Cerebral palsy, TBI, shaken baby syndrome & Rheumatic Disorders

Question 1

Shaken baby syndrome (SBS) S&S

Answer 1

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

Question 2

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

Answer 2

goals to achieve higest functional level

Question 3

Leading cause of disability and death in children

Answer 3

TBI’s

Question 4

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

Answer 4

Mild TBI S&S

Question 5

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

Answer 5

Severe TBI S&S

Question 6

TBI Primary & secondary PT interventions

Answer 6

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

Question 7

Disorder of posture & movement c brain damage

Answer 7

CP

Question 8

Static encephalopathyAKA__

Answer 8

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

Question 9

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

Answer 9

CP

Question 10

when brain damage occurs b4 birth or during the birth process

Answer 10

Congenital CP

Question 11

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

Answer 11

Acquired CP

Question 12

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

Answer 12

Earlier

Question 13

Brain damage in early gestation produce motor involvement affects?

Answer 13

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

Question 14

Brain damage in later gestation produce motor involvement affects?

Answer 14

Primarily LE motor involvement (diplegia)

Question 15

Etiology of CP

Answer 15

Prenatal, perinatal, postnatal

Question 16

Prenatal causes of CP

Answer 16

rubella, herpes simplex, toxoplasmosis (due to parasite)

Question 17

what are the 2 biggest cause of CP for perinatal?

Answer 17

1. prematurity 2. low birth weight

Question 18

Postnatal cause of CP?

Answer 18

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

Question 19

How is CP usually classified

Answer 19

by the type of abnormal muscle tone and movement

Question 20

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

Answer 20

Spastic CP

Question 21

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

Answer 21

They have decreased strength and stability

Question 22

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

Answer 22

Athetoid CP

Question 23

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

Answer 23

Ataxic CP

Question 24

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

Answer 24

hypotonic CP

Question 25

primary clue tht a child might have CP?

Answer 25

delay in achieving motor milestones

Question 26

Gross motor functional classification system: | Level 1-Infancy

Answer 26

Independent head control, moves in and out of sitting independently

Question 27

Gross motor functional classification system: | Level 1- childhood

Answer 27

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

Question 28

Gross motor functional classification system: | Level 1- adolescence

Answer 28

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

Question 29

Gross motor functional classification system: | Level 2- Infancy

Answer 29

Uses UE support to maintain sitting

Question 30

Gross motor functional classification system: | Level 2- Childhood

Answer 30

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

Question 31

Gross motor functional classification system: | Level 3- Infancy

Answer 31

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

Question 32

Gross motor functional classification system: | Level 3- Childhood

Answer 32

"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

Question 33

Gross motor functional classification system: | Level 3- Adolescence

Answer 33

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

Question 34

Gross motor functional classification system: | Level 4- childhood

Answer 34

Ambulates short distance, wheeled mobility in community

Question 35

Gross motor functional classification system: | Level 4- Adolescence

Answer 35

Uses wheeled mobility

Question 36

Gross motor functional classification system: | Level 5- Infancy

Answer 36

Limited voluntary control

Question 37

Gross motor functional classification system: | Level 5- Adolescence

Answer 37

Extensive use of adaptive equipment

Question 38

Common warning signs of CP- over 2m

Answer 38

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

Question 39

Common warning signs of CP- over 6m

Answer 39

Continues to hve asymmetric tonic neck reflex | reaches out c only one hand while keeping the other fisted

Question 40

Common warning signs of CP- over 10m

Answer 40

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

Question 41

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

Answer 41

Juvenile rheumatoid arthritis (JRA)

Question 42

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

Answer 42

Pauciarticular JRA

Question 43

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

Answer 43

Polyarticular JRA

Question 44

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

Answer 44

Systemic JRA

Question 45

Rheumatic disorders interventions

Answer 45

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