lecture 36 Flashcards

1
Q

what is cerebral

A

relating to the cerebrum

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2
Q

palsy?

A

paralysis, especially that which is accompanied by involuntary tremors.

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3
Q

what is spasticity

A

affected by muscle spasms.

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4
Q

how do you get cerebral palsy?

A

premature birth, lack of enough blood and oxygen before or during birth, brain injury, and serious brain infection

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5
Q

how many children get CP

A

one in 500.

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6
Q

what does cerebral palsy affect?

A

ability to move and control posture.

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7
Q

what percent are children with CP ambulatory

A

75%

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8
Q

how many types of cerebral palsy are there

A

3

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9
Q

what are the different types of CP

A

spastic (70-80)
dyskinetic (6%)
ataxic (6%)

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10
Q

what are the three types in babies of CP

A

quadriplegia (legs and arms)
diplegia (legs)
hemiplegia (one side of the body)

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11
Q

what are the different gait types in CP.

A

Type 1 – weak or paralysed/silent
dorsiflexors (= dropfoot) (true equinus)
Type 2 – type 1 + triceps surae
contracture (jump gait)
Type 3 – type 2 + hamstrings and/or Rectus Femoris spasticity (apparentequinus)
Type 4 – type 3 + spastic hip flexors and
adductors (crouch gait)

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12
Q

gait problems in CP

A

decrease walking speed
decrease walking distance
balance problems
decrease ROM
etc

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13
Q

how does physical training help young kids with CP.

A

children showed improved gross motor function, walking speed, and walking endurance.

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14
Q

how does physical training help adolescents with CP.

A

Perceptions that strength, flexibility, posture, walking, and the ability to negotiate steps had improved.

Participants reported psychological benefits such as a feeling of increased well-being and improved participation in school and leisure activities

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15
Q

how does whole body vibration help adults with CP.

A

Spasticity decreased in knee
extensors. Gross motor function
increased

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16
Q

how does resistance training help adults with CP.

A

Muscle strength increased Six-Minute Walk Test and Timed Up and Go test did not change
significantly.

17
Q

what do children with DCD display

A

Children with DCD have poor coordination and clumsiness. Symptoms now acknowledged to persist in adolescence and adulthood

17
Q

what percent is affected with developmental coordination disorder.

A

Up to 5 – 6 % of children have DCD, 2% severely affected (more boys than
girls have DCD)

18
Q

Perceptual-motor skills affected with DCD include.

A

Handwriting
❖ Generating and monitoring internal
models of action
❖ Inability to mentally represent and
efficiently plan actions
❖ Gross motor skills and fundamental
movement skills
❖ Driving a car (adults)

19
Q

Guetiti et al (2024) – Impact of DCD on APAs.

A

limits stability task
DCD children - larger APAs, increased postural instability.

20
Q

what was it difficult for Guetiti et al (2024) to preduct in the Impact of DCD on APAs.

A

consequence of their actions

21
Q

do kids with DCD have lower physical activity ?

22
Q

what interventions are beneficial for DCD

A

task-orientated.
traditional physical therapy and occupational therapy.

23
Q

what wasnt signifigantly different for DCD and first graders or second.

A

speed of writing.

24
chances of DS
1 in 800 children.
25
how are children down syndrome
abnormal cell division results in extra genetic material from chromosomes 21 leading to people with down syndrome have 47 chromosomes, rather than 46.
26
two major forms of DS
trisomy 21 and mosaic.
27
motor behaviour issues with DS
reduces muscle tone and joint laxity lead to reduced: gross motor control and fine motor skills.
28
how long is the delay of walking with DS children
1 year.
29
can training help with DS
treadmill training shown to help DS children walk sooner. both strength and dynamic balance were increased after 12 week programme.
30
what is the second most common neurodegenerative disease.
parkinsons
31
how many people per 100,000 P
8-18
32
is parkinsons hereditary
no less then 10% of cases are hereditary. only 12 genes linked to PD
33
what is it a combination of to develop PD
genes and environment factors
34
what does PD develop as a results of
Loss of neurons in the substantia nigra pars compacta associated with dopamine (part of the basal ganglia) ❖ Presence of “Lewy Bodies” (globs of a protein called alphasynuclein found in neurons)
35
symptoms of PD
akinesia (delayed movement) bradykinesia (movement slowness) hypokinesia ( reduced movement amplitude) postural instability (impaired recovery) stooped posture and tremor at rest.
36
what causes CP
paralysis, spasticity or tremors resulting from damage to the cerebral cortex issues with coordination, posture and balance.
37