Facilitation Competency Notes- CP

Question 1

What is hemiplegia?

Is UE or LE more affected?

Answer 1

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

Question 2

What is diplegia?

Answer 2

LE > UE

Most common in premature baby that had blowout in the brain

Question 3

What is quadriplegia?

Is UE or LE more affected?

Answer 3

All 4 extremities involved

UE > LE

Question 4

What is double hemiplegia?

Is UE or LE more affected?

Answer 4

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

Question 5

Spastic: Tone

Answer 5

Increased

Question 6

Spastic: Reaching

Answer 6

Difficulty getting to the objects

May move in the opposite directions

Question 7

Spastic: Movement

Answer 7

Limited movement

Movement available in small ranges

Question 8

Spastic: Righting and ER

Answer 8

Limited dependent on degree of spasticity

Question 9

Spastic: Mobility

Answer 9

Bunny hops using arms (dragging legs)

Walks with flexed hips and knees, legs IR and adduced, lumbar lordosis, thoracic kyphosis w/ retracted arms

Question 10

Spastic: Treatment

Answer 10

SLOW movement to reduce tone

Experience wide variety of movement and positions

Question 11

Ataxic: Tone

Answer 11

Slightly decreased

Question 12

Ataxic: Reaching

Answer 12

Overshoots in small ranges

Question 13

Ataxic: Movement

Answer 13

Locks in midrange, especially in trunk

Question 14

Ataxic: Righting and ER

Answer 14

Unreliable

Slow initiation, then overreacts

Question 15

Ataxic: Mobility

Answer 15

Slightly crouched gait with decreased arm swing and no trunk rotation

Visually fixates on object

Question 16

Ataxic: Treatment

Answer 16

Speedy weight shifting

Transitional movements, especially those with trunk rotation (PRONE –> SIT)

Question 17

Athetoid:

UE > LE, or LE > UE?

Answer 17

UE > LE

So need to facilitate at triceps and activate scapula!

Question 18

Athetoid: Tone:

Answer 18

Fluctuates

Smooth/dance like –> no stability

(may want to work on distal stability and proximal mobility)

Question 19

Athetoid: Reaching

Answer 19

Overshoots in large range (flexor synergy)

Question 20

Athetoid: Movement

Answer 20

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]

Question 21

Athetoid: Righting and ER

Answer 21

Present, but exaggerated and disorganized

Question 22

Athetoid: Mobility

Answer 22

Bunny hops using legs

Walks with high stepping gait (excess flexion) or shuffling gait

Question 23

Athetoid: Treatment

Answer 23

Graded movement
Midrange control
Weight shift in SMALL range

Question 24

Hypotonic: Tone

Answer 24

Decreased

Question 25

Hypotonic: Reaching

Answer 25

Hard to generate initial muscle power

Question 26

Hypotonic: Movement

Answer 26

Difficult moving against gravity

Question 27

Hypotonic: Righting and ER

Answer 27

Minimal responses seen

Question 28

Hypotonic: Mobility

Answer 28

Walks with legs flexed but with ER, flat feet, arms rolled in

Question 29

Hypotonic: Treatment

Answer 29

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]