Prosthetics & Orthotics Final Exam with accurate detailed || || || || || || || ||
solutions
What is the purpose of orthoses for the pediatric population?
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-protect
-preventative
-enhancement of child's UE function and skill development
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Pediatric orthoses for protection goals
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keep child safe and prevent undesired behaviors
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Pediatric orthoses for function goal
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-enable existing function to continue
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-improve existing function || ||
-substitute for weak or absent muscles || || || || ||
-augment benefits of therapy || || ||
Pediatric orthoses for positioning goals
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-mobilize jts ||
-reduce contractures
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-provide stability ||
-rest the extremity
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-provide proper alignment
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Pediatric orthoses for hygiene goals
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improve or prevent hygiene problems
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What are the overall goals of pediatric orthoses ?
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-protect during healing
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-support UE ||
-position for improved function
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-assist weaker muscle groups for function
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-facilitate or maintain tissue length and jt alignment
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Main differences in splinting for pediatric client vs. adult
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-different proportions btwn palms and length of digits in growing ped. hand
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-children are growing so the orthotic must be adjusted
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-parents or teachers need to be competent in donning/doffing
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-foundational movement patterns set in first 2-3 yrs of life and orthotics can assist in this
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development
-child might be fearful during fabrication
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-compliance may be difficult if child can remove the orthotic
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-therapist must be cognizant of fine motor skills and how orthotic will impact hand
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development
-cognizant of if the orthotic blocks sensory exploration during play
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General pediatric orthoses precautions
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similar to adults || ||
-check for areas of pressure
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-skin integrity: redness or laceration
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-parent cognitively intact to manage child's orthotic
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-child's skin may be sensitive to heat of LTTM so use a sleeve and allow material to cool to a
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tolerable temp.
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What is included in an eval for a pediatric orthosis?
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-watch the child interact with their environment
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-interview the child and parent/caregiver || || || ||
-identify child's needs || ||
-create list of abilities and deficits
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-be knowledgeable on developmental milestones
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What is hypoplastic thumb?
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-common ped dx. || ||
-thumb has some degree of deficiency in its anatomical parts making it non functional
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Interventions for hypoplastic thumb || || ||