CMT Flashcards
cervical ROM in babies compared to adults
is greater then adults
0-120
what is CMT
Unilateral contraction of the SCM causing a lateral flexion towards the affected side with slight rotation of the chin to the contralateral side
what is cortical blindness
the total or partial loss of vision in a normal appearing eye
caused by damage to the occiptial lobe
what is a strabismus
crossed eyed - when someone cannot align both eye simultaneously
UMN and reflexes
UMN lesion may lead to the persistence of primitive reflexes
look at primative relfexes and tone
audiology and CMT
hearing loss could cause the infant to turn their head in a specific direction
this could develop into CMT if not addressed
weird shaped head (craniosynostosis) and CMT
this could give the apperence of CMT
weird shaped head - neurosurgery or plastic
hip dys and CMT
hip dys in 10-12% of babies with CMT
scoliosis and CMT
postural asym may lead to CMT
when should a PT refer a pt out for CMT
non-musclar causes for asym
associated conditions - cranial deformity
infant older 12 months
- facial asym or 10-15 difference in passive or active cervical rotation
7 months old with SCM mass
the size of the CMT changes
the size of the SCM mass increases
grades and CMT
there are 8 grades
position and CMT PT care
PT should document the child’s tolerance to positional changes
motor development and milestones
what is the alberta infant monitor scale used for
motor development assessment
infant motor skills 0-18 months
what should PT ask parents/guardians
position when awake and asleep
time spent in prone position
Is the parent altering sides when breast or bottle feeding
infant time in position devices
factors that contribute to CMT prognosis
comorbidities
developmental stage
parent CMT knowledge and program adherence
muscle tissue characteristics
access to clinician with knowledge and skills
severity classification
when do we want to start intervention by
fist 2 months
5 first choice interventions
Neck PROM
Neck and trunk AROM
Development of sym movement
Enviro adaptations
Parent education
can we fixed CMT in the clinic alone
no need to have the parent or guardian working on it as well - teach them how to do the stretches
what show PROM test be focused on for CMT
stretching of the SCM
other muscle on the involved side that may be tigh - scalene, traps
AROM strengthing CMT
movement in opposite direction of tightness
into the direction of limited ROM
midline positioning CMT
this encourages sym movement
what are two treatments that do not work for CMT
mirco current and taping
TOT collars
provide a noxi stimulus to limit lateral flexion
normally seen if the impairment was caught late
must be supervised at all times
what to refer during CMT treatment
no improvement in 4-6 weeks
6 month of inntervention with a plateau
more aggressive intervention for CMT
bracing and surgery
need to see an ortho specialist
when should you re-eval the pt after discharge
3-12 months following discharge
child starts walking
movement sym of the neck, head, trunk, limbs
developmental motor milestones
what do we see with plagiocephaly
contra occipital bossing
isp frontal bossing
isp occipital flattening
if they are on the same side then it is not plagiocephaly
what is the name of plagiocephaly assessment
cranial vault assessment
in stage one and two plagiocephaly what do we see
no 2ndary chnages
in stage three we stage to see these chnages
what is the worst grade for plagiocephaly
5
helmet indications
4 - 12 this is the sweet period
when does the greatest growth of the skull occur
4 -12 months
before 4 months helmet
weight of helmet is too great for th child
after 12 months helmet
the helmet will have little effect becasue the cranial structure are beginning to close
what is the purpose of the plagiocephaly helmet
direct growth
have to wear it all day and night for it to be effective
