Neuromuscular disorders Flashcards
1
Q
What are the pathways to MSK pathology in spastic CP?
A
CNS lesion UMN signs Spasticity - weakness/reduced activity Failure of muscle growth as the bones grow Fixed contractors Bony torsion Joint instability Joint dislocation/degeneration
2
Q
5 levels of decision making - surgery in the walking CP patient
A
History Physical examination Diagnostic imaging Quantitative gait analysis Examination under anaesthetic
3
Q
Aims of treatment in non walking CP (GMFCS IV and V)
A
Prevention of progressive secondary deformity
Positioning of the child critical - seating/sleeping
Support standing to prevent contractors
Think about long term function/goals
CP children become CP adults
4
Q
GMFCS V ____% incidence of hip dislocation
A
80%
5
Q
Incidence of scoliosis is ____ in non-walkers
A
High
6
Q
Spinal dysraphism medical problems
A
Decreased levels of growth hormone - short stature Obesity Latex hypersensitivity Autonomic nervous sytem anomalies Renal and GIT problems
7
Q
Most important factor in long term function?
A
Neurosegmental level
8
Q
Which level is the magical level for walking?
A
L3
