4c- 6a For Exam 2 Flashcards
(94 cards)
1
Q
A series of losing and regaining balance resulting in forward motion
A
Normal gait
2
Q
In stance phase, how much foot is on the ground?
A
60%
3
Q
How much % is swing?
A
40%
4
Q
What does the hip do in stance phase?
A
Flexion to extension
5
Q
What does the knee do in stance phase?
A
Knee extension; maybe 5 deg flex at IC
6
Q
What does anke do in stance phase?
A
Ankle DF to PF (includes pre swing)
7
Q
Average cycle time of IC to IC
A
1.04 sec
8
Q
Normal velocity
A
1.2-1.5 m/s
9
Q
Normal cadence
A
100-120 steps/min
10
Q
Stride length =?
A
1.5 x leg length
11
Q
What happens in peds for single limb stance, staph length, velocity and cadence
A
They all increase except cadence which decreases
12
Q
What BOS for gait post CVA?
A
Narrow
13
Q
Steph length for gait post CVA?
A
Decreased on non-affected limb
14
Q
What happens to hip at MSt for gait post CVA?
A
Decreased hip extension
15
Q
For ambulation for gait post CVA, everything ?
A
Decreases
16
Q
Double support time post CVA ?
A
Increases
17
Q
On which leg is stride length decreased?
A
Unaffected limb
18
Q
What happens to the UE as a result of weight shift the uninvolved side?
A
Involved side gets stiff
19
Q
Define CP
A
It’s a group of permanent disorders of mvmt and posture, causing activity limitsbuted to NONPROGRESSIVE disturbances that happen in FETAL or INFANT brain
20
Q
Brain lesion is
A
Static
21
Q
MSK impairment is
A
Progressive
22
Q
4 types of progressive MSK impairments
A
Muscle/tendon contracture
Bony torsion
Hip displacement
Spinal deformity
23
Q
Spasticity
Reduced postural control
Reduced selective voluntary motor control
Impaired sensory processing
A
Primary impairments of CP
24
Q
Muscle or tendon contractures
Skeletal deformities
Decreased strength
Limited endurance
A
Secondary impairments of CP
25
CP is more common in?
Boys
26
Less than how many pounds and born when is most risk factor for CP?
Less than 3.3 pounds
| Born at 28-31 weeks
27
A lot of 8 year olds with CP walk ?
Independently
28
Slow, rotational mvmt of head and torso
Dystonia
29
Sluggish, writhing mvmts mainly in fingers and face
Athetoid
30
Loss of balance and coordination
Ataxia
31
Tense, most common type of CP
Spastic
32
Abnormal mvmt patterns
Dyskinetic
33
Uses no assistive devices (such
as crutches)
Can walk indoors and outdoors and climb stairs no limits.
Can perform usual activities
such as running and jumping
Has decreased speed, balance and coordination
Level 1 GMFCS
34
Level 1 GMFCS
Walks without limitations
35
Level 2 GMFCS
Walks with limits
36
Is limited in outdoor activities
Has the ability to walk indoors and outdoors and climb stairs with a railing
Has difficulty with uneven surfaces, inclines or in crowds.
Has minimal ability to run or jump.
Level 2 GMFCS
37
Difference between L1 and L2
L2 needs railing and cant run and jump as well
38
Level 3 GMFCS
Walks using hand held mobility device
39
```
Walks with assistive mobility
devices indoors and outdoors on level surfaces
May be able to climb stairs
using a railing
May propel a manual
wheelchair (with assistance
needed for long distances or
uneven surfaces)
Ages 12-18 –may self-propel a
manual wheelchair (indoors) oruse powered mobility (esp.
community and outdoors)
```
GMFCS level 3
40
Level 4 GMFCS
Limited self mobility; may use powered device
41
Self-mobility severely limited even with assistive devices
| Uses wheelchairs most of the time and may propel their own power wheelchair
Level 4 GMFCS
42
Level 5 GMFCS
Transported in a manual wheelchair
43
Has physical impairments that
restrict voluntary control of movement and the ability to
maintain head and neck
position against gravity
Is impaired in all areas of motor
function.
Cannot sit or stand on their own even with equipment.
Cannot do independent
mobility, though may be able touse a power chair
Level 5 GMFCS
44
Macs is for what ages?
4-18
45
What is MACS?
Depicts how children with CP utilize their hands daily
46
Handles objects easily and successfully
Macs level 1
47
Handles most objects but with somewhat reduced quality and/or speed
Level 2 Macs
48
Handles objects with difficulty; needs help to prepare and/or modify activities
Level 3 Macs
49
Handles a limited selection of easily managed objects in adapted situations
Macs level 4
50
Doe snot handle objects and has severely limited ability to perform simple actions
Level 5 macs
51
CFCS does what?
Depicts communication abilities of kids with CP
52
Effective s and r with unfamiliar and familiar partners
CFCS 1
53
Effective but slower paced s/r with unfamiliar/familiar partners
CFCS 2
54
Effective s and r with familiar partners
CFCS 3
55
Inconsistent s/r with familiar partners
Level 4 CFCS
56
Seldom an effective s/r even with familiar partners
Level 5 CFCS
57
Are cognitive deficits inherent with CP
NO
58
Most associated impairment with CP?
Impaired vision
59
How do you assess strength in 3-5 year olds
Functional context
60
Strength for 6-21 years with CP?
MMT or hand held dynamometry; observe functional mvmts
61
How do kids with spastic CP stand?
Up on toes, knee ext, hip ADD and IR, anterior tilt pelvis
62
Crouched posture for CP?
Ankle DF, knee flex, hips ADD, flex and IR
63
Obliquity
Leg length inequality
64
Posterior pelvic tilt ?
Limited hamstring ROM
65
Anterior pelvic tilt ?
Hip flexor tightness
66
Foot and ankle for CP, they have decreased ?
DF ROM due to short gastroc
67
Equinovalgus is ?
Flat foot
68
Tardieus R1 and R2
```
R1 = point of first catch
R2 = passive length
```
69
GMFM is used for what two types of diseases?
CP and DOwn Syndrome
70
GMFM is appropriate for who?
Kids who’s motor skills are at or below the level of 5 year old child
71
5 GMFM dimensions
```
Lying/rolling
Sitting
Crawling/kneeling
Standing
Walking/running/jumping
```
72
How should GMFM be administered in terms of an orthoses?
Do it first without shoes/orthoses. Or equipment
73
Scoring for GMFM
```
0 = does not initiate
1 = initiates
2 = partially completes
3 = completes
```
74
GMFM- whats a position that promotes full lengthening of muscles?
Prone lying
75
What type of stretching is better to prevent secondary impairments in GMFM?
Low load, prolonged stretching
76
Sensory nerve rootlets from the lower extremities are cut selectively to create
a balance between eliminating spasticity and preserving function
Selective dorsal rhizotomy
77
Post op selective dorsal rhizotomy need PT to work on ?
Increasing strength
78
Passive stretching for GMFM is NOT effective to?
Increase ROM, reduce spasticity or improve walking
79
Does strengthening increase spasticity for CP kids?
NO
80
What iso is more effective for CP?
Isotonic is better than isokinetic
81
Movement is centered around what 3 things?
Task
Environment
Individual
82
Controlling center of mass (COM)over thebase of support (BOS)
Stability
83
Ability to maintain appropriate relationships between body segments and between the body and the environment
Postural orientation
84
Dual purposes of posture
Stability and postural orientation
85
Crouched posture in CP, hip flex
More than 45 degrees
86
Crouched posture in CP, knee flex
More than 30 degrees
87
a functional coupling of groups of muscles constraining them so thatthey act as a unit.
Synergy
88
Position and movement of head in relationship to surrounding objects
Visual perception system during quiet stance
89
Position and movement of head in relationship to gravity and inertial forces
Vestibular perceptual system during quiet stance
90
Position of body in relationship to supporting surfaces
Somatosensory perceptual system during quiet stance
91
Anticipatory control problems: Postural synergies in advance of volitionalmovement not seen or reduced in:
Stroke, CP, TBI, Down Syndrome Parkinson’s, cerebellar disorders
92
* Slower or faster movements
| * Goal of the task
Task demands
93
Adding a load
| Height of surface
Environment demands
94
Age and fatigue are what demands?
Individual constraints
