Test Bank - CURRENT Diagnosis and Treatment Pediatrics,
24th Edition (Levin, 9781259862908), Chapter 1-46 | Rationals
Included
What is the definition of physical therapist - ANSWER: Movement experts who help people impacted
by disease, injury and disability in order to prevent movement loss and promote wellness
What are some common pediatric diagnosis that are often seen into adulthood - ANSWER: Spina
bifida
Cp
Muscular dystrophy
Autism
Aquired tbi
Charcot marie tooth
Down syndrome
What are some commonalities among diagnoses across the lifespan - ANSWER: People may have
compensatory patterns to achieve mobilty/gait
Overuse of joint/muscle
Changes in stature (weight loss or gain, bone mineral density, activity level, independence)
Progression of posture and positioning
Equipment needs
Community resources
Community participation and engagement
_______ of joints can change as the body changes - ANSWER: Malalignment
Changes occur as a pediatric patient becomes an - ANSWER: Adults
What changes might a person with disability see as they age - ANSWER: Adaptive equipment may
change
They might adapt atypical joint position
Creative home/equipment adaptations
Their previous use of spasticity and contractures for stability may develop into weakness
They may prefer to perform functional activities on the floor for safety
They may use momentum, alternate grips, joint positions and stronger muscle groups to move
There may be new compensatory strategies
As people age out of pediatrics their condition may what - ANSWER: Change and progressively get
worse or better
As the body changes people may need what - ANSWER: New ways to move or new equipment
Physical activity is highly recommended for all persons via what - ANSWER: ACSM guidelines for
promoting health and well being
What does the physical activity tracker say about adolescents and children with cp and other
neuromuscular impairments - ANSWER: They take fewer steps and spend less time active, more time
sedentary and doing low intensity activiites
People with cp and other neuromuscular impairments typically have what characteristics - ANSWER:
Lower energy expenditure, perceive self as less fit, greatest limitations perceived compared to those
without neuromuscular disease, typically the trends continue into adult hood
, Individual with developmental delays move _____ - ANSWER: Less
What is our role as a pt for patients with pediatric conditions - ANSWER: Evaluation/examination
Plan of care
Intervention
Education and resources
What systems review does a physical therapist need to do - ANSWER: Endocrine, msk-joint
replacement, neuropathhies, congestive heart failure, diabetes mellitus, metabolic syndrome, cardiac
abnormalities/structure and rhythm, communication, atlantoaxial instability
What may be more common as a patient ages - ANSWER: Co-morbidities
What are orthopedic considerations for patients as they age - ANSWER: Knee, hip, ankle and back
pain
Subluxations, contractures
Scoliosis
Tendonitis
Falls
Bone density
Who is at risk for hip dysplasia throughout their lifetime - ANSWER: Those with cp or spina bifida
Scoliosis can result in what as a person ages - ANSWER: Need for different positioning, contractures
and impaired trunk control
Scoliosis can be similar to the signs and symptoms of what (back pain/weakness, change in bowel and
bladder) - ANSWER: Tethered cord in those with spina bifida
What is the typical onset of of scoliosis and tethered cord in those with SB - ANSWER: 34-43 years (20-
55% are SB with gait changes, spasticity changes)
Vitamin d deficiency is common in what population and causes what - ANSWER: Common in spina
bifida patients and causes bone density issues
Bone density can be affected by what - ANSWER: Use of epilepsy meds, decreaced physical activity
What can low bone density lead to - ANSWER: Renal failure increase risk and risk for fractures
What are common orthopedic surgeries people will have as they age - ANSWER: Tendon releases
Joint repalcements
Scoliosis
Fractures
Amputations
These are common as a child but can be performed later in life - ANSWER: Tendon releases
These are needed when there are atypical gait patterns, compensation or aging - ANSWER: Joint
replacements
This may progress from or be a result of contractures, spasticity and impaired trunk control -
ANSWER: Scoliosis
This may be from falls or decreased bone mineral density - ANSWER: Fractures
This disease may result in amputations - ANSWER: Osteomyelitis
24th Edition (Levin, 9781259862908), Chapter 1-46 | Rationals
Included
What is the definition of physical therapist - ANSWER: Movement experts who help people impacted
by disease, injury and disability in order to prevent movement loss and promote wellness
What are some common pediatric diagnosis that are often seen into adulthood - ANSWER: Spina
bifida
Cp
Muscular dystrophy
Autism
Aquired tbi
Charcot marie tooth
Down syndrome
What are some commonalities among diagnoses across the lifespan - ANSWER: People may have
compensatory patterns to achieve mobilty/gait
Overuse of joint/muscle
Changes in stature (weight loss or gain, bone mineral density, activity level, independence)
Progression of posture and positioning
Equipment needs
Community resources
Community participation and engagement
_______ of joints can change as the body changes - ANSWER: Malalignment
Changes occur as a pediatric patient becomes an - ANSWER: Adults
What changes might a person with disability see as they age - ANSWER: Adaptive equipment may
change
They might adapt atypical joint position
Creative home/equipment adaptations
Their previous use of spasticity and contractures for stability may develop into weakness
They may prefer to perform functional activities on the floor for safety
They may use momentum, alternate grips, joint positions and stronger muscle groups to move
There may be new compensatory strategies
As people age out of pediatrics their condition may what - ANSWER: Change and progressively get
worse or better
As the body changes people may need what - ANSWER: New ways to move or new equipment
Physical activity is highly recommended for all persons via what - ANSWER: ACSM guidelines for
promoting health and well being
What does the physical activity tracker say about adolescents and children with cp and other
neuromuscular impairments - ANSWER: They take fewer steps and spend less time active, more time
sedentary and doing low intensity activiites
People with cp and other neuromuscular impairments typically have what characteristics - ANSWER:
Lower energy expenditure, perceive self as less fit, greatest limitations perceived compared to those
without neuromuscular disease, typically the trends continue into adult hood
, Individual with developmental delays move _____ - ANSWER: Less
What is our role as a pt for patients with pediatric conditions - ANSWER: Evaluation/examination
Plan of care
Intervention
Education and resources
What systems review does a physical therapist need to do - ANSWER: Endocrine, msk-joint
replacement, neuropathhies, congestive heart failure, diabetes mellitus, metabolic syndrome, cardiac
abnormalities/structure and rhythm, communication, atlantoaxial instability
What may be more common as a patient ages - ANSWER: Co-morbidities
What are orthopedic considerations for patients as they age - ANSWER: Knee, hip, ankle and back
pain
Subluxations, contractures
Scoliosis
Tendonitis
Falls
Bone density
Who is at risk for hip dysplasia throughout their lifetime - ANSWER: Those with cp or spina bifida
Scoliosis can result in what as a person ages - ANSWER: Need for different positioning, contractures
and impaired trunk control
Scoliosis can be similar to the signs and symptoms of what (back pain/weakness, change in bowel and
bladder) - ANSWER: Tethered cord in those with spina bifida
What is the typical onset of of scoliosis and tethered cord in those with SB - ANSWER: 34-43 years (20-
55% are SB with gait changes, spasticity changes)
Vitamin d deficiency is common in what population and causes what - ANSWER: Common in spina
bifida patients and causes bone density issues
Bone density can be affected by what - ANSWER: Use of epilepsy meds, decreaced physical activity
What can low bone density lead to - ANSWER: Renal failure increase risk and risk for fractures
What are common orthopedic surgeries people will have as they age - ANSWER: Tendon releases
Joint repalcements
Scoliosis
Fractures
Amputations
These are common as a child but can be performed later in life - ANSWER: Tendon releases
These are needed when there are atypical gait patterns, compensation or aging - ANSWER: Joint
replacements
This may progress from or be a result of contractures, spasticity and impaired trunk control -
ANSWER: Scoliosis
This may be from falls or decreased bone mineral density - ANSWER: Fractures
This disease may result in amputations - ANSWER: Osteomyelitis
