
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What is PBW is similar to
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effects of water in reducing stress on joints and postural alignment
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what types of children is PBW acceptable for
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spina bifida, CP
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What is needed for lofstrands
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high level of competency toward walking, motor planning, visual, trunk control, coordination
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what do you need to be cautious of
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arms can tend to get "caught up" when walking, taking a fall or getting up and down from floor
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what posture do children assume in lofstrand crutch
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forward lean
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what does lofstrand allow
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more natural gait pattern
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what children would be a good to give lofstrand
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spina bifida, CP( high level)
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what makes lofstrands difficult
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difficult to go up and down stairs
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Name the 3 types of canes
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quad, rolling, SPC
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what does using a cane require
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all take high level of WB control and balance
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what does using a cane force child to do
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become more active through LE
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what is the overall posture alignment with cane
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may be more forward (compromise extension)
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T/F: quad canes are used bilaterally in children
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True, may be a progression from walker working towards lofstrands
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Describe rolling canes
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look like quad, 2-4 wheels progression from less stability to more mobility
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what are the types of W/C available for children (General)
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manual, motorized, combined manual/motorized, strollers (Convaid, E-Z rider)
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What is required for a child to drive a motorized w/c
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hand controls, head controls, vision, perceptual motor skills and coginitive level
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what other things are needed in order to transport/utilize a motorized chair
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adapted van, fit in home, financial resources
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what are safety concerns for children
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brakes, when leaving a manual mode, pushed by other children
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what age would you start do think about motorized w/c
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12 month old
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what are the seating concerns for children in w/c
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trunk symmetry, when to tilt back, lateral supports, pelvic control(straps, seat belts), abductor wedge, pommel, seat, leg rests, foot plates
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what are some accessories that can be used for w/c
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arm rests, use for a tray
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what is used for trunk support
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TLSO, Benik vests, theratogs, taping, therasuit
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what are the two broad categories for orthotics and bracing
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MLA and M/L control and A/P control and M/L control
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Name the orthotics used for arch and M/L control
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hot dogs, pattibobs, carbon fiber inserts, pollywogs, #5 inframallolar (may not work for older children), #5.5 soft inframalleolar, #4 supramallolar
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Names the orthotics used for A/P control as well as M/M control
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#3.5, #3 fixed AFO, #2, #9, #1
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Describe a #3.5, used for what, AKA
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pf resist, df assist. Need for children who crouching, knee hyperextension, hypertonicity. AKA posterior leaf spring
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Describe a #3, used for what, AKA
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blocked pf, used for excessive pf, hyperextension, alignment
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Describe a #2, used for what, AKA
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articulated AFO with blocked pf, or without blocked pf, used for hyperextension, exciessive pf, free df
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Describe a #9, used for what, AKA
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night splint, custom and adjustable for progressive heel cord stretching
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Describe a #1 and #1H, used for what, AKA
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blocks df, allows for pf, encourages hip and knee extension. Used for significant crouching
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What are some needs for the child with physcial disabilitiies at school and home
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Chairs, bathchairs, potty seats, feeding chairs, carseats
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what population struggles with firing glutes
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CP spastic diplegia
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Carbon fiber inserts are used for what population
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toe walkers
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how does a cricket control M/L control
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controls calcaneous
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T/F: afo are send into 90
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False, usually 3 degrees of of so they don’t hyperextend
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what are the goals usually for a #3 AFO
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stability
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What does artciulating AFO allow for functional mobility outside of ambulation
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squatting, crawling, stairs
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what population do you think about night splints for
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children with spaticity
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T/F: can get gastroc lengthening with AFO
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false, because needs to go above the knee to but into stretch
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