Case 19- Spina Bifida Flashcards
Hydrocephalus
Abnormal build-up of cerebrospina; fluid ( CSF) in and around the BRAIN
Hydromyelia
Abnormal amount of CSF in the SPINAL CORD that increase pressure on the nerve and causes weakness
Latex Allergy
Allergic reaction of varying severity to proteins present in natural rubber latex
Meninges
Membranes covering the brain and teh spinal cord
Meningocele
CSF and meninges, but no neural elements, protruded through abnormal vertebral opening. presentation ranges from normal to partial paralysis ( or motor impairment) and pr bowel and bladder dysfunction.
Myelomeningocele
Protrusion of spianl cord nad surrounding meninges through abnormal opening in the vertebra.
Most serious type of spinal bifida with most significant health implications.
Scoliosis
Lateral curvature of the spine to the left or right. in children with myelomeningocele, scoliosis often results from lack of neuromuscular control
Ventriculoperitoneal ( VP) shunt
Tubes with valves that is inserted in the brain to permit drainage of CSF to the abdominal cavity
Vesicoureteral reflux
Urine travelling from the bladder back into the kidney
General physical therapy plan of care/ goals
Prevent loss of range of motin ( ROM) in the upper ad lower extremities as well as the UE overuse injuries
maximize independent functional mobility
optimize health-related quality of life
maximize health and fitness including strength and aerobic capacity
Physical therapy intervention
Pt and family education regarding leong-term implications of the spinal bifida and the risk of obesity, osteoporoiss, and urinary tract infection, exercises to main ROM and improve strength; functional mobility training ( transfer, wheeled mobility, ambulation )
Precautions during physical tehrapy
Decreased cardiorespiratory endurance ( higher resting HR nad increased HR during activities )
increased risk of fracture secondary to osteoporosis
increased risk of hip dislocation and skin breakout 2/2 to decreased sensation
latex allergy
incontinence during exercise
difficulty with thermoregulation
increased risk of falls
increased spasticity with exercise
Does UTI a precaution during physical therapy in children’s with spinal bifida
NO
Complications interfering with physcal therapy
Illness ( ex: cold, flu, bladder infection)
Promote spasticity
Arnold-Chiari malformation
fracture
pressure sore
tethered cord syndrome
symptomatic hydromyelia
symptomatic hydrocephalus
VP shunt failure
The WeeFIM is a reliable and valid assessment tool that can measure change in function over time in the functional ability of children with spinal bifida
Grade A
Upper Extremity strength training program increases strengtha nd independent wheelcahor mobility in children with spinal bifida
Grade B
Treadmill training improve fgait speed and aerobic fitness in ambulatory children with spinal bifida
Grade B
Chidren with spina bifida are at increased risk for all of the following except ?
Tuberculosis
Which of the following is true about ambulation in children with spinal bifida
Their ability to ambulate is dependent on the level of spinal cord lesion
