Midterm 2 Flashcards
What has the best tool for predicting CP in early months?
Prechtl’s Assessment of General Movements
What is a better predictor of CP as infants?
AIMS and NSMDA
Implications for MSK in spastic CP
- limited ROM
- weakness
- deformities
Implications for sensory perceptual system in CP
- decreased tactile, kinesthetic, vestibular and proprioceptive awareness
- difficulty discrimination
- upward visual gaze
Implications for cardiovascular and respiratory system in spastic CP
- poor cardiovascular fitness due to decreased mobility
- reduced breath support w/ flared ribs and tight rectus abdominus
Implications for Oral motor in spastic CP
- drooling
- poor articulation
- difficulty feeding
Implications for athetosis in MSK
- significant asymmetry - uncontrolled movement
- hypermobile joints
- frequent TMJ problems
What is regidity?
resistance to both active and passive ROM in agonist and antagonist
implications for Ataxia in MSK
- rely on ligaments for stability
- relies on vision for balance
- postural insecurity
Which motion is favored with hypotonia?
extension usually favored over flexion
MSK implications of hypotonia
- stability gained through end-range positioning
- contractures develop secondary to position of arms
- rib cage at risk to become flat due to gravity
When are neuromuscular blocks used in CP? example?
- when a problem is balancing the agonist/antagonist activity
botox - lasts 3-6 months and used in combo w/ therapy
3 main reasons for hip subluxation (partial dislocation)
- lack of changes in neonatal hip
- lack of LE weight bearing in multiple positions
- muscle imbalance - hip adductors more active than abductors, hip flexion contracture
signs of hip subluxation
- limited ROM
- pain w/ motion
- leg shortening
- limping
- refusing to weight bear
