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Rehab Across the Lifespan > Cerebral palsy, TBI, shaken baby syndrome & Rheumatic Disorders > Flashcards

Cerebral palsy, TBI, shaken baby syndrome & Rheumatic Disorders Flashcards

1
Q

Shaken baby syndrome (SBS) S&S

A

trouble breathing, pale/bluish skin, convulsions or seizures, coma, irritability, lethargy, vomiting, poor feeding

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2
Q

Avert complications that arise from immobilization, disuse & neurological dysfunction (SBS)

A

goals to achieve higest functional level

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3
Q

Leading cause of disability and death in children

A

TBI’s

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4
Q

Nausea, headaches, vomiting, blurred vision, dizziness, stiff neck, fatigue

A

Mild TBI S&S

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5
Q

Loss of consciousness, amnesia >24hrs, extensive physical impairments c possible respiratory compromise
development of heterotropic ossification in pericaspular space

A

Severe TBI S&S

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6
Q

TBI Primary & secondary PT interventions

A

Primary: tone, muscle strength, ROM and hyperactive reflexes
2ndary: postures tht are compensatory
Sensory integrations: swinging, swaddling (approximation) , weights, compression garments

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7
Q

Disorder of posture & movement c brain damage

A

CP

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8
Q

Static encephalopathyAKA__

A

CP b/c it represents a problem c brain structure or function

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9
Q

DEC functional abilities, delayed motor development, impaired muscle tone, and movement patterns characteristics of?

A

CP

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10
Q

when brain damage occurs b4 birth or during the birth process

A

Congenital CP

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11
Q

The brain is damaged after birth up to 3 years of age.

A

Acquired CP

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12
Q

damage is more severe if CP is caused earlier or later in prenatal development

A

Earlier

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13
Q

Brain damage in early gestation produce motor involvement affects?

A

moderate to severe motor involvement of the entire body (quadriplegia)

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14
Q

Brain damage in later gestation produce motor involvement affects?

A

Primarily LE motor involvement (diplegia)

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15
Q

Etiology of CP

A

Prenatal, perinatal, postnatal

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16
Q

Prenatal causes of CP

A

rubella, herpes simplex, toxoplasmosis (due to parasite)

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17
Q

what are the 2 biggest cause of CP for perinatal?

A
  1. prematurity 2. low birth weight
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18
Q

Postnatal cause of CP?

A

INFECTIONS ( encephalitis, meningitis) an INFLAMMATORY DISORDERS of he brain

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19
Q

How is CP usually classified

A

by the type of abnormal muscle tone and movement

20
Q

Hyperactive, DTRS, clonus, hypersensitivity to sensory stimuli CP classification?

A

Spastic CP

21
Q

When head, neck, trunk, have decrease tone what problem does this create?

A

They have decreased strength and stability

22
Q

fluctuating tone, abnormal posture of extremeties, writhing movement CP classification?

A

Athetoid CP

23
Q

poor balance and coordination fluctuating tone, abnormal posture of extremeties, writhing movement CP classification?

A

Ataxic CP

24
Q

Poorly defined muscles, decrease response to DTRs, hypermobile joints CP classification?

A

hypotonic CP

25
Q

primary clue tht a child might have CP?

A

delay in achieving motor milestones

26
Q

Gross motor functional classification system:

Level 1-Infancy

A

Independent head control, moves in and out of sitting independently

27
Q

Gross motor functional classification system:

Level 1- childhood

A

Independent ambulation, rises from floor independently, manages steps independently.

28
Q

Gross motor functional classification system:

Level 1- adolescence

A

Independent ambulation, runs and jumps, reduced speed, balance, and agility

29
Q

Gross motor functional classification system:

Level 2- Infancy

A

Uses UE support to maintain sitting

30
Q

Gross motor functional classification system:

Level 2- Childhood

A

Continue use UE for support in sitting, independently rises from floor, reciprocal crawling, ambulates c assistive technology

31
Q

Gross motor functional classification system:

Level 3- Infancy

A

maintains floor sitting when low back is supported, can roll and creep forward on stomach

32
Q

Gross motor functional classification system:

Level 3- Childhood

A

“W” sits may require adult assistance to assume sitting, creeps on stomach or crawls on hands and knees, may pull to stand on a stable surface and cruise short distances, walks short distances indoor using an assistive mobility device, sits independently

33
Q

Gross motor functional classification system:

Level 3- Adolescence

A

Community ambulators c assistive device, climbs steps using a rail, uses wheeled mobility for longer distances

34
Q

Gross motor functional classification system:

Level 4- childhood

A

Ambulates short distance, wheeled mobility in community

35
Q

Gross motor functional classification system:

Level 4- Adolescence

A

Uses wheeled mobility

36
Q

Gross motor functional classification system:

Level 5- Infancy

A

Limited voluntary control

37
Q

Gross motor functional classification system:

Level 5- Adolescence

A

Extensive use of adaptive equipment

38
Q

Common warning signs of CP- over 2m

A

head lags c pull to sit
muscle or joint movements feel stiff
legs may get stiff and they cross or “scissor” when the child is picked up

39
Q

Common warning signs of CP- over 6m

A

Continues to hve asymmetric tonic neck reflex

reaches out c only one hand while keeping the other fisted

40
Q

Common warning signs of CP- over 10m

A

Crawls in lopsided manner, pushing off c one hand and leg while dragging the opposite
Scoots around on buttocks or hops on knees, but does not crawl on all fours

41
Q

A disorder causing joint inflammation and stiffness for more then in 6wks in children

A

Juvenile rheumatoid arthritis (JRA)

42
Q

Affects 4 or fewer joints
affects larger joints (knees most common)
Risk for iridocyclitis in subtype 1

A

Pauciarticular JRA

43
Q

Affects 4 or fewer joints
affects larger joints and smaller joints
Often affects the same joint on both sides of th body
RF antibodies in subtype 1

A

Polyarticular JRA

44
Q

High-spiking fevers
Rash on chest and highs
joint involvement
internal organs can be affected

A

Systemic JRA

45
Q

Rheumatic disorders interventions

A

relieve pain, reduce swelling, maintain movement and mobility, slow disease progression

Rehab Across the Lifespan (4 decks)

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