Cerebral Palsy Flashcards
Cerebral palsy
Permanent disorders of the development of movement and posture, causing activity limitations that are attributed to non-progressive disturbances that occurred in the developing fetal or infant brain
CP
- Secondary Impairments
Physical growth
Muscle spasticity
Weakness
Cumulative effects of biomechanics forces through joints
CP
- Associated impairments
Cognition
Behavior
Communication
Sensation
Perception
Epilepsy
Urinary incontinence
Constipation
Sleep disorders
Associated impairments
- Cognition
Cognitive delays
Associated impairments
- Communication
Speech
Hearing
Vision
Associated impairments
- perception
Visual-spatial and visual perception
High prevalence in children born with?
Premature
Low birth weight
Contribute to significant societal financial burden
Health care
Social care
Productivity
Cost of CP to a family
- $921,000 estimated per person expense
Indirect- 80.6%
Direct- 10.2%
Direct non medical costs- 9.2%
Risk factors of CP
Antenatal
Perinatal
Postnatal
Risk factors
- Antenatal
Prematurity and low birth wt
Intrauterine infectionons
Multiple gestation
Pregnancy complications
Risk factors
- Perinatal
Birth asphyxia
Complicated labour and delivery
Risk factors
- Postnatal
Non-accidental injury
Head trauma
Meningitis/encephalitis
Cardio-pulmonary arrest
Protective factors
- obstetrical care
Magnesium sulfate
Antibiotics
Cortiocsteroids
Classification
- Topographic
Hemiplegia
Diplegia
Triplegia
Quadriplegia
Classification
- Location of the brain
Spastic
Dyskinetic
Ataxic
Mixed
Classification
- Functional
Gross motor function classification system (GMFCS)
GMFCS
- Level 1
Children walk at home, school, outdoors and in the community
Can climb stairs w/out railing
Perform gross motor skills such as running, jumping but speed, balance, and coordination are limited
GMFCS
- Level II
Children walk in most settings and climb stairs holding onto the railing
May experience difficulty walking long distances and balancing on uneven terrain, inclines, crowded areas and confined spaces
May walk with assistance, hand held device or used wheeled mobility over long distances
Have only minimal ability to perform gross motor skills like running and jumping
GMFCS
- Level III
Children walk using a hand-held mobility device in most indoor settings
May climb stairs holding onto a railing with supervision or assistance
Children use wheeled mobility when traveling long distances and may self propel for short distances
GMFCS
- Level IV
Children use methods of mobility that require physical assistance or powered mobility in most settings
May walk for short distances at home with physical assistance or use powered mobility or a body support walker when positioned
At school, outdoors and in the community children are transported in a manual wheelchair or use powered mobility
GMFCS
- Level V
Children are transported in a manual wheelchair in all settings
Children are limited in their ability to maintain antigravity head and trunk postures and control leg and arm movements
Body Structure and Function
Spasticity
Hyperreflexia
Loss of selective voluntary control
Muscle weakness
Muscle tightness
Joint contractures
Poor coordination
Body deformities
