Spina Bifida P3

Question 1

discuss spina bifida in 1st half yr of life

Answer 1

close to normal unless may hydrocephalus and severe mental deficits

Question 2

discuss spina bifida in 2nd half yr 1 of life

Answer 2

obvious gross motor delays

sitting, rolling are delayed until 6 mo.

Question 3

discuss rolling in spina bifida

Answer 3

thoracic lesion - 18 mo. c compensations

mid lumbar or sacral - can crawl and roll

Question 4

discuss sitting in spina bifida

Answer 4

T12 - delayed d/t no hip and trunk control; use UE

L1-2: delayed since weak hip felx and add; use UE

L3: some delay c inc lordosis

L4-5: sits normally

sacral: sits normally

Question 5

discuss ambulation in spina bifida

Answer 5

thoracic: AD at 12-18 mo. using drag to or swing through

lower thoracic and lumbar: reciprocal gait orthosis after 3 yo

L3 spared: KAFO or AFO c AD; household to limited community amb

L4-5: pull to stand and cruise at exepcted age; AFO and walks at 2 yo c trendelnburg lurch

sacral: community amb

Question 6

pre requisite for crutch walking

Answer 6

mental age of 2-3 yo

Question 7

low thoracic and upper lumbar can crutch walk by ____

Answer 7

4-5 yo

Question 8

when can w/c training begin

Answer 8

2 yo tas pwede electric muna

Question 9

RSO is for _____

Answer 9

T6 or lower

Question 10

hip guidance orthosis is for ____

Answer 10

T11-L3 from 6-15 yo

Question 11

ICP criteria

Answer 11

residual volume of > 20 cc

2 yo

every 6 hrs na yun

Question 12

self independent catheterization is when ___

Answer 12

5-6 yo easier sa boys