PHTY304 Lecture Notes - Lecture 2: Osteochondrodysplasia, Idiopathy, Task Analysis
Document Summary
Look for 5"s: symmetry, stiffness indicate junevile idiopathic arthritic conditions, skeletal dysplasia, systemic features, symptoms. Developmental histroy in terms of meeting developmental milestones. How long it took for the child to first start walking. Description of the pain: location, dull/sharp, night pain, bilateral pain in ll, 24 hour behaviour, consistency, irritability. Ll not ul and is correlated with activity: pain is at night identify what he is sleeping on, how he is sleeping, Case 1: child with flat feet wishing to have orthotics prescribed: questions asked to mother/child: Observe shoes: even wear of the sole, creases in the shoes: assessments/measurements you would undertake: Identify contributing factor such as weight which increases the likelihood of having genu valgum and flat feet. A mature gait has a positive foot progression angle out toeing where two lateral toes are visible with normal walking. Typically developing nothing wrong and it is part of normal development. Advise parents to come back in 6 months.
