PCS Pediatric Therapeutic Interventions 4

Question 1

The proposed main therapeutic mechanism of hippotherapy for children with CP is that the horse's movement:

Accepted Answer

Gives rhythmic, multidimensional pelvic input similar to human gait

Answer

The horse's walk moves the rider's pelvis in a 3D pattern like human walking, challenging postural control.

Question 2

A child with neuromuscular disease and weak respiratory muscles stands chest-deep in a pool. What effect should the therapist expect?

Accepted Answer

Higher work of breathing from hydrostatic pressure on the chest wall

Answer

Hydrostatic pressure compresses the chest wall and shifts blood centrally, which increases the work of breathing in children with weak respiratory muscles.

Question 3

After botulinum toxin injections to the gastrocnemius, when is the best window to emphasize casting, stretching, and strengthening?

Accepted Answer

About 2-6 weeks after injection, during peak effect

Answer

Botulinum toxin peaks at roughly 2-6 weeks, which gives a window to gain range and strengthen while tone is lower.

Question 4

After selective dorsal rhizotomy for spastic diplegia, which is the primary focus of intensive rehabilitation?

Accepted Answer

Strengthening and motor control training, since weakness becomes apparent once spasticity is reduced

Answer

Lower spasticity reveals underlying weakness, so post-SDR rehab centers on strengthening and functional motor training.

Question 5

For hip health in a nonambulatory child with CP (GMFCS IV-V), which supported standing dosage does evidence support?

Accepted Answer

60 minutes daily with hips in about 30-60 degrees of total abduction

Answer

Evidence-based standing recommendations (Paleg et al.) suggest about 60 minutes daily in 30-60 degrees of hip abduction for hip stability.

PCS - Pediatric Certified Specialist Practice Test

PCS - Pediatric Certified Specialist Practice Test

PCS Pediatric Therapeutic Interventions 4