CP 2 Flashcards by PHILYP EPHRAIM PARANGALAN

Q

discuss type of movements

A

spastic - corticospinal or cerebral cortex

dyskinetic

hypotonic - cerebellar or BG

mixed type - spastic and dyskinetic

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Q

discuss type of body parts affected

A

monoplegia - one limb

hemiplegia - half of body and UE > LE

triplegia - 3 limbs

quadriplegia - all 4

double hemiplegia - all 4 but UE > LE

diplegia - LE > UE

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Q

GMFCS 1

A

best

walk indoor and outdoor

climbs stairs

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Q

GMFCS 2

A

walk indoor and outdoor

climbs stairs c support

diff in uneven surface

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Q

GMFCS 3

A

walk indoor and outdoor on level c AD

can climb stairs c AD/assist

propels WC

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Q

GMFCS 4

A

walk short distance c AD but wheeled talaga

help c propulsion

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Q

GMFCS 5

A

no ability to propel

dep in all

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Q

discuss spastic CP

A

most common - 75%

hyperreflexia
clonus
babinski/primitive
hip disloc or scolio
coxa valga and femoral anteversion

indep in unlikely

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Q

spastic diplegia

A

muscle stiffness and weakness more on LE; but pwede padin UE

most can amb but has diff - scissoring

common in premature

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Q

spastic hemiplegia

A

one side lang - MCA affectation

unable to use affected hand

good prog to amb by 2 yo

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Q

spastic quadriplegia

A

total body and has cognitive disability

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Q

spastic double hemiplegia

A

3 limbs

symm LE and assym on UE

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Q

spastic pentaplegia

A

all 4 c neck and head paralysis

eating and breathing complications

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Q

discuss dyskinetic CP

A

5-8%

assoc c kernicterus

normal intelligence

18 mo. pa nakikita

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Q

athetoid dyskinetic CP

A

slow writhing of distal UE

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Q

chorea dyskinetic CP

A

abrupt irreg jerky of head, neck and ex

sharp

Q

dystonia dyskinetic CP

A

slow rhythmic - body area

twists and turn

Q

balismus dyskinetic CP

A

violent flinging of ipsi arm and leg

Q

choreoathetoid dyskinetic CP

A

chorea plus writhing

abrupt tas slow

Q

ataxic dyskinetic CP

A

if cerebellar tas usual na probs

Q

mixed dyskinetic CP

A

spastic-dyskinetic CP

spastic-athetoid

magkaiba UE and LE prob

Q

hypotonia dyskinetic CP

A

not common

Q

risk factors of CP

A

mother has infections

baby was preterm

mother had trauma

Q

ssx in general of CP

A

delay in motor milestones

gross motor delay - no sit in 6 mo.

opisthonic

handedness at less than 1

Q

assoc prob of CP

A

retardations

seizures

oromotor

GI

dental prob

visual prb

hearing prb

cortical sensory prob

pulmonary prob

Q

cortical sensory prob is common in

A

hemiplegia

Q

hemianopsia is common in

A

hemiplegias

Q

strabismus is common in

A

diplegia and quadriplegia