Week 13 - Cerebral Palsy

Question 1

CP

Answer 1

Cerebral Palsy

Question 2

CVA

Answer 2

Stroke

Question 3

HIE

Answer 3

hypoxic-ischemic encephalopathy

Question 4

HIE - definition

Answer 4

decreased umbilical or uterine blood flow, resulting in decreased oxygen flow

Question 5

PVL

Answer 5

periventricular leukomalacia

Question 6

PVL - definition

Answer 6

a softening of white brain tissue near the ventricles

Question 7

ITB

Answer 7

Intrathecal baclofen infusion

Question 8

ITB - definition

Answer 8

Pump implanted in the abdomen and infused medication to the spinal cord

Question 9

IVH

Answer 9

Intraventricular hemorrhage

Question 10

IVH - definition

Answer 10

of the newborn is bleeding into the fluid-filled areas, or ventricles, surrounded by the brain

Question 11

(with CP) ___ to ___ % of cases are a result of birth complications (i.e. HIE)

Answer 11

5 to 10%

Question 12

70-80% of cases occur during _____ life

Answer 12

intrauterine

*or prenatal

Question 13

10% of CP cases are developed ____ birth

Answer 13

after

Question 14

20-30% of cases are _____

Answer 14

unknown

Question 15

a grouping of clinical syndromes that affect
movement, muscle tone, and coordination as a result of
an injury or lesion of the immature brain

Answer 15

CP

Question 16

True or False: CP always involves a disorder in the sensorimotor development

Answer 16

TRUE

Question 17

True or False: CP is a lifelong motor disability

Answer 17

FALSE: it is a lifelong DEVELOPMENTAL disability

Question 18

TRUE or FALSE: The injury occurs when the brain is still developing –
during the prenatal, perinatal or postnatal period until the
age of 8 (referred to as acquired brain injury)

Answer 18

TRUE

Question 19

TRUE or FALSE: About 4.1-4.6 children out of every 100 born in the US have
some type of cerebral palsy

Answer 19

About 3.1-3.6!!!! children out of every 1000!!!!

Question 20

Delayed ____ ______ is a common symptom of CP

Answer 20

Motor Development

Question 21

Muscles/nerves are intact rather, the portion of the _____ that controls the muscle function and tone is damaged

Answer 21

brain

Question 22

______ is the degree of resistance when a muscle is

stretched

Answer 22

Tone

Question 23

________ high tone, increased resistance is present when stretch (stretch reflex), and may have limited ROM due to tone, also called spasticity

Answer 23

Hypertonicity

Question 24

______ low tone, no resistance to stretch (areflexia) and hypermobility is present

Answer 24

Hypotonicity

Question 25

______ ______ changes between increased tone and decreased tone

Answer 25

Fluctuating Tone

Question 26

When hypertonicity is present and the child is lying on his back you will often observe the hips ______ rotated and adducted and the ankles ______

Answer 26

internally | plantarflexed

Question 27

When hypotonicity is present and the child is lying on his back the hips _____ flex and _____ rotate due to low tone and gravity – (flop outward)

Answer 27

abduct | externally

Question 28

Motor milestone that is delayed =

Answer 28

inability to sit independently

Question 29

May have difficulty sucking, _____ and chewing

Answer 29

swallowing

Question 30

May only use 1 _____, may demonstrate unusual | _____ or gait pattern, and/or uncoordinated reaching

Answer 30

hand | crawling

Question 31

_______ results from cerebral cortex involvement characterized by * hypertonicity (spasticity), * most common type (80%), * can lead to contractures (shortening of muscles)

Answer 31

Spastic

Question 32

1 side of the body is involved; UE is usually more affected | and held in a position of flexion; most walk by their 3rd birthday

Answer 32

Hemiplegia

Question 33

Hemiplegia: ___ side of the body is involved; ___ is usually more affected and held in a position of flexion; most walk by their ___ birthday

Answer 33

1 UE 3rd

Question 34

involves both LE’s with less involvement of the UE’s; most sit by the age of 3; approximately 80-90% will eventually walk

Answer 34

Diplegia

Question 35

Diplegia: involves both ___ with less involvement of the ___; most sit by the age of __; approximately 80-90% will eventually walk

Answer 35

LE's UE's 3

Question 36

______ LE’s and UE’s are involved; only a small percentage will walk, presents of dysarthria, eating difficulties, drooling; susceptible to deformities, scoliosis and hip dislocation

Answer 36

Quadriplegia

Question 37

Quadriplegia: ___ and ___ are involved; only a small percentage will walk, presents of _____ , eating difficulties, drooling; susceptible to deformities, scoliosis and hip dislocation

Answer 37

LE's UE's dysarthria

Question 38

5 Characteristics of Athetoid

Answer 38

* decrease oral motor control, * drooling, * dysarthria, * hypermobility and * excessive uncontrolled movement

Question 39

Athetoid – also called dyskinetic – characterized by involuntary and uncontrolled movements – slow and writhing – results from _____ _____involvement – accounts for 10-20% of CP cases

Answer 39

basal ganglia

Question 40

3 Characteristics of Ataxia

Answer 40

* wide-based gait to maintain balance, * intention tremors and * hypotonicity

Question 41

Ataxia – results from ____ involvement characterized by unsteadiness and difficulty with balance especially when ambulating

Answer 41

Cerebellum

Question 42

____ _____ is used to reduce spasticity, elongate | muscles and for positioning

Answer 42

Inhibitory Casting

Question 43

Treatment used for: hands -to prevent fisted position of flexion; feet -to prevent foot drop

Answer 43

Splinting

Question 44

Therapy used to challenge and strengthen sitting balance, equilibrium

Answer 44

Hippotherapy