Development cerebral palsy

Question 1

How does motor developmental progress?

Answer 1

1. Cephalocaudal

2. Proximal to distal

Question 2

How do reflexes progress?

Answer 2

involuntary to goal-oriented to voluntary

Question 3

Primitive reflexes must progress to

Answer 3

Postural reflexes (3-8months, 6 months) 
and they must subside

Question 4

Diagnosing cerebral palsy - key factors

Answer 4

1. History of delayed motor milestones
2. Muscle tone abnormalities
3. Persisting primitive reflexes
4. Abnormal postural reactions

Question 5

Some red flags for delayed milestones

Answer 5

1. no head control by 4months
2. not sitting by 9 months
3. not walking by 18 months

Question 6

Some red flags for early milestones

Answer 6

1. early hand dominance

2. rolling before 3 months

Question 7

Features of cerebral palsy

Answer 7

1. static abnormality
2. secondary to brain injury
3. disorder of movement or posture

Question 8

Prominent perinatal risk factor

Answer 8

30-40% contributing is prematurity at birth increases risk up to 100 times

Question 9

Hemiplegia in cerebral palsy

Answer 9

MCA infarct - affecting arm>leg

Question 10

Spastic quadriplegia in CP

Answer 10

Periventricular venous infarct

Question 11

Spastic Diplegia

Answer 11

Periventricular leukomalacia - bad white matter - LEGS>arms