Facilitation Competency Notes- CP Flashcards
What is hemiplegia?
Is UE or LE more affected?
One SIDE of the body is involved, but still see a little involvement on the other side
(This is because 90% cross fibers, and 10% uncrossed)
UE > LE
What is diplegia?
LE > UE
Most common in premature baby that had blowout in the brain
What is quadriplegia?
Is UE or LE more affected?
All 4 extremities involved
UE > LE
What is double hemiplegia?
Is UE or LE more affected?
All 4 limbs are involved, but one side of the body is more affected than the other.
UE > LE
Tend to develop one good arm
Spastic: Tone
Increased
Spastic: Reaching
Difficulty getting to the objects
May move in the opposite directions
Spastic: Movement
Limited movement
Movement available in small ranges
Spastic: Righting and ER
Limited dependent on degree of spasticity
Spastic: Mobility
Bunny hops using arms (dragging legs)
Walks with flexed hips and knees, legs IR and adduced, lumbar lordosis, thoracic kyphosis w/ retracted arms
Spastic: Treatment
SLOW movement to reduce tone
Experience wide variety of movement and positions
Ataxic: Tone
Slightly decreased
Ataxic: Reaching
Overshoots in small ranges
Ataxic: Movement
Locks in midrange, especially in trunk
Ataxic: Righting and ER
Unreliable
Slow initiation, then overreacts
Ataxic: Mobility
Slightly crouched gait with decreased arm swing and no trunk rotation
Visually fixates on object
Ataxic: Treatment
Speedy weight shifting
Transitional movements, especially those with trunk rotation (PRONE –> SIT)
Athetoid:
UE > LE, or LE > UE?
UE > LE
So need to facilitate at triceps and activate scapula!
Athetoid: Tone:
Fluctuates
Smooth/dance like –> no stability
(may want to work on distal stability and proximal mobility)
Athetoid: Reaching
Overshoots in large range (flexor synergy)
Athetoid: Movement
Excessive, wide range movement
No MID RANGE control of gradation of movement
Rarely in midline
[work in midrange (no neck turning); QP is hard for them]
Athetoid: Righting and ER
Present, but exaggerated and disorganized
Athetoid: Mobility
Bunny hops using legs
Walks with high stepping gait (excess flexion) or shuffling gait
Athetoid: Treatment
Graded movement
Midrange control
Weight shift in SMALL range
Hypotonic: Tone
Decreased
Hypotonic: Reaching
Hard to generate initial muscle power
Hypotonic: Movement
Difficult moving against gravity
Hypotonic: Righting and ER
Minimal responses seen
Hypotonic: Mobility
Walks with legs flexed but with ER, flat feet, arms rolled in
Hypotonic: Treatment
Bouncing and joint compression to increase tone
Increase movement against gravity
[Facil at pelvis/trunk, compression – push down into WB surface; prep bouncing, must develop strength and ability to develop force with volition]
