muscle length test for pediatric

[looolaaa]

hi everybody

I`m lola a physiotherapy student in ksa .. i have as assignment which is how to test muscle adductors length (not strength ) in pediatric patient (8-9) months ..

i don`t know how n i tried to find the answer on the internet but i couldn`t find anything .. can anyone plz help me ..
thank you

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[estherderu]

dear lola,

The two ways of testing muscle length are the active range of motion (AROM) and the passive range of motion (PROM).
In young children we would test when spasticity or a joint problem is suspected.
In the case of suspected spasticity, the hip adductors are tested passively in supine position with hips and knees flexed approx. 60degrees (Tardieu) and the hips are slowly abducted.
In the case of a suspected joint problem, I would also test in supine and 90degrees flexion hips

As far as I am informed there are still no standard values for the ROM in childrens joints. A baby of 9 mo old is even more challenging.
Good luck
I suggest you observe some children of that age and see what they are doing, it might give you some ideas!

kind regards and good luck with your studies

Esther

[looolaaa]

thank you sooo much ,, i really appreciate it

i have an assignment n i couldn`t find anything .. can i ask u where did u get this from ??
thank you so much

[estherderu]

dear lola,

one more thing......
The results of a ROM testing could be unreliable if the child has a lot of baby fat.
I have been a (paediatric) physio for 32 years now. I have never stopped studying, but cannot tell you where I got this information.

Esther