CP 2 Flashcards
discuss type of movements
spastic - corticospinal or cerebral cortex
dyskinetic
hypotonic - cerebellar or BG
mixed type - spastic and dyskinetic
discuss type of body parts affected
monoplegia - one limb
hemiplegia - half of body and UE > LE
triplegia - 3 limbs
quadriplegia - all 4
double hemiplegia - all 4 but UE > LE
diplegia - LE > UE
GMFCS 1
best
walk indoor and outdoor
climbs stairs
GMFCS 2
walk indoor and outdoor
climbs stairs c support
diff in uneven surface
GMFCS 3
walk indoor and outdoor on level c AD
can climb stairs c AD/assist
propels WC
GMFCS 4
walk short distance c AD but wheeled talaga
help c propulsion
GMFCS 5
no ability to propel
dep in all
discuss spastic CP
most common - 75%
hyperreflexia
clonus
babinski/primitive
hip disloc or scolio
coxa valga and femoral anteversion
indep in unlikely
spastic diplegia
muscle stiffness and weakness more on LE; but pwede padin UE
most can amb but has diff - scissoring
common in premature
spastic hemiplegia
one side lang - MCA affectation
unable to use affected hand
good prog to amb by 2 yo
spastic quadriplegia
total body and has cognitive disability
spastic double hemiplegia
3 limbs
symm LE and assym on UE
spastic pentaplegia
all 4 c neck and head paralysis
eating and breathing complications
discuss dyskinetic CP
5-8%
assoc c kernicterus
normal intelligence
18 mo. pa nakikita
athetoid dyskinetic CP
slow writhing of distal UE
chorea dyskinetic CP
abrupt irreg jerky of head, neck and ex
sharp
dystonia dyskinetic CP
slow rhythmic - body area
twists and turn
balismus dyskinetic CP
violent flinging of ipsi arm and leg
choreoathetoid dyskinetic CP
chorea plus writhing
abrupt tas slow
ataxic dyskinetic CP
if cerebellar tas usual na probs
mixed dyskinetic CP
spastic-dyskinetic CP
spastic-athetoid
magkaiba UE and LE prob
hypotonia dyskinetic CP
not common
risk factors of CP
mother has infections
baby was preterm
mother had trauma
ssx in general of CP
delay in motor milestones
gross motor delay - no sit in 6 mo.
opisthonic
handedness at less than 1
