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Kcep 210 final > Cerebral Palsy > Flashcards

Cerebral Palsy Flashcards

1
Q

Is ID more common among individuals w/ CP?

A

Yes, about 50%

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2
Q

What does Cerebral Palsy (CP) means ?

A
  • Cerebral = brain

- Palsy = decrease in muscle control

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3
Q

Is CP progressive?

A

It’s non-progressive but symptoms can changes

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4
Q

CP - Remember

A
  • Not contagious
  • Not hereditary
  • Not life-threatening
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5
Q

CP - Incidence

A
  • 2 to 2,5 / 1 000 births
  • 15 000 people in QC
  • 50 000 people in CAN
  • More males than females (1,33 > 1)
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6
Q

Why incidence hasn’t declined in the last 60 years?

A

Increase survival rate of pre-term babies

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7
Q

CP causes - Before or during birth

A
  • 90%
  • Maternal infections
  • Chemical toxins
  • Injuries affecting fetal development
  • Damage to the brain/ oxygen deprivation during deliveries
  • Genetic disorder, chromosomal abnormality, faulty blood supply
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8
Q

CP causes - after birth

A
  • 10%
  • Brain infections
  • Cranial traumas
  • Oxygen deprivation
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9
Q

CP causes - other

A
  • Age of mother
  • Premature babies
  • Low birth weight babies
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10
Q

CP causes - age of mother (less than 20 yo)

A
  • Maternal infections

- Chemical toxins

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11
Q

CP causes - age of mother (more than 35 yo)

A
  • Genetic disorder, chromosomal abnormality, faulty blood supply
  • More physiological
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12
Q

CP causes - number 1

A

Damage to the brain/ oxygen deprivation during deliveries

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13
Q

Early signs

A
  • Before 3 years of age (walk)
  • Abnormal development of motor skill (coordination and balance)
  • Abnormal muscle tone
  • Favour one side of the body
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14
Q

Early signs - Walking pattern

A
  • Toe walking
  • Foot dragging
  • Favor one side when standing up
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15
Q

Early signs - type of muscle tone

A
  • Hypotonia

- Hypertonia

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16
Q

Types of CP - classification by number of limbs affected (5)

A
  • Quadriplegia (4 limbs)
  • Diplegia (2 limbs)
  • Hemiplegia (one side of the body)
  • Triplegia (3 limbs)
  • Monoplegia (1 limb)
17
Q

Types of CP - classification by mvt disorder (3)

A
  • Spastic CP = Co-contraction
  • Athetoid CP = mixed muscle tone, constant motion
  • Ataxic CP = unsteady and shaky
18
Q

Spastic CP

A
  • Abnormal muscle tightness and stiffness

- Spastic muscles interfere with voluntary mvt

19
Q

Spastic CP - incidence

A

Spasticity (65% of people w/ CP)

20
Q

Spastic CP - Causes

A
  • Damage to the motor cortex and cortical tracts
21
Q

Spastics CP - Interventions

A
  • Surgical lengthening of tendon

- Dorsal rhizotomy

22
Q

Athetosis (athetoid) CP

A

Constant, unpredictable and purposeless mvt

23
Q

Athetosis (athetoid) CP - incidence

A

25% of people with CP

24
Q

Athetosis (athetoid) CP - Causes

A
  • Fluctuating muscle tone (hyper-hypo)

- Damage to basal ganglia

25
Q

Athetosis (athetoid) CP- Problems

A
  • Problems w/ facial expression, eating, speaking, head/ fingers/ wrist control
  • Most are quadriplegic
26
Q

Ataxia CP

A
  • Disturbance of balance and coordination characterized by hypotonia and decrease postural tone
27
Q

Ataxia CP - Incidence

A

10% of people with CP

28
Q

Ataxia CP - Causes

A

Disorders of the cerebellum and vestibular system

29
Q

Most common CP

A

Spastic

30
Q

Most severe CP

A

Athetoid

31
Q

Fitness and CP

A
  • Higher HR, blood pressure and lactate concentration

- Lower mechanical efficiency of their mvt = higher energy

32
Q

Fitness and CP - causes

A
  • Spasticity + athetosis

- Poor exercise habits

33
Q

Effects of Exercise training (4)

A

Improvement:

  • sense of wellness
  • body image
  • capacity to perform ADL
  • lower spasticity and athetosis
34
Q

Resistance training increase spasticity by how many pourcent?

A

0%

35
Q

Resistance training and walking in children with CP - Study summary (4)

A
  • 3 times / week for 60 min for 12 weeks
  • 26 subjects per groups (6 to 13 yo)
  • Training group: leg press machine and 3 exercises
  • Control group : conventional PT program
36
Q

Resistance training and walking in children with CP - Results

A
  • Improvement in muscle strength in trained group (knee extensor, hip abductors, total)
  • No improvement in walking ability in both group
  • No improvement in muscle spasticity and ROM in both
37
Q

Resistance training and walking in children with CP - Possible reason for lack of improvement in walking

A

Lack of specific exercise

Kcep 210 final (8 decks)

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