Deck 21: Mobility

Question 1

Which professional is primarily responsible for maintaining updated knowledge of available equipment and assisting in identifying choices of mobility devices according to the features that the child requires to use it optimally?

A) Assistive technologist
B) Occupational therapist
C) Physical therapist
D) Medical doctor

Answer 1

A

Question 2

What type of equipment is designed for children who have poor control of the pelvis, chest, upper extremity, and head, but are able to move their legs?

A) Support walker
B) Posterior walker
C) Anterior walker
D) Mobile stander

Answer 2

A

Question 3

At what age do infants creep and move from sitting to quadruped and back?

A) 6 months
B) 8 months
C) 9 months
D) 12 months

Answer 3

B

Question 4

What is the first step in determining the type and features requested for a powered wheelchair?

A) Discuss the child's potential for movement
B) Determine who is financing the device
C) Define the goals for using the device
D) Examine the child's environment

Question 5

Which statement is not the goal of seating?

A) Provide optimal alignment and stability
B) Maintain a static position over time
C) Minimize undesirable tone and reflexes
D) Promote distal motor function

Question 6

What is the first step in performing an evaluation of a child's seating or positioning?

A) Conducting a range of motion and manual muscle test
B) Observing the child in the current seating system
C) Discussing the child's seating goals with him or her
D) Measuring the child's height, weight, and trunk length

Question 7

Mary is an 18-month-old child with spastic quadriplegia. The therapist is considering a powered wheelchair. Which statement best reflects current evidence on this?

A) Mary is too young and should not be considered for a powered wheelchair until she is 5 years old.
B) Early use of a powered wheelchair may delay Mary's acquisition of motor skills.
C) Children as young as 17 months may develop greater self-confidence from use of a powered wheelchair.
D) Powered wheelchairs are not safe or efficient for children under 3 years of age.

Question 8

What should not be considered when recommending a mobility device?

A) Cost of maintaining device
B) Size of device
C) Variety of environments
D) Personal relationships with vendors

Question 9

What might be a disadvantage to recommending an adaptive tricycle to help 4-year-old John play outside with his friends?

A) John may outgrow it.
B) Third-party funding may not be available.
C) There is a handle for caregivers to help them steer it.
D) There are a variety of adaptive tricycles of which to choose.

Question 10

Which wheelchair feature might an occupational therapist desire to encourage a more work ready position?

A) Recline
B) Footrest
C) Tilt-in-space
D) Armrest

Question 11

Which statement reflects current practice concerning transitional mobility?

A) All mobility devices must be used for functional mobility.
B) Children benefit from learning to use one mobility device well in all environments.
C) Children should experience self-directed movement even if it is not functional.
D) Cost is the primary factor when deciding on the mobility device.

Question 12

Which statement best reflects the occupational therapist's approach to evaluating mobility?

A) Evaluate physical limitations first and determine the child's cognitive level
B) Base recommendations on the results of the PEDI (Pediatric Evaluation of Disabilities Inventory)
C) Act as a consultant to the physical therapist by evaluating hand skills for controlling a wheelchair
D) Evaluate child's needs or wants, context in which child typically engages in occupations, and limitations of the child's experiences

Question 13

Into which group does Hays classify the mobility of children with cerebral palsy (with less involvement) and children with myelomeningocele with upper extremity involvement?

A) Children with inefficient mobility who ambulate but are unable to do so at a reasonable rate of speed or with acceptable endurance
B) Children who will never ambulate
C) Children who have lost their independent mobility
D) Children who temporarily require assisted mobility and often progress to independent mobility with age

Question 14

At what age do infants stand and cruise along furniture?

A) 6 months
B) 8 months
C) 9 months
D) 12 months

Question 15

What type of mobility device is most suitable to children who are able to pull to stand, maintain grip on a handle, and steer with their arms?

A) Manual wheelchairs
B) Power wheelchairs
C) Prone scooters
D) Walkers