Peds - Cerebral Palsy Flashcards
7 reasons for postnatal CP
withing first 3 years of life
- Trauma
- Toxins (heavy metals, especially lead)
- Stroke syndromes - sickle cell, AVM rupture, congenital heart disease, especially fallot
- Infection
- Neoplastic disease
- Anoxia
7 ICH
What percentage of CP cases occur in prenatal period
70-80%
- prenatal ICH
- placental complications
- gestational toxins
- gestational teratogenic agents
- congenital malformations of the brain and cerebral vascular occlusions during fetal life
in prenatal CP
Iodine deficiency causes:
organic mercury deficiency causes:
diplegia
quadriplegia
What isthe gross motor function classification system for CP
functionally based system to standardize gross motor function in the CP child
Level 1- walks without restrictions; limitations in more advanced gross motor skills
Level 2 - walks without assistive devices; limitations walking outdoors and in community
Level 3: walks with assistive mobility device; limitations walking outdoors and in the community
Level 4: self-mobility with limitations; transported or use power mobility outdoors and in community
Level 5: self-mobility severely limited even with use fo assistive devices
If a patient can sit by age ____, then thechance for ambulation is good
2 yoa
Characteristic hearing loss inCP is
sensory neural impairment (kernicterus ismost common cause)
Most common mixed type of CP?
spastic athetoid
what is a good indicator of intellectual potential in CPs with language disorders
speakingin2-3word sentences by age 3.
what is the mostcommonly used approach in therapeutic exercise in CP
bobath is most widely used. AKA neurodevelopmental treatment (NDT); normalize tone, inhibit primitive reflexes, facilitate automatic reactions with subsequent normal development.
Therapeutic exercise method in CP:
______ uses extensive bracing, withdrawing support as motion is performed with aminimum of tension, overflow, and substitution
phelps
Therapeutic exercise method in CP:
_____ uses extensive bracing, limiting all but two motions of an extremity
Deaver
Therapeutic exercise method in CP:
____ uses a series of set patterns repeated many times during the day in an attempt to train cerebral dominance and normalization of function
Doman and Delacato
Therapeutic exercise method in CP:
_____ emphasizes sensoryand motor systems equally, activatingmuscles through sensory receptors
Rood
Therapeutic exercise method in CP:
_____ activates postural development and equilibrium reactions to guide normal development
vojta–european method
Therapeutic exercise method in CP:
_____ “rehabilitation through learning” - system in which the childwith motor dysfunction is expected to be a proactive participant and learner in overcoming the disability. The process is facilitated by a “conductor”, who is trained to integrate the education and rehab needs of the indivicual with goal oriented group activities.
conductive education
