ORTHOTIC MANAGEMENT OF THE PEDIATRIC POPULATION
QUESTIONS AND ANSWERS ELABORATIONS!!
pediatric considerations
Answers:diagnosis
- congenital vs acquired
age
- normal development
growth
cognitive status
family support
hip joint
Answers:angle of inclination and the angle of anteversion determine the
biomechanical stability of the hip joint
when do most non traumatic hip joint dysfunctions occur?
Answers:in childhood or in late adult life
most non traumatic hip joint dysfunctions are related to the following factors:
Answers:1. problems w development of the acetabulum and head of femur in
infancy
,2. avascular necrosis of the femoral head associated w inadequate blood supply
3. loss of cartilage and abnormal bone deposition associated w OA
4. loss of bone strength and bone density
development dysplasia of the hip includes
Answers:dysplasia, sublux, and dislocation
- sublux is most common
is associated with breech position
T/F Normal development of the hip joint in the first year of life is a function of the
stresses and strains placed on the femoral head and acetabulum during movement
Answers:T
the goal of orthotic management is to achieve...
Answers:optimal position of the femoral head within the acetabulum, while
permitting movement (kicking for the infant) to facilitate the shaping of the joint
3 components of the palvik harness
Answers:1. A shoulder and chest harness that provides an anchor proximally
, 2. A pair of booties and stirrups for attachment distally
3. Anterior and posterior leg straps between the chest harness and booties
in a correctly fitting orthosis, the hips are positioned at...
Answers:100 to 120 degrees of hip flexion and 30 to 40 degrees of hip abduction
initially the palvik harness is worn how often?
Answers:nearly 24 hours a day
after 3 months depending on results of xray the brace wearing schedule can be
reduced to naps and sleep
T/F the palvik harness can be worn for up to 1 year of age
Answers:F, the harness is honestly not that effective after 6 months bc the baby is
more active
the device used after that time would be a hip abduction orthosis
hip abduction orthosis
Answers:consists of a plastic frame w a waist and thigh cuff
QUESTIONS AND ANSWERS ELABORATIONS!!
pediatric considerations
Answers:diagnosis
- congenital vs acquired
age
- normal development
growth
cognitive status
family support
hip joint
Answers:angle of inclination and the angle of anteversion determine the
biomechanical stability of the hip joint
when do most non traumatic hip joint dysfunctions occur?
Answers:in childhood or in late adult life
most non traumatic hip joint dysfunctions are related to the following factors:
Answers:1. problems w development of the acetabulum and head of femur in
infancy
,2. avascular necrosis of the femoral head associated w inadequate blood supply
3. loss of cartilage and abnormal bone deposition associated w OA
4. loss of bone strength and bone density
development dysplasia of the hip includes
Answers:dysplasia, sublux, and dislocation
- sublux is most common
is associated with breech position
T/F Normal development of the hip joint in the first year of life is a function of the
stresses and strains placed on the femoral head and acetabulum during movement
Answers:T
the goal of orthotic management is to achieve...
Answers:optimal position of the femoral head within the acetabulum, while
permitting movement (kicking for the infant) to facilitate the shaping of the joint
3 components of the palvik harness
Answers:1. A shoulder and chest harness that provides an anchor proximally
, 2. A pair of booties and stirrups for attachment distally
3. Anterior and posterior leg straps between the chest harness and booties
in a correctly fitting orthosis, the hips are positioned at...
Answers:100 to 120 degrees of hip flexion and 30 to 40 degrees of hip abduction
initially the palvik harness is worn how often?
Answers:nearly 24 hours a day
after 3 months depending on results of xray the brace wearing schedule can be
reduced to naps and sleep
T/F the palvik harness can be worn for up to 1 year of age
Answers:F, the harness is honestly not that effective after 6 months bc the baby is
more active
the device used after that time would be a hip abduction orthosis
hip abduction orthosis
Answers:consists of a plastic frame w a waist and thigh cuff
