cerebral palsy Flashcards Preview

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Flashcards in cerebral palsy Deck (29):
1

2 types of typical motor dev

1. gross
2. fine

2

3 predictable patterns of motor development

1. proximal to caudal
2. cephalocaudal
3. invol. reflexes to goal oriented behavior

3

2 general factors inpacting dev

1. intrinsic - temp. health, genes
2. extrinsic - familiy, culture, exposures

4

what are 3 primitive reflexes

1. moro - grab of dropped
2. ATNR - fencer pose
3. grasp

5

when should prim reflexes be gone by

3-8 months

6

what are 2 postural reflexes and when

1. lateral propping - 6-9 mon
2. parachute - 8-9 mon

7

3 keys GM timelines

4 months - roll front to back
12 month - indep. steps
18 month - run and throw ball

8

4 key FM timelines

3 months - bat at objects and hold in midline
5 months - palmar grasp
12 months - pincer grasp
18 month - 3 block tower

9

3 key delayed milestone redflags

1. no head control by 4 months
2. not sitting by 9 mon
3. not walking by 18 mon

10

2 early dev red flags

1. early hand dom
2. rolling under 3 mon

11

4 other red flags

1. persistence of prim reflexes
2. hyper/hypo tonia
3. delayed post. reactions
4. persistence of hand fisting

12

5 features of CP

1. disorder of movement or posture
2. secondary to brain abnormality
3. arises early in dev
4. static - not degenerative
5. causes activity limitiation

13

what is CP diagnosis based on

clinical assessment

14

3 major timeframes for CP risk

1. prenatal
2. perinatal
3. postnatal

15

prenatal risk factors (6)

1. maternal disorders
2. multiple gestation
3. intruterine infection
4. congenital fetal abnormalities
5. placental abnormalities
6. too much/little gest growth

16

Perinatal risk factors (4)

1. premature birth - up to 100 times
2. iscemic stroke
3. acute intrapartum hypoxic event
4. neonatal encepholopathy

17

5 postnatal risk factors

1. infection
2. injuries
3. stroke
4. hyperbilirubinemia
5. metabolic abnormalities

18

what is spasticity

velocity resistant hypertonicity

19

3 overall types of CP

1. spastic
2. dyskinetic
3. ataxic

20

3 types of spastic

1. diplegic
2. quadrapelegic
3. hemipelegic

21

2 types of dyskinetic

1. hypokinetic
2. hyperkinetic

22

2 most common causes of hemiplegia

1. MCA infarct
2. periventricular venous infarct

23

what is main risk factor for hemiplegia

perinatal ischemic stroke

24

what is MCA infarct clinical picture (4)

1. hemiplegia
2. motor arm>leg
3. cog problems due to grey matter
4. sizure and hemianopsia

25

what is neuropath of spastic quardriplegia

hits watershed area between MCA and ACA

26

what is clinical picture of spastic quardriplegia

1. involvement of all four limbs -
2. cog disability
3. seizures, aspirations, failure to thrive,
4. small head circumference

27

what is neuropath of spastic diplegia

periventricular leukomalacia - along white matter of ventricles

28

what runs in this region

water shed in early brain - contains leg fibers

29

what is clincial picture of spastic diplegia

1. ambulatory, but with toe walking
2. normal cognitive
3. general good health

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