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Growth and Development > CMT > Flashcards

CMT Flashcards

1
Q

cervical ROM in babies compared to adults

A

is greater then adults

0-120

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2
Q

what is CMT

A

Unilateral contraction of the SCM causing a lateral flexion towards the affected side with slight rotation of the chin to the contralateral side

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3
Q

what is cortical blindness

A

the total or partial loss of vision in a normal appearing eye

caused by damage to the occiptial lobe

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4
Q

what is a strabismus

A

crossed eyed - when someone cannot align both eye simultaneously

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5
Q

UMN and reflexes

A

UMN lesion may lead to the persistence of primitive reflexes

look at primative relfexes and tone

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6
Q

audiology and CMT

A

hearing loss could cause the infant to turn their head in a specific direction

this could develop into CMT if not addressed

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7
Q

weird shaped head (craniosynostosis) and CMT

A

this could give the apperence of CMT

weird shaped head - neurosurgery or plastic

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8
Q

hip dys and CMT

A

hip dys in 10-12% of babies with CMT

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9
Q

scoliosis and CMT

A

postural asym may lead to CMT

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10
Q

when should a PT refer a pt out for CMT

A

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

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11
Q

grades and CMT

A

there are 8 grades

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12
Q

position and CMT PT care

A

PT should document the child’s tolerance to positional changes

motor development and milestones

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13
Q

what is the alberta infant monitor scale used for

A

motor development assessment

infant motor skills 0-18 months

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14
Q

what should PT ask parents/guardians

A

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

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15
Q

factors that contribute to CMT prognosis

A

comorbidities

developmental stage

parent CMT knowledge and program adherence

muscle tissue characteristics

access to clinician with knowledge and skills

severity classification

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16
Q

when do we want to start intervention by

A

fist 2 months

17
Q

5 first choice interventions

A

 Neck PROM
 Neck and trunk AROM
 Development of sym movement
 Enviro adaptations
 Parent education

18
Q

can we fixed CMT in the clinic alone

A

no need to have the parent or guardian working on it as well - teach them how to do the stretches

19
Q

what show PROM test be focused on for CMT

A

stretching of the SCM

other muscle on the involved side that may be tigh - scalene, traps

20
Q

AROM strengthing CMT

A

movement in opposite direction of tightness

into the direction of limited ROM

21
Q

midline positioning CMT

A

this encourages sym movement

22
Q

what are two treatments that do not work for CMT

A

mirco current and taping

23
Q

TOT collars

A

provide a noxi stimulus to limit lateral flexion

normally seen if the impairment was caught late

must be supervised at all times

24
Q

what to refer during CMT treatment

A

no improvement in 4-6 weeks

6 month of inntervention with a plateau

25
Q

more aggressive intervention for CMT

A

bracing and surgery

need to see an ortho specialist

26
Q

when should you re-eval the pt after discharge

A

3-12 months following discharge

child starts walking

movement sym of the neck, head, trunk, limbs

developmental motor milestones

27
Q

what do we see with plagiocephaly

A

contra occipital bossing

isp frontal bossing

isp occipital flattening

if they are on the same side then it is not plagiocephaly

28
Q

what is the name of plagiocephaly assessment

A

cranial vault assessment

29
Q

in stage one and two plagiocephaly what do we see

A

no 2ndary chnages

in stage three we stage to see these chnages

30
Q

what is the worst grade for plagiocephaly

A

5

31
Q

helmet indications

A

4 - 12 this is the sweet period

32
Q

when does the greatest growth of the skull occur

A

4 -12 months

33
Q

before 4 months helmet

A

weight of helmet is too great for th child

34
Q

after 12 months helmet

A

the helmet will have little effect becasue the cranial structure are beginning to close

35
Q

what is the purpose of the plagiocephaly helmet

A

direct growth

have to wear it all day and night for it to be effective

Growth and Development (6 decks)

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