Cerebral Palsy Flashcards

1
Q

What does cerebral palsy affect?

A
body movement
muscle control
muscle co-ordination
muscle tone
reflex
posture
balance
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2
Q

What can cerebral palsy also be associated with?

A
vision/hearing impairment
feeding issues
speech difficulties
epilepsy
anxiety
autism
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3
Q

What is cerebral palsy?

A

non-progessive brain injury causing neurological disorder

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4
Q

When does cerebral palsy occur?

A

occurs while child’s brain is developing either before, during or immediately after birth

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5
Q

What does cerebral palsy impact on?

A

fine and gross motor skills

oral motor functioning

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6
Q

How many types of cerebral palsy are there?

A

6

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7
Q

What are the three classification of CP called?

A

spastic, dyskinetic and ataxia

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8
Q

Spasticity is found in 70% of CP cases- true/false?

A

true

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9
Q

Muscles are loose and floppy in spastic CP- true/false?

A

false- muscles are tight and stiff

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10
Q

What causes spastic CP?

A

GABA impairment around lesions in the brain

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11
Q

What causes dyskinetic CP?

A

lesions around the basal ganglia

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12
Q

What are dyskinetic CP symptoms?

A
  • slow uncontrolled movements- dystonia

- random dance like movements- chorea

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13
Q

What causes ataxic CP?

A

lesions in cerebellum

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14
Q

What are ataxic CP symptoms?

A

shaky uncoordinated movements

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15
Q

What is the GMFCS?

A

Gross motor function classification system

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16
Q

What causes CP before birth?

A

genetics, maternal infection

17
Q

What causes CP during birth?

A

low birth weight
infection
sepsis
trauma

18
Q

What causes CP immediately after birth?

A

meningitis

trauma

19
Q

What are the two types of brain damage in preterm infants?

A
Periventricular Leukomalacia (PVL)
Periventricular hemorrhagic infarction (PVHI)
20
Q

Why does Periventricular Leukomalacia (PVL) happen?

A

decreased oxygen flow (hypoxia)

decreased blood flow (ischaemia)

21
Q

What are the 3 main causes of Periventricular Leukomalacia (PVL)?

A
  1. Foetal blood vessels can’t maintain sufficient blood flow
  2. Hypotension due to foetal distress/ C sections
  3. Damage to blood brain barrier due to maternal/foetal infections
22
Q

What is Worster drought syndrome?

A

Congenital supra bulbar paresis

23
Q

What causes Worster drought syndrome?

A

inadequate development of cortico bulbar tracts

24
Q

What problems does Worster drought syndrome cause?

A

problems with mouth and tongue

  • Dysphagia
  • Dysarthria
  • dysphonia
25
2 associations with Worster drought syndrome?
Epilepsy | ADHD
26
3 clinical features of CP
dysarthria dysphagia delayed motor milestones
27
What is important for doctors to do for CP babies/children?
early detection by monitoring at risk babies | early referrals to physio
28
At risk babies include...
abnormal ultrasound | still requiring ventilation at 36wks
29
How do you diagnose CP?
``` Brain MRI at 2 yrs Persistent toe walking Delayed motor skills Abnormal motor patterns Early hand preference ```
30
3 red flags for neurological disorders in children...
absence of risk factors regression focal neurology
31
MDT members involved in CP
Everyone!
32
What is 24 hour postural management in CP?
Child places in position that is straight and symmetrical- specialist chair or standing frame
33
3 treatment options for CP
Physio/OT Botulinum toxin injections AFOS
34
3 main goals/outcomes for CP
keeping active delaying surgery participating in life