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Pediatric Musculoskeletal Assessment
Pediatric Musculoskeletal Assessment
39
Health Care
Graduate
02/18/2013

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Cards

Term
Mm to record R1 & R2: (3)
Definition
PFs
adductors
hamstrings
Term
Aspects of trunk/pelvic alignment (6)
Definition
lordosis/kyphosis
scoliosis
ASIS
PSIS
leg length (supine)
pelvic obliquity
Term
Positions to measure scoliosis (3)
Definition
standing
sitting
flexion (find rib hump
Term
Steps to test for pelvic obliquity in supine (4)
Definition
bridge x3
passively extend legs
check med malleolus
hold ankles while child sits up
Term
Pelvic obliquity: supine LE > sitting LE
Definition
ipsilat ant tilt
Term
Pelvic obliquity: supine LE < sitting LE
Definition
ipsilat post tilt
Term
Pelvic obliquity: supine LE = sitting LE
Definition
discrepancy NOT due to pelvic obliquity
Term
Measuring hip ext: child position
Definition
prone; legs off table
Term
Measuring hip ext: PT position
Definition
stabilize pelvis & other LE btwn legs
Term
Measuring hip ext: values
Definition
positive (above horizontal)
or negative (cannot reach horizontal)
Term
Measuring hip flex: child position
Definition
supine
Term
Measuring hip flex: PT position
Definition
hook leg over child LE
Term
Measuring hip rotation: child positions
Definition
prone
OR
seated
Term
Measuring hip rotation: PT position (prone)
Definition
stabilize pelvis c leg
OR
rotate both LE simultaneously
Term
Measuring hip rotation: PT position (seated)
Definition
move child's LEs simultaneously;
hold child's feet c PT knees for IR
Term
Measuring knee recurvatum: values
Definition
0º : straight
>0º : recurvatum (beyond straight)
Term
Measuring knee flex c hip ext: child position
Definition
prone, feet off table
Term
Measuring knee flex c hip ext: values
Definition
???
Term
Aspects of Hip measurement (3)
Definition
flex/ext
abd/add
rot (prone/seated)
Term
Aspects of Knee measurement (6)
Definition
recurvatum
valgum
flex c hip ext
ext c hip ext
popliteal angle
thigh-foot angle
Term
Measuring popliteal angle: values
Definition
<0º if knee not fully extended

(values always ≤0º)
Term
Measuring knee valgum: child position
Definition
supine
OR
standing
Term
Measuring knee valgum: values
Definition
"3º valgum" OR
"3º varus"
Term
Measuring knee valgum: alternate method
Definition
measure distance between medial malleoli
Term
Measuring thigh-foot angle: child position
Definition
prone
Term
Measuring thigh-foot angle: reference arm
Definition
mid-thigh
Term
Measuring thigh-foot angle: axis
Definition
calcaneus
Term
Measuring thigh-foot angle: moving arm
Definition
3rd MT
Term
Measuring thigh-foot angle: ankle position
Definition
90º
Term
Measuring thigh-foot angle: values
Definition
"10º in-toe"
OR
"20º out-toe"
Term
Aspects of ankle/foot measurement (3)
Definition
DF c knee ext
DF c knee flex
MT1 ext
Term
Measuring ankle DF c knee ext: child position
Definition
prone
Term
Measuring ankle DF: axis
Definition
lat malleolus
Term
Measuring ankle DF: values
Definition
<0º if cannot reach ankle 90º (stuck in PF)
Term
Measuring ankle DF: important stabilization
Definition
do not let foot collapse into pronation!
Term
Measuring MT1 ext: child position
Definition
prone c knee flex
Term
Measuring MT1 ext: reference arm
Definition
navicular
Term
Measuring MT1 ext: ROM necessary for gait
Definition
60º
Term
Strength testing: MMT
Definition
MMT on children >10y

WFL if complete age-appropriate GMS
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