CP Flashcards

1
Q

cerebral palsy

A

-a disability resulting from damage to the brain before, during, or shortly after birth and outward manifested by muscular in-coordination and speech disturbances

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2
Q

diagnosis of cerebral palsy

A

Most children with cerebral palsy are diagnosed during the first 2 years of life. However, mild symptoms may be difficult to diagnosis before the age of 4 or 5.

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3
Q

3 steps to diagnosis

A
  1. Developmental monitoring
    - tracking child’s growth and development
  2. Developmental screening
    - short test that checks for developmental delays such as motor or movement delays
  3. Developmental and medical evaluations
    - diagnose the specific type of disorder that is affecting the child.
    - Additional tests such as CT scan, EEG and MRI can be done.
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4
Q

symptoms of CP in the brain

A
● Difficulty seeing and hearing
● Abnormal sensation,
perception, and pain
● Intellectual disabilities
● Abornama; touch perception
● Seizures
● Mental health conditions
● Urinary incontinence
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5
Q

symptoms of CP in the body

A
● Spasms or muscle tightness
● Signals sent for Involuntary
movements
● Difficult with gross and fine motor
skills= walking and running,
speaking and writing
● Oral diseases
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6
Q

other health problems associated with CP

A
  • Hearing deficits
  • Vision impairment
  • Seizures
  • Cognitive disability
  • ADHD
  • Behavioral, emotional issues
  • Feeding problems and nutritional deficiencies
  • Gastric reflux
  • Constipation
  • Scoliosis
  • Joint problems
  • Sleep disorders
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7
Q

types of CP

A
● Spastic cerebral palsy
● Dyskinetic/Athetoid
cerebral palsy
● Ataxic cerebral palsy
● Mixed cerebral palsy
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8
Q

quadriplegia

A

All four limbs are affected

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9
Q

diplegia

A

Both legs are more severely affected than the arms which can be affected to lesser extent

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10
Q

hemiplegia

A

One side of the body is affected. It typically affects the arm, hand, and leg on one side of the body

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11
Q

triplegia

A

Three limbs are affected, usually both arms and a leg

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12
Q

monoplegia

A

Only one limb is affected, usually an arm

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13
Q

CP causes

A

● Genetic abnormalities
● Poor brain development
● Maternal infections and infant infections
● Ingestion of toxins or drugs during pregnancy
● Complications related to premature delivery
● Brain infections such as bacterial meningitis or viral encephalitis
● Problems with blood flow to the brain
● Head injury or bleeding in the brain
● Lack of oxygen to the brain

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14
Q

ranges of severity

A

Mild - can move without assistance and daily activities are not limited
Moderate - will need medication, braces, and/or adaptive technology for daily activities
Severe - will require a wheelchair and important supports, and will have significant challenges in daily activities

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15
Q

3 different classification systems

A
  1. Communication Function Classification System (CFCS)
  2. Gross Motor Function Classification System (GMFCS)
  3. Manual Ability Classification System (MACS)
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16
Q

CFCS

A

Level I -independently alternates being sender/receiver of information with most people in most environments
Level II - independently alternates being sender/receiver with most people in most environments, but conversation may be slower
Level III - usually communicates consistently with familiar people in most environments, but not unfamiliar people
Level IV - not always consistently communicating with familiar people
Level V - seldomly able to effectively communicate, even with familiar people

17
Q

GMFCS

A

Level I - can perform gross motor skills like walking, jumping, climbing stairs, etc without assistance or limitations but speed, balance and coordination may be limited
Level II - can walk in most settings and climb stairs with railing, and may use a handheld mobility device for long distances
Level III - walk using a handheld mobility device in most indoor settings, and may use wheeled mobility for longer distances
Level IV - mobility requires physical assistance or powered mobility in most settings
Level V - transported in a manual wheelchair at all times, and are limited in their ability to control arm and leg movements

18
Q

MACS

A

Level I - objects are handled easily and successfully
Level II - handles most objects but with some reduced speed and/or quality
Level III - handles object with difficulty, and will need help to prepare and/or modify activities
Level IV - handles a limited selection of easily managed objects and requires some help from others
Level V - unable to handle objects or to even complete simple actions with their hands

19
Q

incidence

A
  • In Canada, 1 in 500 babies, and up to 1 in 3 premature babies are affected.
  • There are over 60,000 people with Cerebral Palsy in Canada.
20
Q

why does it occur?

A
  • it is a brain injury/malformation that occurs before, during, or immediately after birth while the infant’s brain is under develop
21
Q

treatment and management of CP

A
● Therapy
● Orthotics, casts and splints
● Medications
● Surgery
● Adaptive equipment
● Mobility devices
● Communication devices
● Daily living aids
22
Q

rehab physical

A

● Medications may need to be injected
● Botox may be injected to reduce drooling
● Surgery may be required to help loosen muscle tightness
● Braces and splints may be recommended to help with function (e.g. improved walking)

23
Q

rehab considerations cognitive

A

● Some children may be content with their impairments, so consider their feelings and their best interest (e.g. uncomfortable rehab)
● Some of the possible oral medications can
create a dependency
● Speech and hearing may be impacted, so
the child may need to learn sign language
● Recreation therapies can help increase
speech, emotional well-being, and motor
skills

24
Q

available resources

A
  • cerebral palsy association of manitoba

- active living alliance

25
Q

teaching & coaching considerations

A
  1. Know the person
    a. Person not disability, what they enjoy
    b. Knowledge of condition,
    medical records/limitations, potential IEPs, etc.
  2. Offer help/support when necessary
    a. With consent
  3. Have adaptations available if necessary
    a. Follow the LRE.
  4. Match participants with activities that reflect their skills
  5. Make it fun and interesting
    a. Emphasize socialization
    b. Incorporate useful everyday
    activities
26
Q

adaptation techniques

A
  1. Provide a barrier free facility
    a. Follow a checklist prior to activity ensuring facility and equipment is optimal for participation
    i. Ramp access, adaptable equipment, proximity of equipment, etc.
  2. Inform/educate coaching staff/volunteers on how to maintain and provide an inclusive environment
    a. Possible adaptations
    b. Available equipment
    c. Access to Tip Sheets through ALA
  3. Consider all possible adaptations to ensure full participation and benefit from physical activity
    a. Planning (Skill complexity, rule modification)
    b. Equipment
    c. Environment (Space, distance, time)
27
Q

dance and CP

A

● Dance as an expressive art
○ Cognitive, emotional, and behavioural functions not apart of traditional therapy
● Classical ballet positions counter main movement deficiencies present in people with CP
○ Enhance alignment, flexibility, core strength, postural control, and selective motor
control