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1032: Conditions- Children and Youth > Quiz #1 CP > Flashcards

Quiz #1 CP Flashcards

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1
Q

CP is damage to the brain that controls____ _____

A

muscle tone

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2
Q

Spastic CP - characteristics (5)

A
  1. increased muscle tone that is velocity dependent
  2. Exaggerated tendon jerks
  3. Clonus
  4. Difficulty isolating movements
  5. Hemi, di, or quad
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3
Q

Athetoid CP - Characteristics (4)

AKA Dyskinetic type

A
  1. Slow, involuntary, writhing, twisting, worm like . movements
  2. Fluctuating tone-low tone
  3. Difficult control over body
  4. Can ambulate or may be in w/c
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4
Q

Ataxic CP - characteristics (6) (least common)

A
  1. uncoordinated movements occurring with voluntary movement
  2. poor balance
  3. wide-based gait
  4. fall and stumble
  5. depth-perception deficits
  6. Unable to walk a straight line
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5
Q

Generally diagnosed as mixed CP which two are the most common to present together?

A
  1. Athetoid

2. Spastic

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6
Q

Mixed CP characteristics (3)

A
  1. spastic muscle tone
  2. involuntary movements
  3. combination of rapid movements and slow voluntary movements
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7
Q

Hypotonic in relation to CP

A

Hypotonic is not a type of CP; it’s not spastic and usually undiagnosed. Unable to move to function

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8
Q

Gower’s Sign -

  1. Which MD?
  2. Characteristics
A
  1. clinical sign for diagnosing Duchenne Muscular Dystrophy(DMD) and Limb Girdle Muscular Dystrophy (LGMD)
  2. Walk up legs with hands to stand from a seated position or from the floor
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9
Q

ATNR - Asymmetrical Tonic Neck Reflex

  1. Appear and integrate by
  2. Stimulant
  3. Reaction
A
  1. Appears at birth and integrate by 3-6mon.
  2. Stimulant: turn fact to one side
  3. Reaction: Arm and Leg on the side of face turn extend and the opposite arm and leg flex
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10
Q

STNR - Symmetrical Tonic Neck Reflex

  1. Appear and integrate by
  2. Stimulant
  3. Reaction
A
  1. Appear 6mon. integrate by 1yr
  2. Stimulant: neck extends
  3. Reaction: BUE extend, BLE flex;
    Alternately if neck flex, then BUE flex, BLE extend
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11
Q

Palmar Grasp

  1. Appear and integrate by
  2. Stimulant
  3. Reaction
A
  1. Appears at birth integrates by 2-4mon
  2. Stimulant: stimulate skin on palmar side of hand
  3. Reaction: grasp stimulant
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12
Q

Rooting

  1. Appear and integrate by
  2. Stimulant
  3. Reaction
  4. What is rooting linked to?
A
  1. Appears at birth, integrates by 4 mon.
  2. Stimulant: stroke cheek
  3. Reaction: turn head toward stimulus
  4. Sucking linked to rooting; no rooting and no sucking
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13
Q

Neck Righting - Huge Developmental Milestone

  1. Appears and integrate by
  2. Presentation
A
  1. Appears at 4-6mon, integrates by 5yoa

2. Rotate trunk in direction of head; how a baby relocates body

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14
Q

Parachute - Classic Protective Reaction

  1. Appear and integrate by
  2. Stimulant
  3. Reaction
A
  1. Appears at 6-9mon.; does not integrate - reflex for life
  2. Simulant: Vertical suspension
  3. Reaction: Arms extend as a defense reaction
    * if child does not develop - protect from falling; possibly wear helmet
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15
Q

Moro/Startle Reflex

  1. Appear and integrate by
  2. Stimulant
  3. Reaction
A
  1. Appear at 28 weeks in utero, integrates by 4-5mon.
  2. Stimulant: sudden movement of neck
  3. Reaction: rapid ABD and Ext of arms, open hands, tighten back, flex legs, and cry
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16
Q

Treatment of CP focuses on (7)

A
  1. Seating
  2. positioning
  3. Mobility
  4. gait
  5. orthotics
  6. Adaptive equipment
  7. Adaptive play
17
Q

CP affects what occupations and how? (10)

A
  1. Dressing - buttons/zippers (spastic-contracture, athetoid-low tone, ataxic-uncoordinated)
  2. feeding - gag reflex/aspiration/pneumonia
  3. Toileting - bowel/bladder management
  4. Fn. mobility
  5. Personal hygienes
  6. Meal prep/clean-up - depending on the age
  7. Education: cognitive impairment assumed; placed with peers with low cognition, they do not excel (cognitive impairment with mixed and Spastic quad)
  8. Play - movements, hearing, vision
  9. Social participation - peer left out
  10. Work - 16yoa-1st job, need accommodations possibly
18
Q

Milestones affected by Duchenne MD (DMD) at 2yoa (2)

A
  1. Gait affected - difficulty climbing stairs

2.

19
Q

Milestones affected by Duchenne MD (DMD) at 5yoa (2)

A
  1. difficulty manipulating buttons & zippers to dress self due to muscle weakness
  2. Unable to run/jump/skip with peers due to proximal muscle weakness (developmental delay that sig. DMD)
20
Q

Milestones affected by Duchenne MD (DMD) at 12yoa (2)

A
  1. Unable to increase strength in gross motor activity specifically LE due to w/c bound by 12yoa
  2. Unable to spend more time with peers than parents due to the inability to keep up, fatigue, self-esteem

1032: Conditions- Children and Youth (1 decks)

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