exam 2 peds Flashcards
spastic cp
diplegic legs>arms
quadriplegic - all 4 extremities
hemiplegia - one sided
- double hemiplegic- both sides one greater than other arms>legs
dyskinetic cp
choroathetoid
dystonic
athetosis
classification systms of cp
MANUAL ABILITY -macs
gross motor- GMFCS
communication function- CFCS
eating and Drinking- EDACS
GMFCS Level 1
climb stairs without limitation
gmfcs level 2
climb stairs holdign rails
gmfcs level 3
use assistive device, MAY PROPEL MANUAL CHAIR
gmfcs level 4
RELY MORE ON WHEELED MOBILITY
GMFCS LEVEL 5
all areas of motor function are impacted
MACS
the childs abilit to hanalde objects
MACS level 1
handles objects easily and usccesfullyq
macs level 2
handles most objects but with somewhat reduced quality and or speed of achievment
macs level 3
Handles objects with difficulty; needs help to prepare and/or modify activities:
macs level 4
Handles a limited selection of easily managed objects in adapted situations
macs level 5
does not handle objects an dhas sevelry limited aboility to perform even simple tasks
evaluate a child
Individualized approach
occupational profile → interviews, record review
structured/skilled clinical observation* → function, safety, & positioning
task/activity analysis → environments
additional tools as necessary
inteventions for kids with cp
Adaptive equipment & AT: position, mobility, communication, ADLs, etc,
orthotics & casting
P-CIMT
bimanual therapy
task specific training; goal-directed training
context-focused therapy
physical agent modalities (subject to state regulations)
therapeutic taping & strapping
Positioning, handling, and NDT
robotics & virtual reality
play
cranial nerves involved in feeding
trigeminal (CN V), facial (CN VII), glossopharyngeal (CN IX), vagus (CN X), accessory (CN XI), hypoglossal (CN XII) nerves
Macroglossia
enlarged tongue
