L1: Cerebral Palsy

Question 1

Def of Cerebral Palsy

Answer 1

Question 2

Incidence of Cerebral Palsy

Answer 2

• It is the most common motor disorder in children (2-2.5/1000).
• Most common physical disability of childhood
• Incidence has increased since the 60’s, may be D2 improved survival of VLBW.

Question 3

• most common motor disorder in children
• Most common physical disability of childhood

Answer 3

Cerebral Palsy

Question 4

Etiology of Cerebral Palsy

Answer 4

Question 5

Etiology of Cerebral Palsy

• Pre-natal

Answer 5

Question 6

Etiology of Cerebral Palsy

• Peri-natal

Answer 6

Question 7

Etiology of Cerebral Palsy

• post-natal

Answer 7

Question 8

Classification of Cerebral Palsy

Answer 8

• Physiological (Clinical)
• Topographic

Question 9

Physiological (Clinical) Classification of Cerebral Palsy

Answer 9

• Spastic
• Dyskinetic / Athetoid
• Ataxic
• Atonic “Floppy”
• Mixed “any combination”
• Unclassified

Question 10

Incidence of Spastic Cerebral Palsy

Answer 10

Commonest (80%)

Question 11

Site of Damage in Spastic Cerebral Palsy

Answer 11

Cortical motor nuclei “Pyramidal”

Question 12

CP of Spastic Cerebral Palsy

Answer 12

Question 13

Prognosis of Spastic Cerebral Palsy

Answer 13

Best

Question 14

Incidence of Dyskinetic/Athetoid Cerebral Palsy

Answer 14

10 %

Question 15

Site of Damage in Dyskinetic/Athetoid Cerebral Palsy

Answer 15

• Extra pyramidal motor nuclei “Basal ganglia “

most common cause .› kernicterus

Question 16

CP of Dyskinetic/Athetoid Cerebral Palsy

Answer 16

Question 17

Incidence of Ataxic Cerebral Palsy

Answer 17

5-10%

Question 18

Site of Damage in Ataxic Cerebral Palsy

Answer 18

Cerebellar motor nuclei

Question 19

CP of Ataxic Cerebral Palsy

Answer 19

Question 20

Course of Atonic (Floppy) Cerebral Palsy

Answer 20

• Maybe transient then changed into spastic after myelination

Question 21

CP of Atonic (Floppy) Cerebral Palsy

Answer 21

Question 22

Prognosis of Atonic (Floppy) Cerebral Palsy

Answer 22

Worst

Question 23

Topographic Classification of Cerebral Palsy

Answer 23

Question 24

Gross Motor Function Classification System GMFCS

Answer 24

Question 25

Morbidities Associated with Children with CP

Answer 25

Question 26

Dx of Cerebral Palsy

Answer 26

Question 27

Managment of Cerebral Palsy

Answer 27

Question 28

Managment of Cerebral Palsy

• Aim

Answer 28

Maximize function and minimize the development of secondary problems.

Question 29

Physiotherapy in Cerebral Palsy

Answer 29

Question 30

Physiotherapy in Cerebral Palsy

• Methods

Answer 30

Question 31

Physiotherapy in Cerebral Palsy

• Goals

Answer 31

Question 32

Orthroses in Cerebral Palsy

Answer 32

Question 33

Orthroses in Cerebral Palsy

• Goals of Brace Prescription

Answer 33

Question 34

Muscle Relaxant in Cerebral Palsy

Answer 34

Question 35

Muscle Relaxant in Cerebral Palsy

• Oral

Answer 35

Baclofen - Diazepam - Clonazepam.

Question 36

Muscle Relaxant in Cerebral Palsy

• Local

Answer 36

Botulism toxin type A —–› block acetylcholine release.

Question 37

Muscle Relaxant in Cerebral Palsy

• intrathecal

Answer 37

Baclofen pump

Question 38

Surgery in Cerebral Palsy

Answer 38

Question 39

Surgery in Cerebral Palsy

• Neurosurgery

Answer 39

Selective dorsal rhizotomy

Question 40

Surgery in Cerebral Palsy

• Orthopedic Surgery

Answer 40

• Tendon-lengthening procedures (heel-cord).
• Release of spastic wrist flexor muscles.
• Correction of hip-adductor muscle spasticity or contracture.

Question 41

Rehabilitation in Cerebral Palsy

Answer 41

• Speech & language therapy.
• Occupational therapy.
• TTT of 2y conditions (Seizures - bowel and bladder problems).