Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

Peds > CP > Flashcards

CP Flashcards

1
Q

Most common neuro disorder encountered by pediatric PTs

A

CP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Cerebral palsy

A

Non-progressive lesion of brain resulting in disorder of posture and voluntary movement.
Occur during fetal development of first year of life
Progressive musculoskeletal impairment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Etiology of CP

A 
Hypoxic, ischemic, infection, congenital, or traumatic
MRI studies 
CVA (1/3 Infant bilaterally)
Maternal infection
Prematurity
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Discriminate infant neuromotor tests to assist in prediction and ID of CP

A

AIMS
TIMP and NSMDA before or after term
GM

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Best combo of sensitivity and specificity for predicting CP in early months

A

Prechtl’s assessment of general movements

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Best for predicting CP in older infants

A

AIMS

NSDMA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Characteristics of CP

A 
Cog delays
Behavioral issues 
Speech impairment
Hearing impairment
Vision impairment
Seizure disorder
Urinalysis incontinence
Constipation 
Sensory impairments visual-spatial, visual perception, tactile
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Tetraplegia

A

All four limbs involved (quad)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Diplegia

A

All four limbs involved. Both legs are more severely affected than the arms

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Hemiplegia

A

One side of body affected. Arm is usually more involved than leg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Triplegia

A

Three limbs involved, usually both arms and a leg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Monoplegia

A

Only one limb affected, usually an arm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Motor differences CP: spastic

A

Motor cortex

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Motor differences dyskinesia

A

Basal ganglia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Motor differences CP: ataxic

A

Cerebellar lesion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Motor differences CP: mixed

A

Spastic and dyskinesia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Gross motor function classification system

A

Five level
Self initiated movements - sitting, transfer, mobility
Age bands
<2, 2-4, 4-6, 6-12, 12-18

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

GMFCS general heading level 1

A

Walks w/out limitations

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

GMFCS general heading level 2

A

Walks w/ limitations

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

GMFCS general heading level 3

A

Walks using a hand held mobility device

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

GMFCS general heading level 4

A

Self mobility w/ limitations, may use powered mobility

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

GMFCS general heading level 5

A

Transported in a manual w/c

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

GMFCS before 2nd bday level 1

A

More in and out of sitting and floor sit w/ both hands free to manipulate objects
Creep, pull to stand and walk holding onto furniture
18m-2y walk without AD

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

GMFCS before 2nd bday level2

A

May require use of hand in sitting
Combat crawl or creep
May pull to stand and walk holding onto furniture

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
GMFCS before 2nd bday level 3
Sit with low back supported | Roll and combat crawl
26
GMFCS before 2nd bday level 4
Require trunk support for sitting, able to control head | Roll to supine and may roll to prone
27
GMFCS before 2nd bday level 5
Unable to maintain antigravity head and trunk postures in prone and sitting Require assistance to roll
28
GMFCS before 2nd to 4th birthday level 1
Transition in and out of sitting and standing w/out assistance Walk as 1 deg mobility
29
GMFCS before 2nd to 4th birthday level 2
Pull to stand at surface Creep w/ reciprocal pattern and cruise Walk w/ AD as preferred mobility
30
GMFCS before 2nd to 4th birthday level 3
Frequent “w” sit Combat crawl or creep as 1deg mobility Walk short distances indoor w/ walker and adult assistance for steering
31
GMFCS before 2nd to 4th birthday level 4
Adaptive equipment for sitting and standing | Self mobility limited to short distance
32
GMFCS before 2nd to 4th birthday level 5
No means of (I) movement
33
GMFCS before 4th to 6th birthday level 1
Walk indoors and outdoors Climb stairs Emerging fun and jump
34
GMFCS before 4th to 6th birthday level 2
Short indoor walking w/out mobility device, outdoor on level surface Climb stairs w/ rail Unable to jump or run
35
GMFCS before 4th to 6th birthday level 3
Walk w/ handheld mobility device on level surface Require assistance to climb stairs Frequently transported long distances
36
GMFCS before 4th to 6th birthday level 4
Self mobility possible w/ powered WC | Transported in community
37
GMFCS before 4th to 6th birthday level 5
No independent movement
38
GMFCS before 6th to 12th birthday level 1
Walk at home, school, outdoor and in community Climb stairs w/out railing Gross motor skills but speed, bal, coord limited
39
GMFCS before 6th to 12th birthday level 2
Walk in most settings, Climb stairs holding rail Difficulty walking long distance and balancing on uneven terrain, inclines, crowds, small spaces May walk w/ physical assistance, hand held mobility device or wheeled mobility for long distance Minimal ability to perform gross motor skills such as running and jumping
40
GMFCS before 6th to 12th birthday level 3
Children walk using hand held mobility device in most indoor setting Climb stairs holding onto rail w/ supervision or assistance W/C when traveling long distances, may self propel shorter distances
41
GMFCS before 6th to 12th birthday level 4
Children use methods of mobility that require physical assistance or powered mobility in most settings May walk short distances at home w/ physical assistance or use powered mobility or body support walker Manual or power w/c in other settings
42
GMFCS before 6th to 12th birthday level 5
Manual w/c in all settings | Limited in ability to maintain antigravity head and trunk postures and control leg and arm movement
43
GMFCS before 12th to 18th birthday level 1
Walk at home, school, outdoor, community Climb curb and stairs w/out assistance or railing Perform gross motor but speed, balance, coordination limited
44
GMFCS between 12th and 18th birthday level 2
Walk in most settings but enviro factor and personal choice influence mobility choices At school/work, require hand held mobility device for safety, climb stairs holding onto a railing Outdoors, use w/c when traveling long distance
45
GMFCS between 12th and 18th birthday level 3
Walking using hand held mobility device Climb stairs w/ railing w/ sup or assist Self propel manual or power w/c at school Outdoors - transported in w/c
46
GMFCS between 12th and 18th birthday level 4
W/c in most settings Physical assist 1-2 people required for transfers Indoor- short distance w/ physical assist, w/c or walker Operate powered chair or manual w/c
47
GMFCS between 12th and 18th birthday level 5
Manual w/c in all settings Limited in ability to maintain antigravity head and trunk postures and control leg and arm movements Self mobility is severely limited
48
Strongest predictor of walking ability in all types of CP
Cog function
49
Best predictor for amb of 15+ m by age 8
Independent sitting by 24 mo
50
If indep sitting not obtained by age 3,
Likelihood of functional walking is very low
51
Most children w/ CP reach 90% of motor pro entail before age
3 for most sever | 5 for least involved
52
Most common contracture in children w/ CP
``` Shoulder add Elbow, wrist, finger flex Hip flex and add Knee flex Ankle PF ```
53
Primary impairment in CP
Diminished force production capability
54
CP muscle strength
Low EMG Greater weakness Distal> prox, con > Eccles, fast > slow Contributes to bone deformity
55
CP skeletal impairments
Torsion of long bones, joint instability, premature degenerative changes Scoliosis Hip subluxation
56
CP selective control
Isolated muscle activation in selected pattern in response to voluntary posture Poor selective control contributes to impaired motor function
57
CP motor learning
Difficulty anazlying their own movements and using feedback to improve performance Motor memory often impaired
58
CP pain
61% of amb children
59
Modified ashworth and CP
Low reliability
60
Modified tardieu
Point of catch to rapid movement Mechanical resistance to slow stretch indicates muscle length Difference b/n catch and mechanical resistance
61
Modified tardieu large difference
Indicates large reflexive component to motion limitations
62
Modified tardieu small difference
Indicates a more fixed contracture
63
Selective control assessment of LE
SCALE | Rating specific isolated movement
64
CP other exam and eval
ROM, MMT, endurance and efficiency of movement Observation of sway or repsonse to perturbation SATCO Pain (asses frequently) Activity part, differentiate b/n capacity, performance, motivation
65
CP exam considerations - infancy
Consider infant’s temperment, state of regulation and handling tolerance Provide baseline for monitoring
66
CP exam consider - pre school aged
Require more frequent reassessment
67
CP strengthening
Both concentric and eccentric
68
CP PRE
4-12x week 3x/wk 80-90% max load Lower resistance for increased reps for endurance
69
CP CV endurance
EE walking can be up to 3x > GMFCS levels 1 and 2 respond well to specific training Swimming programs for all levels
70
CP modified constrain induced movement therapy
Useful w/ hemiplegia Constraining unaffected UE Mass practiced w/ affected UE
71
CP spasticity management
Intervetion if interfering w/ function or comfort Passive stretching - short term ,minor effect SDR Botox Baclofen
72
Muscle length best maintained
Through active movement in lengthen position Casting Orthoses Positioning
73
Solid AFO
Max restriction of ankle movement
74
Hinged orthoses
Permit DF
75
Dynamic or posterior leaf spring orthoses
Reduce equinus in swing Permit ankle DF in stance Absorb more energy in midstance Reduce desireable power generation at push off
76
SMO
For pronation
77
Orthotic and GMFCS level 1-3
Used to allow for more efficient gait and prevent deformity
78
GMFCS level 4, 5 orthotic
Prevent deformities | May allow child to be positioned in standing for physiological and psychosocial benefits
79
AFOs and gain in children w/ CP
Increased velocity, reduced cadence, increased step and stride length, increased duration of SL support Improved EE and possibly decreased O2 consumption
80
Muscle lengthening AFO
Minimum of 6 hours/day
81
AFO and sit to stand
Solid AFO may impede transition unless it is positioned w/ a forward inclination
82
GMFCS levels 4 and 5 individualized postural management
Prevent positional contractures/deformities Prevent skin breakdown Facilitate function and participation Promote safe, comfortable and biomechancially optimal sleep position
83
GMFCS levels 1-3 weight bearing program
Increase/maintain bone mineral density Maintain LE extensibility Promote acetabulum development
84
GMFCS levels 1-3 may indicate use of stander at age
1
85
Posterior walkers
Improve posture and gait pattern, | Less EE than anterior walker
86
Safe and effective mobility in power w/c can be achieved as early as
17 mo of age
87
CP tx focus infancy
``` Positioning, carrying, feeding, etc Symmetry, handling, posturing, functional motor Biannual activity Inhibition of hyperextension Trunk then lateral control ```
88
CP to pre school
Reduce primaryimpair, prevent secondary impair Engage outside family Hip joint integrity
89
Goal attainment scaling
Individualized, criterion referenced measured of change | -defined a set of unique goals for client, then specify range of outcomes
90
PEGS
Percieved efficacy and goal setting Age 5-9 Picture of task Allows child to self report percieved competence in every day activites and set goals for intervention Parallel questionnaires for caregivers and educators
91
GAS 5 point rating scale
-2 much less expected outcome -1 less than expected outcome 0 expected outcome after intervening +1 greater than expected outcome +2 much greater than expected outcome
92
Amb skill direct intervention
``` Ther ex Functional training in self care and home management Manual therapy Modalities AD, ortho, adaptive equipment ```
93
Amb skills levels 4 and 5
PWB on treadmill Supported amb Focus on CP fitness Address/monitor ROM and strength
94
Amb skills 4 and 5
Explore all options for (I) mobility Equipment may be required to compensate for postural and movement control limitations Shock absorption concern Energy conservation is not expected
95
Amb skills intervetion for level 3
Upright posture and stability Developing forward progression Shock absorption Energy conservation
96
Amb skills level 1 and 2
Ongoing analysis of posture and stability in diff enviro and functional activities Regular even of orthotic fit/function Monitor gait efficiency Fitness program w/in community

Peds (18 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions