Diplegic/Quadriplegic CP Flashcards
what is the most common motor disability in childhood
cerebral palsy
what causes CP
premature/low birth weight
fetal infections/stroke
maternal infection
medical neglect
exposure to toxins
explain the brain lesion associated with spastic quadriplegia
extensive periventricular white matter damage
– restricts ability to send signals to entire body
s/s of spastic quadriplegia
delay motor milestone
abnormal muscle tone (spasticity)
stiff joints via contractures
seizures
cognitive delay/speech impediment
gait abnormalities (scissoring)
GMFCS Level 1
walks without limitations
GMFCS Level 2
limitations in walking on uneven surfaces or inclines
walk indoors/outdoors and stairs holding onto railing
GMFCS Level 3
indoors/outdoors on level surfaces with mobility device
climb stairs with railing
wheelchair for long distances / uneven terrain
GMFCS Level 4
walk short distances with walker
wheeled mobility at home/school/community
GMFCS Level 5
no means of independent mobility
interventions for those with spastic quadriplegia
strength training
treadmill/gait training
serial casting / splinting
medication
surgery
what surgeries are common for those with spastic quadriplegic CP
posterior rhizotomy
muscle lengthening or transfers
femoral derotational osteotomy
true equinus gait
hip/knee extension
– sometimes knee hyperextension
plantarflexion
jump gait characteristics
ant pelvic tilt / lumbar lordosis
hip/knee flexed
plantarflexion
apparent equinus characteristics
increased hip/knee flexion
less PF, but still PF at ankle
crouch gait characteristics
excessive hip/knee flexion
scissoring
excessive dorsiflexion
explain prognosis differences between di and quadriplegia
di = more favorable
quad = less favorable
