module 10 recap

Question 1

Age makes a difference: In an Individualized Family Service Plan (IFSP), devices such as the Tumble Forms corner chair may be appropriately used by the team. Later, a Pediatric Tilt wheelchair or Rifton adaptive tricycle may be indicated

Answer 1

true

Question 2

Case Example: Level II Cerebral Palsy
Meet Lily, Age 7

Diagnosis:Spastic diplegic cerebral palsy (GMFCS Level II)

Abilities:Walks short distances independently but tires easily

Challenge:Fatigue limits participation in a full school day and recess activities

Intervention:Ground Reaction Ankle-Foot Orthosis (GRAFO)
With his GRAFO:
Improved alignment and knee extension
Reduced effort during walking
Able to walk independently through the school day
Greater independence and participation

Assistive technologyis not only about mobility—it’s aboutaccess, participation, and potential.
Therapists play a crucial rolein identifying and matching technology to the child’s functional goals

Answer 2

Spastic diplegic cerebral palsy (SDCP) is a type of cerebral palsy that primarily affects the lower limbs (legs). It is characterized by muscle stiffness (spasticity) and tightness in the legs, making it difficult to walk and maintain balance

Question 3

Clinical reasoning: growth, size/weight (e.g., outgrowing stander, >40-50 lbs → ____ _____).
Re-evaluate frequently.
Consider family and environment factors.

Answer 3

lift system

Question 4

Identify patient info, diagnosis, and functional deficits.

Justify need: safety, developmental benefit, caregiver burden.

Include why current equipment is not adequate.

Explain that you have trialed the equipment (or something very similar) and have had success.

List each specific accessory needed for the AT and provide rationalization (i.e. specific seat cushion for a wheelchair or rationale for certain size of wheels on walker).

Answer 4

Letter of Medical Necessity

Question 5

Positioning Equipment
Examples: Side-lyers, corner chairs, wedges, adaptive seating.

goals?

Answer 5

Goals: Maintain alignment, posture, participation in feeding or play.
Consider growth and environmental setup (home, daycare, classroom).

Question 6

Standers

Answer 6

Types: Prone, Supine, Sit-to-Stand, Mobile.
Benefits: Weight-bearing, bone density, hip integrity, social interaction.
Typical use: 45–60 minutes daily.

Question 7

Standers
Types: Prone, Supine, Sit-to-Stand, Mobile.
Benefits: Weight-bearing, bone density, hip integrity, social interaction.
Typical use: _____ minutes daily.

Answer 7

45-60 minutes daily

Question 8

Mobility Aids

Pre-ambulatory:
Upright Support for Ambulation:
Recreational:

Answer 8

Pre-ambulatory: Scooter boards, crawling devices.

Upright Support for Ambulation: Walkers (anterior or posterior), Gait trainers

Recreational: Tricycles, modified bicycles, battery ride-ons

Question 9

Wheelchairs
Manual:
Power assist:
Powered:

Emphasize proper seating, alignment, and accessibility.

Answer 9

Manual: lightweight transportation, standard, tilt-in-space, sports specific

Power assist: hybrid for endurance limitations.

Powered: joystick or switch control for independent mobility.

Emphasize proper seating, alignment, and accessibility.

Question 10

Definition of Childhood Obesity

ACSM Defines as: ‘Percent fat at which disease risk increases.’
CDC: BMI ≥ _____ percentile for age and sex.
BMI does not distinguish fat vs. lean mass — interpret carefully.

Use CDC growth charts for accurate percentile comparisons.

Answer 10

95th

Question 11

Physical Activity Guidelines for Children

Answer 11

≥60 min/day of moderate-to-vigorous activity.

Moderate = 5–6 exertion
Vigorous = 7–8 exertion.

Include aerobic, muscle-strengthening, and bone-loading exercise 3+ days per week.
Activity planning for accessibility and inclusion.

Question 12

Health Consequences of Childhood Obesity

Answer 12

Physical: High BP, type 2 diabetes insulin resistance, etc.

Respiratory: Sleep apnea, asthma.

MSK issues: Joint pain, gait
dysfunction, reduced endurance.

Psychosocial: Low self-esteem, depression, social isolation.

Question 13

Motivating Children and Families

Answer 13

Encourage fun, inclusive fitness participation.
Start with manageable intensity; focus on regularity.
Use positive reinforcement — progress over performance.
Discourage peer comparison and emphasize intrinsic enjoyment.
PT role: Family education, role modeling, and collaboration with caregivers/educators

Question 14

Integrating Pediatric PT Approaches

Answer 14

Family-centered, developmentally appropriate engagement.
Promote sustainable habits instead of weight-centric goals.
Connect movement to play and community participation.
Encourage goal-setting and tracking for both child and family units.

Question 15

salter harris 1

Answer 15

Transverse fracture through the growth plate.

Question 16

salter harris 2

Answer 16

Transverse fracture through the growth plate and an oblique or vertical fracture through the metaphysis.

Question 17

salter harris 3

Answer 17

Transverse fracture through the growth plate and a vertical fracture through the epiphysis.

Question 18

salter harris 4

Answer 18

Vertical fracture through all three components, metaphysis, physis and epiphysis.

Question 19

salter harris 5

Answer 19

Compression fracture or crushing of the growth plate.