CP

Question 1

percentage of spastic CP

Answer 1

70-80% most common accompanies other types in 30% of cases

Question 2

Percentage of dyskinetic CP

Answer 2

6%

Question 3

Percentage of Ataxic CP

Answer 3

6%

Question 4

Area damaged resulting in spastic CP

Answer 4

Motor cortex

Question 5

Area damaged resulting in ataxic CP

Answer 5

Cerebellum

Question 6

Area damaged resulting in Dyskinetic CP

Answer 6

Basal ganglia

Question 7

Spastic CP symptoms

Answer 7

High tone and spasticity Muscles stiff and tight

Contractures often present

Question 8

Ataxic CP symptoms

Answer 8

Shaky movement
Balance, proprioception and depth perception affected
Wide unsteady base
Disintegration of movement (can’t touch an object on the first try)

Question 9

Dyskinetic CP types

Answer 9

Dystonia Athetosis

Question 10

Dystonia symptoms

Answer 10

Slow, twisting repetitive involuntary movements
Abnormal postures triggered by attempts to move

Question 11

Athetosis symptoms

Answer 11

Body either extremely stiff or relaxed
Slow continuous movements (present at rest, worsened by attempts to move)
Fluctuating muscle tone Involuntary movements interfere with speech and swallowing

Question 12

GMFCS 1

Answer 12

*Walk independently in all settings
*Climb stairs (no railing)
*run, jump
*Speed, balance, coordination limited

Question 13

GMFCS 2

Answer 13

• Walk independently in most settings
• Climb stairs (with railing)
• Difficulty walking long distances
• Difficulty balancing on uneven terrain, inclines, crowded areas or confined spaces
• May use mobility aid for long distances
• Limited ability to run, jump

Question 14

GMFCS 3

Answer 14

*Walk with handheld mobility aid in most indoor settings
*May climb stairs (with railing and assistance/supervision)
*Use wheelchair for long distance (may self-propel short distances)

Question 15

GMFCS 4

Answer 15

*Mobilise with physical or powered assistance in most settings
*May walk with physical or powered assistance short distances

Question 16

GMFCS 5

Answer 16

• Transported in wheelchair in all settings
• Limited ability to maintain head position against gravity

Question 17

Tone

Answer 17

The body’s resistance to passive stretch

Question 18

Spasticity

Answer 18

Velocity dependant increase in tone

Question 19

Modified Ashworth Scale

Answer 19

Used to test tone and spasticity through ROM

0 No increase in muscle tone

1 Slight increase in muscle tone, manifested by a catch and release or by minimal resistance at the end of the range of motion when the affected part(s) is moved in flexion or extension

1+ Slight increase in muscle tone, manifested by a catch, followed by minimal resistance throughout the remainder (less than half) of the ROM

2 More marked increase in muscle tone through most of the ROM, but affected part(s) easily moved

3 Considerable increase in muscle tone, passive movement difficult

4 Affected part(s) rigid in flexion or extension

Question 20

Modified Tardieu Scale

Answer 20

0 No resistance throughout passive movement

1 Slight resistance throughout passive movement with no clear catch at precise angle

2 Catch at precise angle followed by release

3 Fatigable clonus (<10s with pressure maintained) occurring at precise angle

4 Infatigable clonus (>10s with pressure maintained) occurring at precise angle

> 5° difference between ROM achieved at low and high velocity (+catch) suggests spasticity is present

Question 21

Clonus

Answer 21

involuntary muscle contractions and relaxations in response to muscle stretch

> 5 beats signifies upper motor lesion