Neuro Conditions Flashcards
GMFCS Level 1
walks withOUT limitations
(can be with use of orthotics)
GMFCS Level 2
walks WITH limitations
GMFCS Level 3
walks using hand-held device
GMFCS Level 4
self-mobility w/ limitation
may use power mobility
GMFCS Level 5
transported in a manual WC
sensory integration
the behavioral manifestation of sensory processing which leads to modulation and praxis
sensory processing
neurophysiologic term that reflects the reception, modulation, integration, and organization of sensory stimuli, but not necessarily the adaptive environmental interaction we observe
sensory modulation dysfunction
an over or under responsiveness to stimulation and may be reflected in sensory seeking or avoiding
sensory based motor disorders
may have neuroanatomic origins in neural activity before motor execution causes dyspraxia and postural disorder
signs of tethered cord
- cutaneous tufts of hair or dimples on LB
- skin discolorations in LB
- LBP that worsens with activity and improves with rest
- leg pain or numbness
- gait disturbances
- foot or spinal deformities
- difficulties with B&B control
- repeat UTIs
shunt malformation warning signs
HAs
vomiting
lethargy
irritability
swelling or redness along shunt tract
decreased school performance
periods of confusion
seizures
what is the most common motor disability in childhood?
CP
greater than ____ of the children with CP have co-occurring conditions
half
4 types of CP
spastic
athetoid
ataxic
mixed
CP pts with pure spasticity only have _____ system damage
pyramidal
what system is involved with athetoid CP?
extrapyramidal
what birth conditions are a risk factor for CP?
<32 weeks (premature)
<2500 grams birth weight
prenatal infections that are greater risk for CP
cheap storch:
chicken pox
hepatitis (B,C,E)
enterovirus
AIDS
parvovirus
syphilis
toxoplasmosis
other
rubella
cytomegalovirus
herpes simplex virus
what is periventricular leukomalacia?
bilateral white matter necrosis
associate with premature and CP
what is the most common variety of neonatal IVH?
subependymal germinal matrix
what grades of IVH result in neurodevelopmental sequelae?
3-4
4 classifications of CP
diplegia
hemiplegia
triplegia
quadriplegia
T/F: CP involvements are usually symmetrical
F
most common type of CP
spastic diplegia
describe the nature of the neuro and MSK lesions of CP
neuro = non-progressive
MSK = progressive
how does normal development of bone and muscle?
bones grow faster than mm
stretch to mm along with presence of growth hormones signal the muscle to grow by adding sacromeres at the musculotendonous conjunction
how does CP affected muscle growth?
unable to move through full ROM –> unable to fully stretch mm –> inability to stimulate typical amount of growth
tight PF would lead to what impairment at the foot?
pronation
what is a moment?
center mass x distance
force acting at a distance from an axis or rotational center causing object to rotate
lever arm dysfunction
abnormal mm forces combined with the lack of normal growth stimulation alter bone growth both in shape and orientation
the genetic blueprint for bones is dependent on ___ & _____
internal muscle forces
external ground reaction forces
autism is generally evident before ___ years of age
3
common impairments with autism
impaired motor performance
apraxia
impaired coordination
toe walking
intellectual impairments
sensitivity to stimuli
what is Asperger characterized by?
social interactions
standardized testing for sensory profiles
sensory profile 2
infant/toddler sensory profile
adolescent/adult sensory profile
SPSC sensory profile school companion
symptoms of down sydrome
low tone
muscle weakness
joint laxity
slow postural reactions
intellectual impairments
heart defects
cervical instability
what should you monitor for with myelomeningocele SB?
scoliosis
hydrocephalus
what are neurofibromatoses?
genetic disorders that cause tumors to grow in the NS
