CP Flashcards

1
Q

define pyramidal vs extrapyramidal.

A

pyramidal - learning new skills -> motor

extrapyramidal - automatic, reflexes

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2
Q

spastic CP is what type of injury?

A

white matter injury

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3
Q

name the 4 types of movement classification.

A

spastic, ataxia, hypotonic, dyskinetic

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4
Q

what is more involved in diplegia?

A

LE

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5
Q

when can children be formally diagnosed with CP?

A

1-2 years

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6
Q

what type of problems do you figure out from birth - 5 years

A

prenatal and perinatal problems

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7
Q

during an interview, what info do you get from 6-21 years?

A

focus on functional skills, environment specific, needed for participation, transition to adulthood

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8
Q

_______ is not inherent in CP.

A

Cognition

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9
Q

what impacts learning oppurtunities?

A

independent mobility

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10
Q

what are the most associated impairments?

A

speech, vision

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11
Q

medications for seizures?

A

dilantin, tegretol, vagal nerve stimulator

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12
Q

caution for a seizure pt?

A

vestibular stimulation

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13
Q

age specific considerations for participation

birth-12 years

A

play and parent care giver child interactions

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14
Q

when do you use MMT and dynamometry for strength?

A

6-21 years

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15
Q

scoliosis increases with….

A

severity of CP

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16
Q

3 pelvic alignment abnormalities

A

obliquity - leg length inequality
posterior pelvic tilt
anterior pelvic tilt

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17
Q

why can a pt present with a hip subluxation/dislocation?

A

due to decreased WB forces from young age – leading to hip instability

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18
Q

critical ROM for hip stability:

A

at least 30 degrees of abd

avoiding hip flexion contraction of 20-25 degrees or greater

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19
Q

why can a pt present with a hip subluxation/dislocation?

A

due to decreased WB forces from young age – leading to hip instability, and atypical muscular pull

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20
Q

what is decreased dorsiflexion ROM due to?

A

shortened gastroc - hypertonicity

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21
Q

what else happens at the foot?

A

equinovalgus (flatfoot)

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22
Q

how is the sensory function in these children?

A

lacking

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23
Q

how is the sensory function in these children?

A

lacking, delayed

24
Q

jumping causes what motions?

A

hip, knee flexion, PF in stance

25
gait abnormalities
knee hyperextension, decreased flexion in swing
26
R1 of tardieu is...
point of first catch at dynamic end point and tested with fast velocity
27
R2 of tardieu is...
passive ROM length
28
how do these pts compensate for weak musculature?
co-contraction or fixing muscles
29
difference between goals of GMFCS level I, II, III and IV+V
gross motor skills | early continuous postural management
30
interventions during infancy
education to families, proper positioning, postural stability, smooth mobility
31
interventions during preschool
independent mobility/functional independence, development of locomotor, cognitive, communication, fine motor, self care and social abilities
32
interventions during school age, adolescent, adulthood
maintain achieved level of activity, participation in age appropriate activities or interests, health promotion and physical activity, prevent secondary impairments
33
position you want CP pt in..
prone lying or where the muscles are most lengthened
34
what will positioning allow for?
improves function and participation | prevents secondary impairments
35
physiological effects of supported standing
improved bone stability, hip stability, improved lower extremity ROM, improved spasticity
36
positives of AFOs
controls PF, maintains longitudinal arch, prevents hyperextension
37
negatives of AFOs
eliminates movement of ankle, causes disuse atrophy
38
what does serial casting allow for?
decrease resistance to passive stretch | increased dorsiflexion ROM
39
tendon lengthening is for what muscles...
hamstrings, psoas, rectus femoris, adductors, gastroc
40
tendon transfers for UE
extensor muscles | patellar tendon advancement; posterior or anterior tibialis advancement
41
what is a derotational osteotomy?
achieving better alignment of head of femur in acetabulum or better alignment of the tibia
42
who benefits from a selective dorsal rhizotomy?
GMFCS III & IV
43
what do you need to work on post surgery dorsal rhizotomy?
strength
44
spasticity meds
botox baclofen intrathecal baclofen
45
what is not effective for increasing ROM, spasticity, or improving walking efficiency in children?
passive stretching
46
what type of strength training is more effective? isokinetic or isotonic?
isotonic
47
_____ doesn't increase spasticity.
strengthening
48
children with significant motor involvement can utilize...(form of exercise)
upper extremity cycling
49
for those who can ambulate, what type of exercise should be performed?
functional physical training
50
functional physical training program allows for significant improvement in...
aerobic endurance, walking distance, ambulation
51
who benefits from functional physical training?
ages 8-13, GMFCS 1 & II
52
NMES < -> FES?
NMES
53
what is used to improve gross motor function and functional mobility in children with CP following orthopedic surgery?
body weight supported treadmill training
54
who benefits from CIMT?
hemiplegic pts to improve hand function
55
using repitition, verbal guidance, and rhythm is used in -
conductive education
56
what is neurodevelopmental treatment approach used for?
reduce spasticity through therpautic handling during functional motor activities