CP ICF model Flashcards
primary injuries
result directly from injury to brain
what are some primary injuries from CP
spasticity
weakness
loss of selective motor control
impaired motor control
secondary impairments
result from primary impairments
what are some secondary impairments of CP
pain
cardiopulmonary dysfunction
deformities
where is the lesion with spasticity
cerebral cortex
corticospinal tracts
is hypertonia/spasticity typically greater proximally or distally
distally
*tone is often decreased proximally (trunk hypotonia)
can muscle tone/stiffness change?
yes, it can change with emotions, effort, illness, position but it is not truly fluctuating
are sarcomeres in spastic muscle shorter or longer
longer, so they lose their force production
*like a rubberband being stretched out
T or F: spastic muscles are shorter and stiffer than normal muscles
T
what causes decreased extensibility in spastic muscle
collagen deposits in the extracellular matrix (makes the matrix stiffer)
are concentric or eccentric contractions more difficult for kids with CP
eccentric… they have difficulties controlling it
is muscle power or muscle strength more affected with CP
power
is there more muscle weakness in proximal or distal musculature in children with CP
distal
do children with CP experience more muscle weakness and faster or slower speeds of movement
faster… when people with CP walk fast this can increase spasticity
T or F: people with CP have limited ROM in some muscles and overlengthening in others
T
what is the most common cause for hip dysplasia in children with CP
hip flexor and adduction spasticity (WB also limited)
in CP, the rib cage may be ______ A/P and _______- M/L. why?
flattened
flared
*due to limited time upright during early development
what are people with CP susceptible to relating to the spine
scoliosis
T or F: people with CP may experience premature degenerative changes in WB joints
T: due to excessive and abnormal biomechanical forces
children with CP may have impaired selective control. what would you see with this?
- impaired ability to isolate muscle activation
- reduced speed, abnormal reciprocal muscle activation
- flexor/extensor patterns during functional movements
T or F: reactive postural adjustments increase with increasing severity of CP
F: they decrease
T or F: co-contractions can lead to impaired postural control
T
T or F: children with CP may have decreased body awareness
T
what are two things that can cause cardiopulmonary deficits in people with CP
1 - rib cage structure/thoracic movement
2 - tight rectus abdominis
what 2 types of CP is oral motor dysfunction most common in
spastic quadriplegia
athetosis
t or f: the overall pain threshold in people with CP is low
F: it is high
