[Margaret Frank]

Hi Chrissy

Having a similar experience as the above participants. I filled out the course survey last week. Can you please re send the certificate?

Thank you so much
Maggie

[Margaret Frank]

I agree with this question too. I am still quite confused on the horizontal treatment maneuvers (except BBQ roll for canalithiasis / geotropic). I see some resources say Gufani for Geotropic and Appiani for Ageotropic but then when I look them up… it almost seems that the names are interchangeable and the techniques too. Appreciate any feedback with the above question 🙂

[Margaret Frank]

Hi Chrissy

I also have a question regarding exam 3. One question asks what type of AFO would you consider for someone who has the following: decreased foot clearance during swing phase, knee hyperextension during stance phase, 4/5 knee extensor strength, 2/5 ankle DF strength, 3/5 ankle PF strength, ankle DF PROM 0 deg, impaired proprioception and grade 2 ankle PF spasticity.

Due to the spasticity, impaired proprioception and generalized weakness in ankles; I choose rigid AFO.

But the answer is articulating AFO with PF stop

For the criteria to have rigid AFO based on Ranchos ROADMAP – is a rigid only reasonable for this patient if the patient had ABSENT proprioception? and what is the threshold on spasticity that makes you think rigid AFO (i.e. MAS >2) vs artitculated?

Thank you for your help!

[Margaret Frank]

Hi Chrissy, this all makes sense so thank you. However, On exam #2 – There was a question about a disc herniation (described as severe) at L4/5 spinal level – asking which spinal nerve distribution might you notice strength and/or sensation changes. I put L5 as L5 is the “transverse” nerve root – however, the answer was L4, L5 and S1. Is this only because it is described as “severe”? I found it to be a trick question. If the question did not label the severity of the herniation – then would L5 make the most sense as the correct answer? Thank you so much for your feedback!

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