Chapter 28 - Cerebral Palsy

Question 1

Which of the following is considered a secondary impairment in children diagnoses with cerebral palsy?

Answer 1

Joint contracture

Question 2

How do series static splint lengthen tissues and correct deformity ?

Answer 2

Application of gentle forces sustained for extended periods of time

Question 3

What type of intervention approach is being used when the therapist recommends a zipper pull to allow a child with cerebral palsy to put on his own coat?

Answer 3

Adaptive

Question 4

What is not a cause of cerebral palsy in children?

Answer 4

Socioeconomic also status

Question 5

According to the medical record, Jenny had damage to her primary motor cortex during birth trauma. She has been receiving OT, PT, and SLP since brith. The therapist observed the following during the initial evaluation. Abnormal movement and atypical reflex presenting (ie. ATNR) Hypertonicity in her arm with spasticity greater in her right bicep, wrist flexors, and thumb adductors Hypertonicity in her legs with spasticity greater in hip adductors, hamstrings, and gastric/soleus. Deleted or absent righting and equilibrium responses. Which type of cerebral palsy does Jenny have?

Answer 5

Spastic

Question 6

What is not considered an essential feature of constraint induced movement therapy for children with cerebral palsy?

Answer 6

Three children per group

Question 7

Which type of medical intervention (medication)is used to reduce spasticity through an injection directly into the muscle ?

Answer 7

Botox

Question 8

Which statement is true regarding the incidence of cerebral palsy? How many births it affects?

Answer 8

1 in 500 births ?

Question 9

What is a common scale used to determine the level of functional hand use in a child diagnosed with cerebral palsy?

Answer 9

Manual Ability Classification System (MACS)

Question 10

Which statement best reflects why children with cerebral palsy may have speech and language problems?

Answer 10

Lesion affecting primary motor and temporal lobe.

Question 11

Which type of movement disorder and distribution is most prevalent ?

Answer 11

Spastic: Diplegic, legs>arms

Question 12

Which of the following is a common compensatory strategy used by children with cerebral palsy while reaching and grasping ?

Answer 12

Excessive trunk movement including trunk extension and lateral flexion

Question 13

What type of movement wold you expect to see upon observation of a 4-year old girls with Atherton day type CP?

Answer 13

Large sudden fluctuations, “jerky” movement with poor midrange control

Question 14

Which posture reflex readings the head with the body?

Answer 14

Righting

Question 15

Which approach has the most evidence to support its use in occupational therapy for children with cerebral palsy?

Answer 15

Motor control