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Prosthetics & Orthotics Final Questions and Answers Rated A+
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Prosthetics & Orthotics Final
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Prosthetics & Orthotics FinalWhat is the purpose of orthoses for the pediatric population? - answer-protect
-preventative
-enhancement of child's UE function and skill development
Pediatric orthoses for protection goals - answer keep child safe and prevent undesired
behaviors
Pediatric orthoses for function goal - answer-enable existing function to continue
-improve existing function
-substitute for weak or absent muscles
-augment benefits of therapy
Pediatric orthoses for positioning goals - answer-mobilize jts
-reduce contractures
-provide stability
-rest the extremity
-provide proper alignment
Pediatric orthoses for hygiene goals - answerimprove or prevent hygiene problems
What are the overall goals of pediatric orthoses ? - answer-protect during healing
-support UE
-position for improved function
-assist weaker muscle groups for function
-facilitate or maintain tissue length and jt alignment
Main differences in splinting for pediatric client vs. adult - answer-different proportions
btwn palms and length of digits in growing ped. hand
-children are growing so the orthotic must be adjusted
-parents or teachers need to be competent in donning/doffing
-foundational movement patterns set in first 2-3 yrs of life and orthotics can assist in this
development
-child might be fearful during fabrication
-compliance may be difficult if child can remove the orthotic
-therapist must be cognizant of fine motor skills and how orthotic will impact hand
development
-cognizant of if the orthotic blocks sensory exploration during play
General pediatric orthoses precautions - answersimilar to adults
-check for areas of pressure
, -skin integrity: redness or laceration
-parent cognitively intact to manage child's orthotic
-child's skin may be sensitive to heat of LTTM so use a sleeve and allow material to cool
to a tolerable temp.
What is included in an eval for a pediatric orthosis? - answer-watch the child interact
with their environment
-interview the child and parent/caregiver
-identify child's needs
-create list of abilities and deficits
-be knowledgeable on developmental milestones
What is hypoplastic thumb? - answer-common ped dx.
-thumb has some degree of deficiency in its anatomical parts making it non functional
Interventions for hypoplastic thumb - answercorrection of CMC, MP, and/or IP jts
through orthotic that maintains the webspace and holds thumb in a functional position
What is pediatric trigger finger? - answermismatch of size of the cross sectional area of
the FDP tendon compared to the A-1 pulley
Interventions for pediatric trigger finger - answer-stretching and exercise of the FPL
tendon
-orthotic to hyperextend the MP jt for 6-12 weeks worn for 24/7 (only removed for
cleaning)
What is syndactyly - answer-common ped. dx
-webbing of digits
-can include bone, skin, or just skin
-treated with sx prior to learning prehensile patterns
Interventions for syndactyly - answer-resting hand orthotic to clam shell the hand
-use of compression glove beneficial to control scarring
-glove should be worn 23/24 for 1 year and include scar management
What is camptodactyly? - answer-common ped dx
-flexor contracture of PIP jt, typically the LF
Interventions for camptodatyly - answer-non sx with PIP extension orthotic
-can include a static progressive approach
-including the forearm keeps the orthotic stable on the child
-wearing times vary
-sx is used only is there are skeletal changes that interfere with function
What is clasped thumb? - answer-common ped dx
-classification of thumb abnormalities
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