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Lower Extremity III > Week 4-Pediatrics > Flashcards

Week 4-Pediatrics Flashcards

(88 cards)

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1
Q

What is an example of habilitation?

A

congenital deficiency or really young amputees.

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2
Q

What is an example of rehabilitation?

A

acquired amputations

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3
Q

What are the three different development indicators?

A

motor skills and milestones
physical growth
psychosocial

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4
Q

Who are the training goals for?

A

parents and patients

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5
Q

What are the two different classifications for amputations?

A

transverse

longitudinal

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6
Q

What is a transverse classification?

A

nothing exists below a certain point

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7
Q

What is a longitudinal classification?

A

reduction or absence of aspects in the longitudinal axis

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8
Q

What is phocomelia?

A

Distal segments are attached to the torso

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9
Q

What is amelia?

A

complete absence of the limb

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10
Q

What is hemimelia?

A

partial absence of the limb

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11
Q

What is the percent of congential pediatric patients?

A

73%

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12
Q

What is the percent of malignancy in pediatric patients?

A

9%

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13
Q

What is the percent of trauma causing pediatric amputation?

A

8%

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14
Q

What is the percent of bone infection in pediatric patients?

A

4%

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15
Q

What is the percent of other pathologies causing amputations in pediatric patients?

A

6%

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16
Q

What is the percent of 1,000 live births in the U.S have amputations?

A

.3-1%

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17
Q

How many children are affected with amputations each year?

A

15,000-45,000

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18
Q

What percent of children have upper limb deficiencies?

A

58.5%

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19
Q

What is the definition of milestone?

A

Predictable sequence of motor skill development, marking the achievement of important functional abilities.

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20
Q

What could be a reason for not reaching a milestone?

A

May have altered milestone that looks different and so is preceived as not reaching the milestone

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21
Q

What must be planned for in the prosthetic design?

A

Comfort
Symmetrical limb length
Use pelite liner-easy to mold and add to

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22
Q

What is the age range for infants?

A

0-12 months

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23
Q

What is being increased during infancy?

A 
function
strength
gross motion
coordination
interest
ROM
Patterns
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24
Q

How often should a preschooler be schedules?

A

At least every year, usually every few months

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25
How often should grade school patients be scheduled?
every 12-18 months
26
How often should high school students be scheduled?
18-24 months
27
What are some fit issues?
slipping in and out of socket pistoning pain skin reddening flesh rolls around prox/med side of socket callous/blister flesh rolls around prox brim for femorals
28
What is an optimal psychosocial environment?
whole-some environment and interactive experience | treating family and patient together
29
What is important psychosocially for infant patients?
early referral so family is shown possibilities to provide hope and less despair
30
What is the age range for toddlers?
1-3 years
31
What is developing for toddlers?
``` language playing with others mobility emotional development spatial awareness ```
32
What will help toddlers develop?
Doll play
33
What is important for school-aged children psychosocially?
``` don't inhibit make them try encourage creativity social connections thick skin and better body image ```
34
What is important for older age children psychosocially?
peer groups counseling social adjustment acceptance of themselves
35
What can occur for patients who acquire an amputation during high school?
depression | time of mourning for their limb
36
What are the training goals for infant patients?
Comfort Tolerance Ability to stand and lean against a table Ability to cruise around furniture Ability to walk with and without assistance
37
What are the training goals for infant parents?
Be able to apply and remove device Care for the skin Care for the prosthesis Recognize and report any problems
38
What are the training goals for toddler patients?
Full-time wear of the device, except for bathing and sleep | Use of the device for age appropriate ambulation activities
39
What are the training goals for toddler parents?
Encourage use of the device Provide toys and an environment to stimulate and foster age appropriate behavior and activities Inspect and care for skin and report problems
40
What are the training goals for school age patients?
Monitoring and maintaining proper fit Inspect and care for skin Donning and doffing the deviceindependently Dressing independently Engaging in the full range of ambulation activities with the device Recognizing when the device needs maintenance and repairs
41
What are the training goals for school age parents?
Encourage independence | Provide opportunities to participate in sports
42
What are the options for a first TT prosthesis?
SACH, thigh corset, silicon socket, COMFORT
43
What are the options for a first TF prosthesis?
Locked knee, SACH, waist belt, COMFORT
44
What are some other devices that can be used for a pediatric prosthesis?
Dynamic response feet, liners, polycentric knees
45
In the Uterus, what is the shape of the spine?
C-shaped
46
What strengthens the spine?
The Steps of development
47
What needs to be strengthened to help establish balance for sitting?
core muscles and neck muscles
48
What does crawling help develop?
vestibular system
49
What are the levels of foot deficiencies?
Toe and Longitudinal Partial Ray Transmetatarsal Lisfranc Chopart
50
What is present for a chopart amputation?
talas and calcaneous
51
What are the prosthetic options for foot deficiencies?
toe fillers soft silicone boots carbon foot plates and posterior shells can assist ambulation
52
What can foot deficiencies result in?
hypermobility of the ankle joint
53
What are the different fibular deficiency classification systems?
Achterman & Kalamchi Classifications-bowing of the tibia and the % of fibula left Letts Classification-comparing to sound side Birch Classification-% of foot function remaining
54
What is required to see seriousness of deformity?
X-ray
55
What are treatment options for fibular deficiencies?
shoe lift equinus device with prosthetic foot leg lengthening procedures (epiphoseal-less than 5cm, Ilizerob procedure-5-10cm)
56
When can lengthening surgery be performed?
At the ages of 3-13 years
57
When should foot amputations occur for fibular deficiencies?
When the foot is not useful or the ankle is unstable.
58
What are the different options for foot stability?
Boyd-fuse ankle | Symes-remove foot
59
What are the prosthetic options for fibular deficiencies?
Symes Step-in prosthesis standard prosthesis
60
What are the different classification for tibial deficiencies?
Jones Classification-use X-rays and the outcome that is greatest effective, the ability of knee joint, extension power, leg length, extent of foot present Kalamchi & Dawe-Same as Jones but with knee flexion contracture present, and foot deformity
61
The goal in mind for treatment options for tibial deficiencies is?
functional optimization of the limb
62
When will a knee disarticulation be performed for tibial deficiency patients?
When there is no extensor power
63
When will a symes procedure be performed for a tibia deficiency patient?
When the proximal tibial is present with good quad function
64
When will they try and keep the ankle for tibia deficiency patients?
When the proximal tibia and distal tibia are present and foot and ankle are able to function.
65
What does PFFD stand for?
Proximal Focal Femoral Disorder
66
What can also be used for PFFD?
Longitudinal Deficiency of the Femur, Partial (LDFP)
67
What is PFFD/LDFP?
The complex congenital absence of part or all of the femur that is associated with other limb soft tissue and osseous abnormlaities
68
What are the classifications of femoral deficiency?
Aitken Classification-femor development | Fixsen & Lloyd-Roberts-X-rays and friction of femur, location of femur shaft, and nature of acetabulum.
69
What is the clinical presentation of fibular deficiencies?
Shortened lower limb Thick, funnel shaped thigh Common: Fibular deficiency Common: Foot deformity
70
What is the common position of femoral deficiencies?
Flexed Abducted Externally rotated
71
What other issues can be present for femoral deficiency patients?
spine heart upper limb deformities contractures
72
What are the treatment options for femoral deficiencies?
``` Shoe lift, stabilize ankle Fuse knee Rotationplasty-fuse knee to hip with foot backwards ankle disarticulation limb reconstruction ```
73
What is required for limb reconstruction?
muscle strength stable knee functional foot
74
What are the prosthetic options available?
disartiuclated foot transtibial with side joint and thigh lacer transfemoral prosthesis
75
What often occurs with pediatric device treatment
A combination of orthotic and prosthetic devices
76
What is the device recommendation for Partial Foot?
plastic AFO with padded toe
77
What is the device recommendation for Fibular Deficiency
PTB or TSB design with | protective padding
78
What is the device recommendation forTibial Deficiency?
Knee disarticulation/Transfemoral, symes with/out SJTL, Transtibial with/out SJTL
79
What must be considered for component selelction?
weight growth activity
80
What is the 3R38 Aluminum?
Modular Single Axis Knee Joint 3R38 from Otto Bock Lightweight aluminum single axis, pediatric knee with proximal adjustment pyramid and distal tube clamp.
81
What is the 3R65 Aluminum?
Hydraulic swing phase control, Integrated terminal dampening, Dynamic adaptation to various walking speeds, Adjustable
82
What is the 3R66 Aluminum?
Modular Knee Joint with Integrated Rotation 3R66 from Otto Bock. Integrated rotation unit allows the prosthetic foot to be rotated up to 90°, Large flexion angle of 165°, Allows users to kneel and crouch with ease, Adjustable
83
What is the 1E66 | Children’s Springlite® II?
crafted of carbon fiber that offers good energy return. Its pylon design provides additional flexibility that is well-suited to a child’s activity level.
84
What is the 1E79 Children’s SL Profile of Otto Bock.?
A lightweight carbon foot with extremely low clearance, ideal for Symes amputees.
85
What is the 1K10?
A durable, dynamic foot with a natural shape, smooth surface, and formed toes. The contoured core design and the use of foams deliver a softer heel strike.
86
What is the 1K30 | Children’s SACH Foot?
A robust prosthesis foot adapted for the special needs of young prosthesis wearers. It has a natural shape, smooth surface, and formed toes.
87
What is the 1S30 Children’s SACH Foot of Otto Bock?
Is constructed in two sections and is especially suitable for younger children who require a stable foot. The sole of the SACH foot is replaceable
88
What are 8 other pediatric components?
``` Cheetah Junior Cheetah Xplore junior Flex-foot junior vari-flex junior total knee junior Iceross Dermo junior Iceross stabilo Junior icelock 700 series ```

Lower Extremity III (9 decks)

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