Select your top 3 recommendations for wheelchair components…
Select your top 3 recommendations for wheelchair components that you would recommend as part of the wheelchair prescription for the eight-year girl described in the scenario here: Pt. is an 8 year old female child who has a diagnosis of cerebral palsy (spastic quadriparesis, Gross Motor Function Classification Scale level 3). She demonstrates extensor spasticity in bilateral adductors, hamstrings, heelcords, biceps, and wrist flexors. She is able to transfer with a walker independently with increased time. She ambulates household distances with a walker and utilizes a wheelchair for community mobility. She can propel a manual wheelchair with increased time and effort. During propulsion she tends to adduct her LE’s excessively and extend her bottom off of the seat and her legs off of the foot plates as well as lean to the right. She has no other remarkable past medical history. She is average height and weight. She lives with her mom and dad in a 2 bedroom apartment in a metro area. She attends the 2nd grade at a local public elementary and is transported there via a bus. Their building does not have an elevator. They do not have a car and rely on public transportation.
Read DetailsOne day at school a student with spina bifida was telling he…
One day at school a student with spina bifida was telling her PT that her back was hurting really badly for the past week, the teacher had reported that her catheterizing schedule would need to be changed as she had wet through her clothes the past 4 days, , and was able to elicit clonus in the student’s R ankle with a quick stretch which hadn’t been there in the past. What should the physical therapist be concerned about?
Read DetailsA 9-year old child has cerebral palsy and is classified as a…
A 9-year old child has cerebral palsy and is classified as a 1 on the Gross Motor Function Classification Scale. Which one of the following mobility devices would be the most appropriate household mobility device for this child?
Read DetailsUse the following scenario to answer the question: The physi…
Use the following scenario to answer the question: The physical therapist is evaluating a 9-year old child who has a diagnosis of autism. The BOT 2 is administered, and results are as follows: (The BOT 2 subtest mean scale score is 15 with a standard deviation of 5, Standard Score mean is 50 with a standard deviation of 10. Bilateral Coordination Subtest Scale Score is 9 Balance Subtest Scale Score is 11 Body Coordination Standard Score is 38 and a percentile rank of 12% Running Speed and Agility Subtest Scale Score is 8 Strength Subtest Scale Score is 9 Strength and Agility Standard Score is 35 and a percentile rank of 7 % Stands on one foot for 5 seconds with eyes open and 2 seconds eyes closed Walks forward heel to toe on the floor 6 steps and 2 steps on the balance beam Trips and falls during the shuttle run with a time of 10 seconds Difficulty with single leg hopping forward and sideways Unable to maintain form doing a push-up Able to wall sit for 60 seconds Able to perform 2 jumping jacks Able to scissor jump with arms and legs coordinated on the same side but not on opposite sides Which of the following is the most accurate statement to write in the assessment portion of the SOAP note?
Read Details