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14 Cards in this Set
- Front
- Back
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myelomenigiocele |
herniation of spinal cord and meninges through skin at birth |
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associated features with spina bifida |
arnold chiari malformation, hydrocephalus, scoliosis or hip dislocation, tethered cord, |
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ventriculo-peritoneal shunt |
for tx of hydrocephalus |
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Signs of shunt malfunction |
HA, irritability, fever, nasuea, increased spasticity, problems with speech, diminished postural control |
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tx for spina bifida |
teach handling strategies (supportive positions but provide balance challenges), standing program by 10 months, stretch muscles to prevent contracture (normal kids move and stretch muscles on their own as bone grows) |
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cognitive abilities linked to early mobility |
depth perception, cause and effect links, object permanence |
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changes in ambulatory status with age with spina bifida |
<20% of children with high lumbar lesions walking at 9 40-70% walking with mid lumbar at age 9 most children with sacral lesions with be functional ambulators |
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Rolling progression |
accidentally--> prone to supine --> segmentally |
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crawling age |
reciprocal creep at 8.5 months |
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crawling progression |
belly--> reciprocal creep--> plantigrade-->around objects |
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sitting age |
6 months sits alone steadily and able to play with toys |
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sitting progression |
head bobs back rounded --> sits alone momentarily with increased back extension, protective responses forward begin to come about --> |
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standing age |
7.6 months bounces in standing position, stands while holding onto furniture pulls to stand 6-12 months stands alone at 11 months |
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walking age |
9-17 months |
