Lecture 11-14b

Question 1

overall algorithm to tx congenital mm torticolis

Answer 1

physio 100m/w for 7-8w then erases then 7-8 more

home 200min/w- exercise/pos

Question 2

what is the best time to tx torticolis

Answer 2

birth- 3m

Question 3

tx goals of torticolis

Answer 3

• passive repositioning of head and neck
• stretching (left and Right head tilt)
• Strengthening (lat bendning, trunk righting, sit backs)
• motor development

Question 4

prognosis of congenital mm torticois

Answer 4

90% respond to conservatively

resolves in most children by 1.5-2y

Question 5

Two major types of cerebral palsy

Answer 5

congenittal-before/during birth

acquired- a comet after birth or during the first years of childs life

Question 6

risk factors for CP

Answer 6

low birth weight
premature
multiple births
preg inf
birth complications
medical conditions of mother

Question 7

what damage occurs in spastic CP, dyskinetic CP and ataxic CP

Answer 7

Spastic- damage to motor cortex
Dyskinetic- damage to basal ganglia
ataxic- damage to cerebellum

Question 8

Birth to age 3 what should u be looking for in motor def

Answer 8

Newborn (symmetry, spontaneous mints, tone, primitive reflexes)
Head control
torso control
reflexes

Question 9

gross motor functional classification (5 levels)

Answer 9

1. walks/runs
2. walks w no aids
3. walks w aids
4. Stands but uses wheelchair
5. No functional weight bearing (wheelchair dependent)

Question 10

what is the manual ability classification systems

Answer 10

Identifys how children with CP use their hands to handle objects in daily activities

Question 11

5 levels of manual ability classification system

Answer 11

1. handles objects easily + successfully
2. Handles most objects but w somewhat reduced quality or speed
3. Handles objects w difficult
4. Handles a limited selection of easily managed objects
5. Does not handle objects

Question 12

communication function classification system 5 levels

Answer 12

1. independent and effectively alternates between being a sender and reviewer of info
2. Independently alternates bw being a sender/reciever but much slower
3. Communicates effectively with familiar communication partners
4. Not consistent at communicating w familiar
5. Seldom able to communicate

Question 13

Most pts with CP are what with their movements nd hands

Answer 13

are Spastic

uncontrolled hand motions that inhibit grasp

Question 14

What is the heinrich Sebastian freckle way to tx cerebellar ataxia

Answer 14

Program consists of slow, repetitious exercise that increase in difficulty over time

Question 15

Soft tissue surgeries for CP

Answer 15

mm lengetning (psoas, adductors, hams, gastrocs, rib post)
Tendon transfers

Question 16

chiro role in CP management pre school and school age

Answer 16

Pre- head control, alignment, curvature, vertebral mobility

school age- mvmt coordination, strength, scoliosis, balance, fall risk

Question 17

Hypermobility syndrome may manifest as what

Answer 17

poor posture
clumsiness
low mm tone
poor coordination
lack of fluidity of mvmt

Question 18

common types of injury in children

Answer 18

1. Trauma
2. Overuse
3. Postural faults
4. No use/under use
5. Hypermobility

Question 19

What % of school age children have hyper mobility syndrome

Answer 19

7-10%

Question 20

What are events highly correlated with Hypermobility syndrome

Answer 20

mitral valve prolapse
uterine prolapse
rectal prolapse
abdominal hernias
increased indicdence of varicose veins
increased bruising