PCS Pediatric Therapeutic Interventions 5

Question 1

When starting partial body-weight-supported treadmill training for a child with CP, how much body weight support is typically used at first?

Accepted Answer

Up to about 30-40% of body weight, reduced as the child progresses

Answer

Support usually begins at no more than about 30-40% and is reduced as weight-bearing and stepping improve.

Question 2

After Ponseti correction of clubfoot, how is the foot abduction brace (boots and bar) usually worn?

Accepted Answer

23 hours per day for about 3 months, then nights and naps until about age 4-5

Answer

Full-time bracing for about 3 months, then nights and naps for several years, is key to preventing relapse.

Question 3

What should parents of an infant in a Pavlik harness for developmental dysplasia of the hip be taught?

Accepted Answer

Keep the harness on as prescribed, with hips flexed and in gentle abduction, and avoid forced abduction

Answer

The harness keeps the hips flexed and in safe abduction, and forced abduction raises the risk of avascular necrosis.

Question 4

A child with acute lymphoblastic leukemia on vincristine develops toe walking and reduced ankle dorsiflexion. Which intervention is most appropriate?

Accepted Answer

Heel cord stretching, dorsiflexor strengthening, and night splints or AFOs

Answer

Vincristine neuropathy often causes dorsiflexion weakness and heel cord tightness, managed with stretching, strengthening, and orthoses.

Question 5

Which airway clearance technique can an adolescent with cystic fibrosis perform independently without any device?

Accepted Answer

Autogenic drainage

Answer

Autogenic drainage uses controlled breathing at different lung volumes and needs no equipment.

PCS - Pediatric Certified Specialist Practice Test