Multi-disciplinary team Flashcards
cerebral palsy
injury to the brain before or just after birth leading to motor problems
What increases the risk of cerebral palsy?
premature baby
twins (less blood supply)
small babies (lungs, brains are small)
maternal hypo/ hypertension
Which conditions before birth causes cerebral palsy?
Periventricular leukomalacia - soft white matter (not much white matter)
Congenital infection
Trauma to the mother (RTA/ assault)
What is HIE?
Hypoxic Ischaemic Encephalopathy (Birth asphyxia)
when the brain doesn’t receive enough oxygen and blood
What are the risk factors during/ after birth that increase the risk of cerebral palsy?
HIE
meningitis
head injury
near drowning
What are the potential medical problems with cerebral palsy?
gross motor delay fine motor delay speech/ commincation don't sleep well pain high tone/ low tone low bone mineral density salivation nutrition swallowing difficulties seizures orthopaedic issues
What are potential social problems in cerebral palsy?
toilet issues
constipated
moving and meeting friends
education
How do kids usually present in cerebral palsy?
Motor delays
sits not at 8 months and doesnt walk by 18 months
other professionals can help with cerebral palsy
health
education
social services
voluntary services
(1. occupational health
2. speech and language therapist
3. physiotherapist
education
counselor - psycho)
Who do Physiotherapists see?
does work outside the hosp mostly
- neuological muscle conditions
- cystic fibrosis
- orthopaedic injuries
- rheumatology and oncology
- neonates/ pre-term babies
targeted interventions for Tom (cerebral palsy)
Stretch and strengthen exercises
Tone management - botox (to reduce the tone)
Equipment - AFO (ankle-foot-orthosis - )/ walkers/ gaiters
Hydrotherapy/ Gait re-ed
Working with parents and nursery
What is the use of AFO’s?
keep knee 90* to get some weight through the legs
What type of walkers are used?
The ones which support at the back as it helps to support them fully
what methods can be used for tone management?
Botox
Intrathecal Buclofan
SDR (selective dorsal rhizotomy)
What do occupational therapists do?
enables poeple to participate in daily life to improve their health and well being
- provides activites with families to do everyday
- do not work on speech skills
- work with schools to work on how their anxiety and skills might affect education
- assess and recommend equipments which kids need to buy (education and social sector provides it)
- sometimes provides splints for arms (to improve their grip on pencil/ swimming, not to improve pain)
- Assess the schools and environment to recommned changes
- doesn’t make changes or repairs in equipments (manufacturers do it)
- Do not give but recommend specialist toys
