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Quiz 6 - PT exam in children/Joiint play
Terms in this set (17)
What are the respective achievement in amount of months for the following:
- Sitting without support?
- Creep on hands/knees?
- Stand alone?
- Walk alone?
- 9 months
- 14 months
- 17 months
- 18 months
What are typical themes for children 4-16 years old?
- Hip EXT (running/climbing)
- Hip LAT ROT (slight positive foot progression angle)
- Hamstring length (decreases in adolescence)
- Ankle dorsiflexion (lose dorsiflexion)
What are the themes from the reference data in INFANTS for limitations/excessive motions?
- Hip EXT
- Knee EXT
- Ankle Dorsiflexion
- Lateral Hip ROT
How do you examine children who are age 4 yo.?
- can perform adult like PT exam using reference values
- children have less hip EXT, greater hamstring length and greater dorsiflexion than adults
How do you examine young children/toddlers who cannot follow verbal instructions?
- need to have modified exam guided by movement analysis
- goniometry and flexibility measures can be performed using reference data
What is unique about examining infants?
How does the PT go about examining infants?
Heavily modified exam
Places them in different positions of supine/prone/supported sitting/horizontal suspension/supported standing
What is the definition of joint play?
Passive translatory gliding and distraction mobility that is charteristic of all diarthrodial joints
What are joint kinematics?
Motion of the body without regard to forces or torques that may produce motion
What is joint play used to assess?
Arthrokinematics or accessory motion prior to beginning treatment with JOINT MOBILIZATION
Cannot be performed ACTIVELY by patient
What are the indications for performing Joint Mobilization?
- Muscle Guarding
- Joint hypomobility
What are the contraindications for performing joint mobilization?
- unstable fracture or dislocation
- ligament tear (avoid stress to ligament)
- Malignant tumor/cancer
bone disease (
- Active septic or infectious arthritis
What are reactive precautions of joint mobilization?
Total joint replacement
Newly formed/weakened connective tissue
Systemic connective tissue diseases
Previous malignant disease
Patient taking anticoagulant or blood thinners
What is a GRADE 1 for oscillation technique in joint mobilization?
Small amplitude movement at beginning of the available joint play
What is a GRADE 2 for oscillation technique in joint mobilization?
Large amplitude movement within the available joint play BUT NOT REACHING LIMIT
What is a GRADE 3 for oscillation technique in joint mobilization?
Large amplitude movement UP TO LIMIT of the available joint play
What is a GRADE 4 for oscillation technique in joint mobilization?
Small amplitude movement up to and slightly BEYOND THE LIMIT of available joint play
What is a GRADE 5 oscillation technique in joint mobilization?
Small amplitude, high velocity thrust beyond the limit of available joint play
This set is often in folders with...
Quiz 1 - History taking/Documenting/HOAC/Scanning…
Quiz 2 - Posture Assessment/Biomechanics
Quiz 3 - Goniometry
Quiz 4 - Manual Muscle Testing
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