Cerebral Palsy Flashcards
What things do you need to be able to diagnose CP?
MRI, metabolic work-ups, genetic work-up
What are some of the main single system primary impairments in CP?
limited force production and tone (increase MSR, spasticity)
Describe how force tends to be generated in CP?
They tend to develop less force more quickly
Describe the relationship between hip subluxations in kids with CP?
There is a linear relationship between GMFCS level and hip instability, the greater the level, the more prone to hip dislocations they are
What are some things in the integumentary system you should be aware of in patients with CP?
that they can be prone to constipation, GI/reflux, and feeding issues
What are four main MULTI-SYSTEM IMPAIRMENTS in patients with CP?
- poor selective control
- poor anticipatory control
- difficulty learning new movements
- impaired postural control
.What are the four impairment based classifications of CP?
spastic
dyskinetic (athetoid)
ataxic
hypotonia
true/false, body area classification only used in SPASTIC CP?
true, only used for spastic classifications
What are the main GMFCS classification system (I-V)
I. Walks without limitations
II. Walks with limitations
III. Walks using a hand-held mobility device
IV. Self-mobility with limitations, may use powered mobility
V. Transported in a manual WC
What are some differences in GMFCS ages 6-12?
level 1 can go up and down stairs with NO rail, may be slow to run or jump , level 2 can choose to use WC/mobility device in community, level 3 use WC or power WC in community, level 4 have transfer assist of 1 to 2 people
You have a 1 year old child who is able to sit on the floor but needs to use hands to support and maintain balance. They are able to creep on stomach and perform a pull to stand, what GMFCS level are they?
Level II
You have a 10 month old who is able to have head control with trunk supported while sitting on the floor, and the infant is able to roll and creep on stomach, what GMFCS level is it?
Level 4
What communication function classification system would have a person who is able to communicate effectively with familiar communication partners, but not with unfamiliar partners, in most environments?
CFCS level III
What are positive predictors of ambulation?
hemiplegia, diplegia, and if the child can sit by 24 months
You have a pt who has increased spasticity, limited selective control, and is only involved in their legs, what would their cp category be?
spastic diplegia