cerebral palsy Flashcards
1
Q
2 types of typical motor dev
A
- gross
2. fine
2
Q
3 predictable patterns of motor development
A
- proximal to caudal
- cephalocaudal
- invol. reflexes to goal oriented behavior
3
Q
2 general factors inpacting dev
A
- intrinsic - temp. health, genes
2. extrinsic - familiy, culture, exposures
4
Q
what are 3 primitive reflexes
A
- moro - grab of dropped
- ATNR - fencer pose
- grasp
5
Q
when should prim reflexes be gone by
A
3-8 months
6
Q
what are 2 postural reflexes and when
A
- lateral propping - 6-9 mon
2. parachute - 8-9 mon
7
Q
3 keys GM timelines
A
4 months - roll front to back
12 month - indep. steps
18 month - run and throw ball
8
Q
4 key FM timelines
A
3 months - bat at objects and hold in midline
5 months - palmar grasp
12 months - pincer grasp
18 month - 3 block tower
9
Q
3 key delayed milestone redflags
A
- no head control by 4 months
- not sitting by 9 mon
- not walking by 18 mon
10
Q
2 early dev red flags
A
- early hand dom
2. rolling under 3 mon
11
Q
4 other red flags
A
- persistence of prim reflexes
- hyper/hypo tonia
- delayed post. reactions
- persistence of hand fisting
12
Q
5 features of CP
A
- disorder of movement or posture
- secondary to brain abnormality
- arises early in dev
- static - not degenerative
- causes activity limitiation
13
Q
what is CP diagnosis based on
A
clinical assessment
14
Q
3 major timeframes for CP risk
A
- prenatal
- perinatal
- postnatal
15
Q
prenatal risk factors (6)
A
- maternal disorders
- multiple gestation
- intruterine infection
- congenital fetal abnormalities
- placental abnormalities
- too much/little gest growth
