PHTY304 Lecture Notes - Lecture 11: Gillick Competence, Epiphyseal Plate, Stress Fracture
Document Summary
Skeletal matrix 1/12 conception, jts & mm 3/12, full ossification at 20yo, limb alignment at 16yo. Birth: kyphosis c spine to sacrum, hip fl & er, tibial ie, equinus feet, hip, knee & elbow ext passively stretches muscles. Mm growth: longitudinal growth, rapid foetal growth. Bone growth: growth at epiphyseal plate (proliferates, osteocytes, converted to bone, ossification) Acquired: neuro ie tbi, ms ie sci, cardio ie asthma. Msk: growth cartilage more susceptive to sheer force, softer bones, avulsion fractures > ligament or tendon rupture, mm length < bone growth, weak tendon attachm, bones are more elastic so more force before fracture. Physiological: metabolic cost, max hr, sv at rest, . Note: from 6-7yo can use adult msk assessment. Person centred: person with disability at the center of. O2 cost of respiration decision making & families / carers. Family centered: centrality of families in children, uniqueness of families, family at centre of planning & implementation of interventions.
