Cerebral Palsy (CP) Flashcards
Deck targets understanding of and management of clients with CP. (18 cards)
CP is
A disorder of movement and posture due to a defect or lesion of the immature brain (Bobath, 1980).
Beukelman & Light on CP
Affects the motor cortex of the brain and disrupts ability to form movement, causing activity limitations…damage is permanent.
CP incidence
1/300 children
Types of CP
Spastic, dyskinetic, ataxic, hypotonic, tremor.
Spastic CP
Hyperactive stretch reflex and rigidity, resistance to flexion and extension due to simultaneous contraction of agonist and antagonist muscles.
Dyskinetic CP (athetoid)
Abnormal amount of arrhythmic involuntary movement.
Ataxic CP
Difficulty maintaining balance.
Hypotonic CP
Low muscle tone at birth, meaning differences in posture and movement. Frequently is a precursor to spasticity (Spastic CP) or athetosis (Dyskinetic CP).
Tremor CP
Repetitive rhythmic involuntary contractions.
Causes of CP
Damage to the developing brain. Can be congenital or acquired (e.g. Meningitis, encephalitis).
Difficulties associated w/ CP
Vision and hearing impairment.
Seizures/epilespy
Osteoporosis
Deformities
Respiratory issues
Swallowing and feeding difficulties
Cognitive impairment
Communication disorders
Example of medical CP management
Botox - reduces spasticity and improves ROM. Can also include surgery.
Assistive Tech for CP
Wheelchairs, postural supports, AAC, hearing aids, splints etc.
Specific Interventions for CP
Neurodevelopmental Treatment Approach, LVST, AAC, Sensory integration.
Neurodevelopmental treatment approach (NDT)
Sensorimotor basis.
Holistic and proactive approach.
Oral motor development
Typically compromised in CP.
Oral facial difficulties in CP
Lip retraction
Lip pursing
Jaw thrust
Lack of jaw grading
Tonic bite
Tongue retraction
Tongue thrust
Feeding difficulties
Saliva control
Language difficulties also common
Assessment of CP
Respiration (speech)
Posture and movement
Laryngeal and velopharyngeal function.
Saliva control
Language
Participation barriers
