DMNMNC II: LE Splinting & Bracing in Pediatrics
DMNMNC II: Pediatric Splinting and Bracing Quiz
Test your knowledge on pediatric splinting and bracing with our comprehensive quiz designed for healthcare professionals and students in the field. Challenge yourself with questions that cover a wide range of topics related to lower extremity assessment, orthotic recommendations, and developmental considerations.
Topics include:
- Ossification of bones in children
- Common deformities and their causes
- Splinting techniques and types
- Alignment and assessment in pediatrics
By what age do the bones of the foot ossify?
7 yrs
3 yrs
18 mos
10 yrs
Which of the following is not a reason a deformity can occur (per Patty lecture)?
Iron deficiency
Influence of gravity
Low amniotic fluid
Breech positioning
You are seeing a patient for complaints of their left foot, the child is 5 years old, how many degrees of calcanea valgus should this child have?
7
1
3
2
When a child is "W" sitting, this will cause which of the following in their hip?
ER
ABD
IR
ADD
You are evaluating a pediatric patient and note the following: Genu valgum, in-toeing, laxity of tibiofemoral jt, and unresolved ante torsion, your clinical reasoning suggests your patient:
Was not given adequate tummy time
Was/Is a "W" sitter
Put her feet to her mouth as an infant
Was cradled into too much flexion
True or false: To promote good alignment in the prevention of deformity you should start weight bearing when the infant is 10-12 mos in developmental age.
True
False
Discontinue use of a splint if redness is still present after
Greater than 20 minutes
Greater than 15 minutes
Greater than 5 minutes
Greater than 10 minutes
Check all that apply: Goals of splinting and bracing in WB include:
Energy efficiency
Foot clearance on the swing limb
Allowance for normal movement if appropriate throughout the day
Shorten what is overstretched
When selecting a splint for your patient which of the following is the most important to evaluate?
Static stance only (standing alignment)
Static stance and gait
Gait only
Resting ROM
Dorsiflexion ideal WB alignment should be in how many degrees?
1-2 deg
3-4 deg
4-5 deg
5-10 deg
True or False: In ideal alignment the hind foot and forefoot should be in neutral position?
True
False
True or false: the most supportive lower leg splint is the ground reaction AFO?
True
False
Which is the least supportive lower leg splint?
UCBLs
Plantar Orthoses
SMOs
Hinged AFOs
You are evaluating your 5 year old patient and note he has severe pronation/supination as well as mild toe walking and mild in-toeing/out-toeing. Which LE splint would you most likely suggest?
Hinged ankle-foot orthosis
Supramalleolar Orthosis (SMOs)
Plantar Orthosis
UCBLs
After prescribing your lower leg splint, you see your pt for a follow-up visit, you remove the splint and notice some redness around their inferior medial malleolus, after 16 minutes the redness has not cleared up, what is the most appropriate action to take?
Call Patty Mcgee (you have her on speed dial)
Wait 10 more minutes and if has not cleared up by then discontinue the use of the orthotic
Wait 5 more minutes and if has not cleared up by then discontinue the use of the orthotic
Place the splint back on the child and see if it is still their when they return in a few days
After your evaluation you determine your patient has mild pronation/supination, mild toe walking and poor proprioception, you are most likely to recommend which orthotic
SMOs
Plantar Orthosis
Solid AFOs
UCBls
True or false: A plantar orthosis cups the heel
True
False
An SMO would be best fit for a child who present which of the following?
Flaccid paralysis
A child who crouches
Severe toe walking
Hypotonia
The ideal alignment in degrees of dorsiflexion is to prevent
Hip flexion contracture
Knee hyperextension
Increased plantar flexion
Decreased plantar flexion
What is the significance of bones being most cartilaginous during the first year of life?
It means they are more susceptible to injury
It means their bones are able to remodel under strain
It means they are more adaptable and able to be "modeled" under strain
They are more likely to be flexible and more prone to "W" sitting
Which puts extreme torque on the tibiofemoral joint when "W" sitting, tibiofemoral LR or MR?
LR
MR
Which orthotic gives minimal subtler joint control but provides longitudinal arch support? (frontal plane control)
SMO
UCBl
Plantar orthosis
Does a UCBL go above the malleolus?
Yes
No
Does a ground reaction AFO promote DF or block DF?
Promotes DF
Blocks DF
Neither
If a patient presents with inconsistent ankle modulation and swing phase impairments which type of hinged AFO would you recommend??
PF blocked
Free PF
Free DF/PF
If a patient presents with severe toe walking, dorsiflexion weakness, gastric shortness and knee hyperextension, which type of hinged AFO would you recommend?
PF blocked
Free PF
Free DF/PF
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