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 ?

A

yes

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
Q

chances of DS

A

1 in 800 children.

25
Q

how are children down syndrome

A

abnormal cell division results in extra genetic material from chromosomes 21 leading to people with down syndrome have 47 chromosomes, rather than 46.

26
Q

two major forms of DS

A

trisomy 21 and mosaic.

27
Q

motor behaviour issues with DS

A

reduces muscle tone and joint laxity lead to reduced: gross motor control and fine motor skills.

28
Q

how long is the delay of walking with DS children

A

1 year.

29
Q

can training help with DS

A

treadmill training shown to help DS children walk sooner.
both strength and dynamic balance were increased after 12 week programme.

30
Q

what is the second most common neurodegenerative disease.

A

parkinsons

31
Q

how many people per 100,000 P

A

8-18

32
Q

is parkinsons hereditary

A

no less then 10% of cases are hereditary. only 12 genes linked to PD

33
Q

what is it a combination of to develop PD

A

genes and environment factors

34
Q

what does PD develop as a results of

A

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
Q

symptoms of PD

A

akinesia (delayed movement)
bradykinesia (movement slowness)
hypokinesia ( reduced movement amplitude)
postural instability (impaired recovery)
stooped posture and tremor at rest.

36
Q

what causes CP

A

paralysis, spasticity or tremors resulting from damage to the cerebral cortex issues with coordination, posture and balance.

37
Q
A