CP

Question 1

Spastic hemiplegia :

Answer 1

Hyperpronated flexed arm , hand fisted .

Question 2

Spastic Quadriplegia:

Answer 2

Scissoring of the legs ,
pronated forearms ,
fisted hands.

Question 3

Spastic CP :

Answer 3

Increased tone , increase reflexes, clonus , clasp knife.

Answer 4

Intrathecal Baclofen
Global spasticity Potentiates central inhibitory neurons by its GABAb Agonist action
complicatin :
Severe spasms and pain, myoglobulinemia Progressive increased scoliosis

Question 5

Selective dorsal rhizotomy

Answer 5

Difficult to control (often global) spasticity a proportion of the nerve roots in the spinal cord are selectively cut
Complications:
tone/dystonia Spinal deformity weakness and crouch

Question 6

Botulinum toxins injections

Answer 6

Focal Hypertonia Reduce Spasticity and the pain Reversible local muscle weakness
Complications
Urinary incontinence Muscle weakness and stumbling Weakening of nearby muscle Aspiration