Precaution/Complication

Question 1

ASD precaution

Answer 1

Be aware of child’s sensory system and tendencies toward overstimulation; some children have difficulty transitioning between activities, so cues and warnings may be needed

Question 2

ASD complication

Answer 2

Difficulty with various sensory stimuli, become overwhelmed with sounds, visual input, tactile stimuli, causing shut down and not be able to participate in therapy

Question 3

Down Syndrome precaution

Answer 3

Protect joints from extreme ROM secondary to hypotonia and ligamentous laxity

Observe for signs of inadequate management of thyroid and cardiopulmonary comorbidities

Question 4

down syndrome complication

Answer 4

Behavioral challenges secondary to young age and intellectual disability
OA instability
Rare medical complications

Question 5

which has risk factor

increase paternal
increase maternal

Answer 5

ASD

DS

Question 6

hemipolymicrogyria precaution

Answer 6

Significantly increased tone often requires meds

ADRs of these meds (Decreased alertness, weakness)

Forcing movements against significantly increased tone can cause structural problems

Question 7

Hemipolymicrogyria
Complications

Answer 7

Increased speed or activity can
increase tone in hemiparetic side

Long term use of constraint induced therapy could interfere with B limb use

Significant tone reduction could negatively affect movement, especially if child was relying on tone for stability

Question 8

Osteogenesis Imperfecta
Precautions

Answer 8

No passive twisting, rotating, or forceful range of motion (ROM) in the extremities or trunk due to high fracture risk; pain, weakness, fatigue;

close guarding during WB activities to decrease risk of fall or injury;

close monitoring of skin when wearing AFOs

Question 9

OI

complication

Answer 9

Pt discomfort with AFO due to postsurgical LE swelling;

pain may limit activity tolerance;

patient and parent anxiety regarding potential fractures;

UE deformities may increase difficulty using walker

Question 10

DMD
Precautions

Answer 10

No resisted or forceful ROM to the extremities or trunk b/c high fx risk/damage to muscles
Pain, weakness, fatigue

Assistance with WB activities required during transfers to decrease risk of fall/injury

Close monitoring of skin when wearing orthoses

Question 11

DMD complications

Answer 11

pt discomfort with AFO and prolonged positioning

anxiety potential fx

Question 12

CP - Postsecondary Education and Transition to Adulthood
Precautions

Answer 12

Fatigue, pain, postural asymmetries, decreased balance

Question 13

CP - Postsecondary Education and Transition to Adulthood
Complications

Answer 13

Medical insurance plan restrictions,

increased time/energy demands for daily task, employment, exercise.

Decline of mobility and increase in secondary impairments from CP. transition to adult oriented HC providers.

Lack of public transportation accessibility

Question 14

CP - Fitness
Precautions

Answer 14

Appropriate warm up/cool down to decrease risk of injury

Monitor biomechanical alignment issues and adverse effects such as MSK related pain

Question 15

CP fitness complications

Answer 15

overuse injuries

Question 16

CP fitness contras

Answer 16

uncontrolled seizure

severe osteoporosis