Question 1

In the natural school environment, the physical therapist relies on the classroom staff to follow through with mobility and transfer activities on a daily basis for a child with a myelomeningocele.

Accepted Answer

The physical therapist relies on the classroom staff to follow through with mobility and transfer activities on a daily basis, and it is important for all members of the team to work toward common goals. A key component of physical therapy interventions is not only to provide instruction to the student but, more importantly, to collaborate with the teachers and paraprofessionals during daily routines.

Question 2

Discuss what a child must learn when using a manual wheelchair in a natural school environment.

Accepted Answer

Move in line with other classmates, monitor speed, avoid obstacles, accurate start and stops, get to various locations, transfers, etc.

Question 3

List five common complications of myelodysplasia.

Accepted Answer

Hydrocephalus; impairments of bowel and bladder; sensory deficits, which can lead to skin breakdown; osteoporosis; obesity; abnormal muscle tone hypertonicity or hypotonicity; cognitive dysfunction; latex allergy; and upper limb dyscoordination.

Question 4

What happens to the heart rate of children with low- and mid-lumbar myelomeningocele compared to nondisabled peers when walking?&#10;A) Heart rate remains the same&#10;B) Heart rate increases&#10;C) Heart rate decreases&#10;D) Heart rate varies

Accepted Answer

Children with low-lumbar and mid-lumbar myelomeningocele tend to show higher heart rates than nondisabled peers (Bartonek, Eriksson, & Saraste, 2002) when walking.

Question 5

All of the following are environmental adaptations that might assist a child with mid-lumbar myelomeningocele in using the bathroom except&#10;A) a sliding board.&#10;B) grab bars.&#10;C) a changing table.&#10;D) a rolling stool.&#10;Short Answer

Accepted Answer

The rolling stool would be useful for the staff to promote good body mechanics; however, it is probably unsafe for the child to use

Question 6

Improved strength and aerobic capacity in obese children with spinal cord dysfunction or myelomeningocele was found after a 16-week&#10;A) intervention program of nutrition and fitness.&#10;B) wheelchair training program.&#10;C) exercise program.&#10;D) walking intervention program.

Accepted Answer

A 16-week intervention of the BENEfit program increased strength; improved aerobic capacity and endurance of overweight, obese children with mobility impairments; and helped them adopt a healthy diet (Liusuwan et al, 2007).

Question 7

In the school environment, it is nice to have a translator available to interpret at the individualized education program meetings, but it is not required.

Accepted Answer

There is a need for interpreters for all aspects of communication. As noted in Chapters 11 and 12, communication with the family must be in the family's primary language, and interpreters should be available when needed. The IEP meeting is the most critical time to have a translator available.

Deck 25: Myelodysplasia