FINAL EXAM Flashcards
A non-progressive ( It doesn’t get worse) brain injury or malformation
that occurs while the child’s brain is under development
Cerebral Palsy
Cerebral Palsy:
It affects body _ and _
movement and muscle
coordination
Cerebral Palsy:
Symptoms vary from mild to severe
- On the mild side, It could be only a _
slight speech issue
Cerebral Palsy:
Symptoms vary from mild to severe
- And on the severe
side, a total inability to _ and can also cause an
Intellectual disability
control any part of the
body
Cerebral Palsy:
Premature infant _ times more likely to be born with CP than full-term baby
five
3 Schemes of Cerebral Palsy
- Topographical (parts of body anatomical)
- Neuromotor (medical)
- Functional (movement related)
Schemes of Cerebral Palsy:
6 Topographical classifications
- Monoplegia
- Diplegia
- Hemiplegia
- Paraplegia
- Triplegia
- Quadriplegia
Schemes of Cerebral Palsy:
Topographical classifications
- Any one body part
Monoplegia
Schemes of Cerebral Palsy:
Topographical classifications
- Major involvement of
both lower limbs or minor
involvement of both upper limbs
Diplegia
Schemes of Cerebral Palsy:
Topographical classifications
- One complete side of the body (arm and leg)
- Muscle stiffness or weakness on one half of the body
- Lack of fine motor skills
- Difficulty balancing and
walking
- Keeping one hand fisted
Hemiplegia
Schemes of Cerebral Palsy:
Topographical classifications
- Any three limbs involved (rare)
Triplegia
Schemes of Cerebral Palsy:
Topographical classifications
- Total body involvement (all
four limbs, neck, and trunk)
Quadriplegia
Schemes of Cerebral Palsy:
Neuromotor classifications
- 3 types
- Spastic CP
- Dyskinetic CP
- Ataxia CP
Schemes of Cerebral Palsy:
Neuromotor classifications
- The child has increased muscle tone, stiff and tight
muscles, It is difficult for them to turn then on and off
- Largest group it is about 80% of all CP
Spastic CP
Schemes of Cerebral Palsy:
Neuromotor classifications
- Largest group it is about 80% of all CP
Spastic CP
Schemes of Cerebral Palsy:
Neuromotor classifications
- The child has low
uncoordinated movements,
involuntary movements,
interferes with speaking
Dyskinetic CP
Schemes of Cerebral Palsy:
Neuromotor classifications
- The child has balance
problems, clumsiness,
awkwardness
- They just look very clumsy
Ataxia CP
Schemes of Cerebral Palsy:
Neuromotor classifications
- It is rare (6%)
Ataxia CP
Cerebral Palsy Educational Considerations:
CP is _, not cured. Its always going to be there
- Alleviating symptoms caused by brain damage
managed
Cerebral Palsy Educational Considerations:
Managing _ —improving muscle control, muscle relaxation, functional skills
motor function
Cerebral Palsy Educational Considerations:
_ development—interferes with development of functional skills (e.g., kicking and throwing balls)
Abnormal reflex
Cerebral Palsy Educational Considerations:
_ is a big part of success
Physical therapy
Cerebral Palsy Educational Considerations:
Primary concern—to develop _
total person (use of
collaboration or team approach)
Insult to the brain affecting physical, cognitive, social,
behavioral, and emotional functioning
- Referred to as silent epidemic
Traumatic Brain Injury (TBI)
Physical impairments include lack of coordination, planning and sequencing movements, muscle spasticity, headaches, speech disorders, paralysis, and sensory impairments (vision problems)
- It is a wide difference between patients
Traumatic Brain Injury (TBI)
Traumatic Brain Injury (TBI):
_ impairments may result in short- or long-term memory deficits, poor concentration, altered perception, communication disorders (reading, writing), and poor
judgment
Cognitive
Traumatic Brain Injury (TBI):
_ impairments include mood swings, lack of motivation, low self-esteem, inability to self-monitor, depression, sexual dysfunction, excessive laughing or crying, and difficulty with impulse control and relating to others
Social, emotional, and behavioral
Traumatic Brain Injury (TBI):
- Leading killer and cause of disability in _ and _ in U.S
children and young adults under 45 years of age
Traumatic Brain Injury (TBI):
- About _ Americans have sustained a traumatic brain injury (TBI)
5.3 million
Traumatic Brain Injury (TBI):
- Males _ times more likely to sustain a TBI than females
1.5
Traumatic Brain Injury (TBI):
- _, _, and _ are leading causes of injury
- Can also be caused from anoxia, cardiac arrest, near drowning, child abuse, and sport and recreation accidents
Motor vehicle accidents, violence, and falls
Classification and degrees of Traumatic Brain Injury (TBI):
- May result from accident, gunshot wound, or blow to head resulting in a visible injury
Open head injury
Classification and degrees of Traumatic Brain Injury (TBI):
- May be caused by severe
shaking, lack of oxygen, cranial hemorrhage, or blow to the head as in boxing
Closed head injury
Classification and degrees of Traumatic Brain Injury (TBI):
- Can range from very _
mild to severe
Classification and degrees of Traumatic Brain Injury (TBI):
- Severe degree of injury characterized by _ and _
prolonged state of unconsciousness and many functional limitations remaining after rehabilitation
Teaching strategies and techniques for students with TBI:
- Use frequent _
reminders
Teaching strategies and techniques for students with TBI:
- Provide _ for review
additional time
Teaching strategies and techniques for students with TBI:
- Present information in _
simple steps
Teaching strategies and techniques for students with TBI:
- Help student _ information and use _ to remember material
- organize
- special techniques
Teaching strategies and techniques for students with TBI:
- _ written materials
color-code
Damage to brain resulting from faulty circulation
- Can affect motor ability and control, sensation,
communication, emotions, consciousness, and so on
Stroke
Stroke:
Varying degrees of disability
minimal loss to total
dependency
Stroke:
Most commonly causes _ paralysis to one side of body
partial or total
Most common form of adult disability
- Rare in infants, children, and adolescents
Stroke
Stroke risk factors
- Smoking
- Diabetes
- Drug abuse
- Obesity
- Alcohol abuse
- Bad diet
People who have strokes often are left with _
- Cognitive deficits
- Motor deficits
- Seizure disorders
- Communication problems
Stroke Educational Considerations:
Be aware of _
warning signs
Stroke Educational Considerations:
Be aware of warning signs:
- Sudden _ of face or arm or leg on one side of body
weakness or numbness
Stroke Educational Considerations:
Be aware of warning signs:
- Dimness or loss of _
vision
Stroke Educational Considerations:
Be aware of warning signs:
- Loss of _
speech
Stroke Educational Considerations:
Be aware of warning signs:
- Severe _ with no apparent cause
headache
Stroke Educational Considerations:
Be aware of warning signs:
- Unexplained _ and sudden falls
dizziness
Stroke Educational Considerations:
Teachers and coaches should
- know _ of students, and
- seek medical attention when needed
medical history
Stroke Safety Considerations:
Teachers and coaches _ activities, especially for students who are prone to seizures or who lack good judgment
closely monitor
Stroke Safety Considerations:
Use _ for students with severe impairments,
- such as bolsters, crutches, standing platforms, and orthotic devices
special equipment
Stroke Safety Considerations:
Assist students with _ who have difficulty moving voluntarily
- In and out of activity positions
- Physical support during activity
- Help in executing a specific skill
severe impairments
Organization for adaptive sports for stroke
Blaze sports national disability sports alliance (BNDSA)
Can result from direct injury to the cord itself or
indirectly from disease of the surrounding bones,
tissues, or blood vessels
Spinal cord injuries
Spinal Cord Injuries:
Nearly half of all injuries
occurred between the
ages of _
16 and 30
Spinal Cord Injuries:
80% of spinal cord
injuries reported have
occurred among _
males
Spinal Cord Injuries:
- 42% occur from _
- 27% occur from falls
- 15% occur from acts
of violence
automobile accidents
Spinal Cord Injuries:
_ persons in US
300,000
Spinal Cord Injuries:
About 52% of spinal
cord injury survivors
are _, while 47% are _
- paraplegic
- quadriplegic
2 classification systems for Spinal Cord Injuries
- Medical
- sport
Classification systems for Spinal Cord Injuries:
This classification is based on what part of the spinal column was injured and divided into three regions of the body
Medical
Classification systems for Spinal Cord Injuries:
Medical
- Generally the higher the spinal injury the _
- Extremities and body function beneath the injured area likely will be
affected
worse it is
Classification systems for Spinal Cord Injuries:
For This class we are just
looking at three regions of the spine
- cervical
- thoracic
- lumbar
Classification systems for Spinal Cord Injuries:
Medical
- This segment affects the neck, arm muscles and
diaphragm
Cervical
Classification systems for Spinal Cord Injuries:
Medical
- This area affects the
chest and a abdominal
muscles
Thoracic
Classification systems for Spinal Cord Injuries:
Medical
- This is the most involved
section it has affect on the
hip, knee, ankle, foot muscles, bowl, bladder and
reproduction organs
Lumbar
Classification systems for Spinal Cord Injuries:
Medical
- T1 or above
Quadriplegia
Classification systems for Spinal Cord Injuries:
Medical
- T1-T6
Paraplegia
Classification systems for Spinal Cord Injuries:
Medical
- T6-T12
Paraplegia
Classification systems for Spinal Cord Injuries:
Medical
- L1-L5
Paraplegia
– Class I: T7 and above
– Class II: T8-L2
– Class III: L3 and below
* Team rules
– Five players
– Total of 12 points on the floor
– No more than three class III players
Wheelchair Basketball Sports Classification (NWBA)
Causes of Spinal Cord injuries
- Traumatic injuries
- Spina Bifida
- Polio
Spinal Cord Injuries - Traumatic injuries:
Four Limbs are affected
Quadriplegia
Spinal Cord Injuries - Traumatic injuries:
Two Limbs are affected
Paraplegia
Spinal Cord Injuries - Traumatic injuries:
Remember the amount of damage is related to _ on the spine is the injury
how high or low
Spinal Cord Injuries - Classification & Function:
_ factors
- Respiration
- Shoulder, arm, and hand control and sensation
- Trunk stability
- Bowel and bladder control
- Quadriplegia and paraplegia
Relevant
Spinal Cord Injuries:
Psychological acceptance/ Person needs to see there’s life after the injury
Secondary issues
Spinal Cord Injuries:
Additional health conditions
– Decubitus ulcers
– Bruising
– Urinary tract infections
– Spasticity
– Contractures
– Obesity
Secondary issues
Spinal Cord Injuries:
_ is a congenial birth defect in which the neural tube fails to close completely
- As a result one or more
vertebrates fails to develop properly leaving it open in the spinal column
Spina bifida
Spinal Cord Injuries - Spina Bifida:
Three classifications
- Myelomeningocele
- Meningocele
- Occulta
Spinal Cord Injuries - Spina Bifida classifications:
Covering of the spinal cord cerebrospinal fluid and part of the spinal cord protrude through the opening and is visible on the back
- Loss of motor function is always present
Myelomeningocele
Spinal Cord Injuries - Spina Bifida classifications:
Similar but less damaging then Myelomeningocele
- Only the spinal cord covering and cerebrospinal fluid protrude into the sack
- Rarely has neurological damage associated with it
Meningocele
Spinal Cord Injuries - Spina Bifida classifications:
The least damaging form
- Defect is present in the
post cheerier arch of the vertebrae, usually soon after birth surgery is performed no long-term problems
Occulta
Spinal Cord Injuries:
Is a highly contagious viral infection that can lead to paralysis, breathing problems, or even death
Polio
Spinal Cord Injuries - Polio:
Polio is caused by the _, a highly contagious virus specific to humans
poliovirus
Spinal Cord Injuries - Polio:
The virus usually enters the environment in the _ of
someone who is infected
feces
Spinal Cord Injuries - Polio:
In areas with poor sanitation, the virus easily spreads through _
contaminated water or food
Spinal Cord Injuries - Polio:
He discovered and developed the first successful polio vaccine
(October 28, 1914 – June 23, 1995)
Jonas Edward Salk
Spinal Cord Injuries - Polio:
Polio cases have _ more than 99% since 1988 from an estimated 350,000 cases to 416 cases in 2013. The reduction is the result of the global effort to eradicate the disease
decreased
Spinal Cord Injuries - Polio:
The _ with the support of key health organizations in 1988 to focus on creating a solution to polio
World Health Assembly launched the Global Polio Eradication Initiative (GPEI)
Spinal Cord Injuries - Polio:
As of 2014, only three countries remain infected with the virus
Afghanistan, Nigeria, and Pakistan
Spinal Cord Injuries - Polio:
Post-polio syndrome
Affects _
- About 20% to 40% of people who recover from polio will later develop PPS
polio survivors
Spinal Cord Injuries - Polio:
Post-polio syndrome
- The onset may occur _ after the initial polio attack
10 to 40 years
Spinal Cord Injuries - Polio:
Post-polio syndrome
- Symptoms may include _
- Fatigue
- Muscle weakness
- Muscular atrophy
- Muscle spasms
- Joint pain
- Skeletal deformities
Spinal Deviations:
The spine curves significantly inward at the lower back
Lordosis
Spinal Deviations:
The upper back is abnormally rounded (more than 50 degrees of curvature)
Kyphosis
Spinal Deviations:
A sideways curve to the spine
- The curve is often S-shaped or C-shaped
Scoliosis
Spinal Deviations - Treatment:
- Establish policies and procedures
- Work on both strength and flexibility
- Make routines fun and motivating
- Employ appropriate warm-up and cool-down periods
- Emphasize static over dynamic stretching.
- Integrate programs into the _
regular physical education program
Spinal Deviations - Treatment:
- Make sure students understand and can do the
exercises correctly
- Encourage students to _ when they exercise
- Make sure program is followed outside of physical
education.
- Be aware of limitations imposed by braces
watch themselves in mirrors
Fitness and Spinal Cord Injuries:
Major Problem with spinal cord injuries
- People are often _
obese
Fitness and Spinal Cord Injuries:
They have poor general level of fitness
- Fitness programs need to emphasis _
– Flexibility
– Strength
– Endurance
Spinal Cord injuries - Sports and inclusion:
- Focus on _
- Inclusion is a two-way street
- Substitute objectives (e.g., wheelchair skills for
locomotor skills)
- Make decisions based on assessment data
- Make accommodations to ensure success and
learning
- Teach self-advocacy
abilities