Lecture 5 Flashcards
Percent of people in the US <18 y.o with some form of developmental disabilities?
17%
2% serious developmental disabilities
What is early intervention?
Coordinated, community-based, multidisciplinary services for children with delays or at risk for delays
What time period must the IFSP start after signature of consent is received?
45 days
What is the eligibility criteria for early intervention in Maine?
- Must have an established condition (Dx, child abuse/neglect, in utero exposures, regulatory disorders, high lead levels);
- Delay in one or more areas of development (CCAMP); questionable quality of developmental skills;
- Referral
What is an IFSP?
Individualized Family Service Plan - created under the IDEA, includes present level of developmental, family resources, priorities, concerns, ways to enhance child’s development, outcome expectations etc.
Whats is cerebral palsy (CP)?
Permanent but not unchanging neurodevelopmental disorder, non-progressive defect or lesion in single or multiple locations in the immature brain; Characterized by movement dysfunctions due to damage to the developing brain before, during or just after birth.
Causes of CP?
Coagulation disorders
intrauterine exposure to infection or inflammation, Asphyxiating birth complications
Intracranial hemorrhage
Half cases are in full term infants, pre-term births up to 33% of all CP
What is the current incidence rate of CP?
2 per 1000 in the USA
What is the most common neurologic condition encountered by pediatric PT’s?
CP
What other delays often accompany CP?
cognitive, speech, auditory, seizure disorders, vision problems
What are the secondary characteristics and disability associated with CP?
Social and family issues, sleep and eating problems, pain, difficulties with self care
What are the 5 subtypes of CP?
Spastic diplegia Spastic Hemiplegia Spastic Quadriplegia Athetoid Ataxic
Define the 5 general levels of CP as described by the GMFCS
Level I - walks without restrictions, limitations in more advanced gross motor skills
Level II - walks without assistive devices; limitations waking outdoors and in the community
Level III - walks with AD; limitations walking outdoors and in the community
Level IV - self mobility with limitations; children are transported or use power mobility outdoors
Level V - self mobility is severely limited even with use of assistive technology
How is CP diagnosed?
When a child does not reach motor milestones and exhibits abnormal muscle tone or movement patterns
