CP 2 Flashcards
discuss type of movements
spastic - corticospinal or cerebral cortex
dyskinetic
hypotonic - cerebellar or BG
mixed type - spastic and dyskinetic
discuss type of body parts affected
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
GMFCS 1
best
walk indoor and outdoor
climbs stairs
GMFCS 2
walk indoor and outdoor
climbs stairs c support
diff in uneven surface
GMFCS 3
walk indoor and outdoor on level c AD
can climb stairs c AD/assist
propels WC
GMFCS 4
walk short distance c AD but wheeled talaga
help c propulsion
GMFCS 5
no ability to propel
dep in all
discuss spastic CP
most common - 75%
hyperreflexia
clonus
babinski/primitive
hip disloc or scolio
coxa valga and femoral anteversion
indep in unlikely
spastic diplegia
muscle stiffness and weakness more on LE; but pwede padin UE
most can amb but has diff - scissoring
common in premature
spastic hemiplegia
one side lang - MCA affectation
unable to use affected hand
good prog to amb by 2 yo
spastic quadriplegia
total body and has cognitive disability
spastic double hemiplegia
3 limbs
symm LE and assym on UE
spastic pentaplegia
all 4 c neck and head paralysis
eating and breathing complications
discuss dyskinetic CP
5-8%
assoc c kernicterus
normal intelligence
18 mo. pa nakikita
athetoid dyskinetic CP
slow writhing of distal UE