Cerebral Palsy Flashcards
Define cerebral palsy
Group of lifelong conditions that affect movement and coordination, caused by a problem with the brain that develops before, during or soon after birth
What are the types of CP and they corresponding brain area?
Spastic - increased tone and persistence of pathological reflexes (cerebral cortex)
Dyskinetic - variable tone, dystonic = increased tone and decreased activity, choreathetoid = opposite (basal ganglia)
Ataxic - loss of muscular coordination so that movements are performs with abnormal force, rhythm or accuracy
What are some common symptoms of CP?
Delays in reaching developmental milestones
Seeming too stiff or floppy
Weak UL/LL
Random/ uncontrolled movement
Speaking/ Swallowing problems
Vision issues
What is the prognosis for CP?
no cure
treatment available to manage symptoms and keep active
What is this outcome measure used for, its relation to ICF and its psychometric properties - Gross Motor Function Scale
Activity focus
Measures motor function, not free to complete
Adequate to excellent validity
Excellent reliability
What is this outcome measure used for, its relation to ICF and its psychometric properties - Goal Attainment Scale?
BS+F, activity and participation focused
Measures goal selection and scaling by calculating the extent of them being med
Measures ADLs, cognition, emotion, general health, motor
Adequate validity
Good-excellent reliability
What is this outcome measure used for, its relation to ICF and its psychometric properties - CP QoL
Participation focused
Tailored to unique and special challenges faced by patients
Measures cognition, emotion, general health, motor
High reliability
Should be used alongside other observations to be valid
Describe the profile (prone, supine, sitting, standing) of a newborn
Prone - arms and legs under trunk, weight onto shoulder girdle, can lift and rotate head
Supine - head and upper trunk on supporting surface, LL + UL flexes
Sitting - held to sit, C shaped spine
Standing - held to stand, hips and knees flexes
Describe the profile (prone, supine, sitting, standing) of a 3 month old
prone - progresses to forearm support
Supine - head in midline, bi lateral or reciprocal kicking, anti-gravity activity of arms but not to midline
Sitting - rounded L and T spine, C spine extended - head in midline
Standing- held to stand, hips flexed
Describe the profile (prone, supine, sitting, standing) of a 6 month old
Prone - swimming reaching for forearm support, may be rolling/ 4 point kneeling
Supine - hands to knees, hands to feet maybe feet to mouth, hands to midline
Sitting - maybe sitting without arm support, no weight shift
Standing - held to stand, hips and shoulders aligned, head midline, weight on feet
Describe the profile (prone, supine, sitting, standing) of a 9 month old
Prone - reciprocal crawling, 4pt kneeling with active abs, flattened L spine
Sitting - sustained sitting without arm support, arms free for play, weight shift, reaching with rotation
Standing - pulling to stand, supported standing
Describe the profile (prone, supine, sitting, standing) of a 12 month old
Infant moves from prone to supine and back, rises to sit from lying, moves from sitting to kneeling, crawl reciprocally, pulls to stand, cruises with rotation and stands feeely
May have taken 1st steps
What would be a suitable play activity for a nursery aged child?
Matching and sorting games with colours
What would be a suitable play activity for a preschool aged child?
Construction activities with building blocks
Throwing and catching/ target practice
What would be a suitable play activity for a Primary School aged child?
Climbing apparatus in a park
Skipping
Playing hopscotch
Most detailed/ challenging lego
Playing sports
