Case 8: CP - Postsecondary Education and Transition to Adulthood

Question 1

Botulinum Toxin A (BTX-A)

Answer 1

Used to treat focal dystonia and spasticity

Injected muscles are temporarily weakened or paralyzed for several months

Question 2

As individuals with CP age, impairments and activity limitations occur at a ___ prevalence and progress ___ than in individuals without CP.

Answer 2

higher, faster

Question 3

What MSK disorders are associated with CP in adults?

Answer 3

OA

Patella Alta

Hip Dysplasia

Spondylolysis

Cervical Stenosis

Question 4

Patella Alta

Answer 4

Most frequent in individuals with spastic diplegic CP who use a crouch-type gait pattern

Anterior knee pain / decreased functional ambulation / patellar stress fractures / subluxation and dislocation of the patella

Question 5

What tool would be the most appropriate to measure the following patient’s cardiorespiratory fitness?

22 y/o female
Diplegic CP
GMFCS Level III

Answer 5

Progressive protocol test w/ a cycle ergometer

Question 6

What kind of exercise programs have been found to improve strength and cardiorespiratory fitness in adults with CP?

Answer 6

Progressive resistance exercise programs

Aerobic exercise programs