Pediatrics

Question 1

grasp patterns (6)

Answer 1

1. hook2. power3. lateral pinch4. spherical5. cylindrical6. disk

Question 2

Which grasp patterns do not require thumb opposition?

Answer 2

hook grasppower grasplateral pinch

Question 3

Which grasp patterns use thumb opposition?

Answer 3

tip and palmar pinches

Question 4

hook grasp (4)

Answer 4

1. transverse metacarpal arch is flat2. fingers adducted3. IP flexion4. MP flexion or extension*must be maintained to carry objects

Question 5

lateral pinch (3)

Answer 5

1. partial thumb adduction2. MP flexion3. slight IP flexion

Question 6

cylindrical grasp (3)

Answer 6

1. transverse arch is flattened (to allow the fingers to hold against the object)2. fingers are only slightly ABducted3. IP and MP joint flexion (graded according to size of the object)*when additional force is required, more palmar surface contacts the object

Question 7

spherical grasp (5)

Answer 7

1. significant wrist extension2. finger ABduction3. some degree of MP and IP flexion4. stability of longitudinal arch necessary for larger objects5. hypothenar eminence lifts to assist the cupping of the hand to control objects

Question 8

disk grasp (6)

Answer 8

1. finger ABduction (graded according to size of object)2. MP hyperextension3. IP flexion4. wrist flexion (more flexion when objects are larger and only pads of fingers contact object)5. thumb extension (increases with object size)6. transverse metacarpal arch flattened

Question 9

children who can benefit from splinting (4)

Answer 9

1. sustained abnormal posturing2. increased tone or markedly decreased tone3. limitations in movement of the hand4. limitations in functional skills

Question 10

Children with severe motor disability associated with CNS dysfunction may benefit from splinting to reduce ___ and improve ___ and ___ skills.

Answer 10

tonemobilityfunctional

Question 11

considerations in splinting children (5)

Answer 11

1. nonverbal children with sensory deficits2. night vs. day splinting3. static4. dynamic5. spasticity reduction splints

Question 12

syndactyly

Answer 12

joining of the fingerscongenital

Question 13

polydactyly

Answer 13

extra digits or duplication of digits

Question 14

radial clubhand

Answer 14

underdevelopment or absence of the radius

Question 15

congenital constriction band syndrome

Answer 15

aka amniotic band syndromestrands of tissue wrap around baby in womb restricting growth

Question 16

When splinting a child with severe flexion tone, you might need to start with the wrist in what position?

Answer 16

wrist flexion