CMC Pediatric Mobility Solutions 3

Question 1

A child with Duchenne muscular dystrophy is transitioning from ambulation to full-time wheelchair use. Which seating consideration is MOST critical at this stage?

Accepted Answer

Power tilt and recline to manage progressive trunk weakness and pressure relief

Answer

As DMD progresses, trunk weakness increases rapidly, making power tilt and recline essential for positioning support, pressure relief, and respiratory positioning.

Question 2

Which funding pathway is specifically available for children under 21 under Medicaid to access medically necessary equipment beyond standard coverage limits?

Accepted Answer

EPSDT (Early and Periodic Screening, Diagnostic, and Treatment)

Answer

EPSDT mandates that Medicaid cover any medically necessary service for individuals under 21, even if not typically covered, making it a critical pathway for pediatric complex rehab technology.

Question 3

A therapist recommends a custom-contoured seating system for a child with severe cerebral palsy. What documentation element is MOST important for prior authorization?

Accepted Answer

Functional goals and trial results demonstrating failure of off-the-shelf alternatives

Answer

Payers require documentation showing that less expensive alternatives were trialed and failed, with functional goals justifying the custom system.

Question 4

What term describes the angle formed between the seat surface and the floor in pediatric seating, and how does increasing this angle anteriorly affect pelvic positioning?

Accepted Answer

Seat slope; anterior tilt promotes anterior pelvic tilt and upright trunk

Answer

Anterior seat slope (front lower than back) promotes anterior pelvic tilt, which facilitates upright trunk posture and active sitting in some children.

Question 5

For a child with spina bifida at L3-L4 level, which mobility device combination is MOST appropriate for functional community mobility?

Accepted Answer

KAFOs for household ambulation with a manual wheelchair for community distances

Answer

Children with L3-L4 spina bifida typically have functional hip flexors and knee extensors allowing household ambulation with KAFOs, while a manual wheelchair is more efficient for community distances.

(CMC) Certified Mobility Consultant Practice Test

(CMC) Certified Mobility Consultant Practice Test

CMC Pediatric Mobility Solutions 3