CP etiology & class Flashcards
key points for definiton of CP
non progressive lesion
developing brain
disorder of posture and movement
CP prevalance
about 2-3 per 1000 children ( most common childhood motor disability)
prenatal risk factors
genetic
infections (torch)
placental complications
prematurity
perinatal risk factors
infections (TORCH)
birth complications resulting in lack of O2
post natal risk factors
head trauma
near drowning
strokes
meningitis
TORCH (infections) means=
toxoplasmosis
other
rubella
cytomegalovirus
herpes simplex virus
classification of CP
topography
type of muscle tone
function
what is hemiplegia CP
affects one side of the body; arm, leg, trunk, and head
often small, unilateral hemorrhage or pediatric stroke
38% of cases
what is diplegia CP
lower limbs affected more often
often bilateral hemorrhage
37% of cases
what is tetraplegia CP
affects 3 limbs and trunk and head
often large HIE
24% of cases
what is quadriplegia CP
affects all 4 limbs and trunk and head
often large HIE
24% of cases
diskinetic CP
basal ganglia
involuntary movement
~6%
dystonia - twisting,repetitive
athetosis - slow, continuous, writhing mvmts
chorea - quick, dancelike, irregular, unpredictable
choreathetosis - combo
spastic CP
motor cortex
muscles appear stiff/ increased tone
most common
ataxic CP
cerebellum
shaky movement
poor balance/unsteady
~5%
movements that require a lot of control are challenging (writing dressing)
movement system diagnoses
fractionated movement deficit
force production deficit
motor coordination deficit
prognostic predictor for ambulation
sitting independently (without arm support) by 24 months
one early gross motor milestone that is most predictive of walking is
sitting independently by age 2
ages 6-12 GMFCS level 1
children walk at home, school, outdoors and in the community. They can climb stairs without the use of a railing. Children perform gross motor skills such as running and jumping, but speed, balance, and coordination are limited
ages 6-12 GMFCS level 2
Children walk in most settings and climb stairs holding onto a railing. They may experience difficulty walking long distances and balancing on uneven terrain, inclines, in crowded areas or confined spaces. Children may walk with physical assistance, a HHD or wheeled mobility over long distances. Have only minimal ability to perform gross motor skills such as running and jumping.
ages 6-12 GMFCS level 3
Children walk using HHD in most indoor settings. They may climb stairs holding onto a railing with supervision or assistance. Use wheeled mobility when traveling long distances and may self -propel for shorter distances
ages 6-12 GMFCS level 4
Children use methods of mobility that require physical assistance or powered mobility in most settings. They may walk short distances at home with physical assistance or use of powered mobility or a body support walker when positioned. At school, outdoors and in the community children are transported in a manual WC or used powered mobility
ages 6-12 GMFCS level 5
children are transported in a manual WC in all settings. Children are limited in their ability to maintain antigravity head and trunk postures and control leg and arm movements
ages 12-18 GMFCS level 1
youth walk at home, school, outdoors and in the community. Youth are able to climb curbs and stairs without physical assistance or a railing. They perform gross motor skills such as running and jumping but sppeed, balance, and coordination are limited
ages 12-18 GMFCS level 2
Youth walk in most settings but environmental factors and personal choice influence mobility choices. At school or work they may require a HHD for safety and climb stairs holding onto a railing. Outdoors and in the community youth may used wheeled mobility when traveling long distances
ages 12-18 GMFCS level 3
Youth are capable of walking using a HHD. Youth may climb stairs holding onto a railing with supervision or assistance. At school they may self-propel a manual WC or use powered mobility. Outdoors and in the community youth are transported in WC or use powered mobility.
ages 12-18 GMFCS level 4
Youth use wheeled mobility in most settings. Physical assistance of 1-2 people is required for transfers. Indoors, youth may walk short distances with physical assistance, used wheeled mobility of a body support walker when positioned. They may operate a powered WC otherwise are transported in manual WC
ages 12-18 GMFCS level 5
youth are transported in a manual WC in all settings. Youth are limited in their ability to maintain antigravity head and trunk postures and control leg and arm movements. Self mobility is severely limited, even with the use of assistive technology
what is the SAROMM used for
spinal alignment range of motion measure for ages 2-18 - looks at scoliosis and progression and tracking it for the risk of contracture
when is postural control essentially mature
by 10-12 YO
tests for postural control
Kids BEstest, PBS, ECAB
ECAB
early clinical assessment of balance
for children 1.5-12 years old
SATCo
segmental assessment of trunk control
for children and adults with and without CP
static, active and reactive control across 7 segemental areas
F words
fitness
functioning
friends
family
fun
future
postural control develops in a __ pattern
cephalocaudal
