June Jeopardy Jazzy Fizzle

Gait

100

The gait cycle is comprised of two phases. Name them. 

Stance phase

Swing phase

200

What % of gait cycle is spent in double limb support?

20% is spent in double limb support. 80% in single limb support. 

300

What are the 5 subdivisions of stance phase?

Initial contact

Loading response

Midstance

Terminal Stance

Preswing 

"I Like My Team Presweetened"

400

Name 2 determinants of gait

1. Pelvic rotation

2. Pelvic tilt

3. Knee flexion in stance

4. Foot mechanisms (ankle extension/flexion mechanisms)

5. Knee mechanisms

6. Lateral displacement of the pelvis

500

Name 1 prosthetic or patient cause for the gait deviation of excessive foot rotation

Pedz

100

What is the most common acquired pediatric upper limb deficiency?

Left terminal transradial 

200

This is the most common primary malignant bone tumor in children, commonly occurring in the knee and proximal humerus.

Osteosarcoma

300

A prosthetic replacement is recommended yearly until 5 years of age. Between ages 5-12, how frequently does a prosthetic need to be replaced?

Every 18 months 

400

What's the latest month baby should be able to sit upright? 

9 months

500

Name that milestone (closest age by months will win)

Begins running, jumps on both feet in place, two word phrases are common, 

2 years

O+P

100

Name that K level

The patient has the ability or potential for ambulation with variable cadence. Typical of the community ambulator who has the ability to traverse most environmental barriers and may have vocational, therapeutic, or exercise activity that demands prosthetic utilization beyond simple locomotion.

K3 

200

Name 1 prosthetic and 1 patient cause for an abducted gait

300

How much increased metabolic cost above normal is a vascular transtibial bka?

Give a %, closest to % wins the points

(Price is right rules)

40%

400

How much increased metabolic cost above normal is a vascular transfemoral AKA?

Give a %, closest to % wins the points

(Price is right rules)

100%

500

Name 3  pressure sensitive regions in the lower extremity when fitting a below the knee amputation?

1. Tibial crest, tubercle, condyles

2. Fibular head

3. Distal tibia and fibula

4. Hamstring tendons

5. Patella

EMG and tings

100

List the 5 parts of the motor unit

Anterior horn cell

Motor nerve axons

Peripheral nerve

NMJ

Muscle fibers

200

What is considered normal conduction velocity in the upper extremity? 

Lower extremity? 

Upper extremity >50 m/sec

Lower extremity >40 m/sec

300

What is normal temperature in Centigrade (C) for the upper limbs?

AND

Lower limbs?

Normal is 

32 degrees centigrade in upper limbs

30 degrees centigrade in lower limbs

400

These biphasic single muscle fiber action potentials are triggered by needle movement, percussion or voluntary contraction. Wax and wane in rhythm, Sound like dive bomber and can be caused by chronic radiculopathy, peripheral neuropathy, myotonic dystrophy, acid-maltase deficiency, propranolol use

Myotonic discharge

500

Name the Seddon Classification:

Nerve compression injury

Axon is intact, local injury to myelin

Signal normal with stimulation distal to the lesion but abnormal proximal to it

Neuropraxia

EMG and tings 2-electric bugaloo

100

This spontaneous activity is regular, and derived from a single muscle fiber. Sound like rain on a roof

Fibrillation potentials

200

This type of spontaneous activity is from multiple muscle fibers time-linked together and is stable in nature

Complex repetitive discharge

300

Irregular, hissing, seashell ar 20-40 Hz

Endplate noise

400

What nerve is being tested in this picture?

Dorsal ulnar cutaneous n

500

Froment's Sign tests what nerve lesion and what muscle(s) affected?

Nerve lesion of the ulnar nerve demonstrates inability to hold piece of paper with thumb and index finger with pure thumb adduction (adductor pollicis) weakness. 

Leads to using median nerve innervated flexor pollicis longus to flex the interphalangeal (IP) joint

Random

100

What is the appropriate sizing for walker fit in relation to the upper extremity?  

~ 20 deg elbow flexion in upright standing

200

What is the most common hip disorder of preadolescence and adolescent children which involves proximal epiphysiolysis?

Slipped capital femoral epiphysis. 

More common boys>girls, physis on involved side is wider and irregular on XR

300

Name the seddon classification: 

Nerve crush injury

Axonal interruption. Connective tissue/schwann cell ntact. 

Conduction looks like neuropraxia for 4-5 days, until wallerian degeneration occurs

Axonotmesis

400

Which of the following describes the typical location of the center of gravity in an adult

Need a measurement in cm

Need a vertebral level

 5 cm anterior to the 2nd sacral vertebra

500

Name Duchenne muscular dystrophy inheritance pattern and gene locus

Inheritance: X linked recessive

Gene locus: Xp21