Cerebral Palsy

Question 1

What things do you need to be able to diagnose CP?

Answer 1

MRI, metabolic work-ups, genetic work-up

Question 2

What are some of the main single system primary impairments in CP?

Answer 2

limited force production and tone (increase MSR, spasticity)

Question 3

Describe how force tends to be generated in CP?

Answer 3

They tend to develop less force more quickly

Question 4

Describe the relationship between hip subluxations in kids with CP?

Answer 4

There is a linear relationship between GMFCS level and hip instability, the greater the level, the more prone to hip dislocations they are

Question 5

What are some things in the integumentary system you should be aware of in patients with CP?

Answer 5

that they can be prone to constipation, GI/reflux, and feeding issues

Question 6

What are four main MULTI-SYSTEM IMPAIRMENTS in patients with CP?

Answer 6

1. poor selective control
2. poor anticipatory control
3. difficulty learning new movements
4. impaired postural control

Question 7

.What are the four impairment based classifications of CP?

Answer 7

spastic
dyskinetic (athetoid)
ataxic
hypotonia

Question 8

true/false, body area classification only used in SPASTIC CP?

Answer 8

true, only used for spastic classifications

Question 9

What are the main GMFCS classification system (I-V)

Answer 9

I. Walks without limitations
II. Walks with limitations
III. Walks using a hand-held mobility device
IV. Self-mobility with limitations, may use powered mobility
V. Transported in a manual WC

Question 10

What are some differences in GMFCS ages 6-12?

Answer 10

level 1 can go up and down stairs with NO rail, may be slow to run or jump , level 2 can choose to use WC/mobility device in community, level 3 use WC or power WC in community, level 4 have transfer assist of 1 to 2 people

Question 11

You have a 1 year old child who is able to sit on the floor but needs to use hands to support and maintain balance. They are able to creep on stomach and perform a pull to stand, what GMFCS level are they?

Answer 11

Level II

Question 12

You have a 10 month old who is able to have head control with trunk supported while sitting on the floor, and the infant is able to roll and creep on stomach, what GMFCS level is it?

Answer 12

Level 4

Question 13

What communication function classification system would have a person who is able to communicate effectively with familiar communication partners, but not with unfamiliar partners, in most environments?

Answer 13

CFCS level III

Question 14

What are positive predictors of ambulation?

Answer 14

hemiplegia, diplegia, and if the child can sit by 24 months

Question 15

You have a pt who has increased spasticity, limited selective control, and is only involved in their legs, what would their cp category be?

Answer 15

spastic diplegia

Question 16

You have a pt that is showing athetosis with rigidity and tremors, what type of cp do they likely have?

Answer 16

dyskinetic CP

Question 17

You have a pt who has a lot of balance problems, hypotonic and tends to have impaired force production and motor planning, what type of cp are they likely to have?

Answer 17

Ataxic CP

Question 18

What is the principle ischemic lesions in premies that is caused by decreased blood flow to brain and likely leads to bilateral spastic diplegia?

Answer 18

periventricular leukomalacia

Question 19

Which type of lesion is when bleeding into subependymal germinal matrix?

Answer 19

IVH

Question 20

Which type of injury occurs in full term or premies who have experienced perinatal asphyxia and can lead to seizures in infants?

Answer 20

HIE