Developmental Neuro Flashcards by JILLIAN Menzie

What is the diagnostic criteria for DCD

learning and coordinated movement is difficult
early onset of development
all other neuro issue been ruled out
difficulty with motor that intefere with ADLs

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What is a specific test and measure for DCD partication?

CAPE (childrens assessment of participation and enjoyment)
goal attainment scale
canadian occupational performance measure

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What are DCD diagnosis specific tests?

DCD’Q’07 age 5-15
movement assessment battery for children-2 = gold standard
<5th % on MABC2– probable DCD

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What activity limitation test and measure for DCD?

motor development – BOT 2

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What age should you do individual PT for children with DCD?

<5-6

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WHat is the CO-OP

cognitive orientation to daily performance (CO_OP)
7 key features =
guided discovery,
client chosen goals,
dynamic performance analysis (DPA)
parent involvement
structured interventional formal 10-12 sessions.

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What age do you focus on group therapy sessions

> 6 years old

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What intervention specific to DCD?

CO-OP
neuromotor task training
motor imagery

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Is there a medical management for DCD

no medications, but can treat co-morbidities

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What is the diagnostic criteria for autism?

DSM-V
impairment in social communication/interaction
restricted/repetitive behavior

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What is the classification of level of support

level 1= support
level 2= mod support
level 3= substantial support

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What is the pathophysiology of autism?

synapses do not undergo normal pruning during childhood and adolescense
cerebral morphology differences in volume and geometry
brains of indiviudals with autism are large
overgrowth in temporal lobe

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What are common co morbid conditions of autism

ADHD, OCD, DCD, anxiety/ mood, psychosis

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What are predictive factors for autism?

geriatric pregnancy, medications during pregnancy, air pollution, genetics

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What is the medical management for autism?

no specific, but can managed other medical conditions

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What is autism diagnostic observation schedule (ADOS)?

gold standard– completed by psychologists, along with clinial observation
semi structured assessment of communication, social interaction and play for individuals
4 modules– child to adult

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What is the screening for autism

M-CHAT-R used for 6- 30 months

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What are interventions for autsim?

focus on meaningful interventions
short duration
ICF components
accomodate environment
integrate interventions with daily routines

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What is a common impaitment or deviation for children with autsim?

idiopathic toe walking

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What is idiopathic toe walking?

condition in which children ambulate with bilateral toe-toe pattern without known etiology

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What are interventions for idiopathic toe walking?

behavioral strategies (flippers, heels, squeakers)
followed by serial casting followed by orthotic

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What is spina bifida

type of neural tube defect

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When does the caudal neural tube close?

Study These Flashcards

day 28

When does the rostral neural tube close?

Study These Flashcards

day 24

What is the double hit theory

maldevelopment of the neural tube + exposure to amniotic fluid= damage to normal spinal cord tissue

What are risk factors for spina bifida?

polycentric inheritance envirnmental follic acid deficeincy

How do you diagnose spina bifida?

lab alpha- fetoproteint at 13-15 fetal ultrasound 16-24 wks amniocentesis at 16-18

Which diagnostic test is 100% accurate?

amniocentesis

What is a banana sign?

cerebellum appears banana like because it is wrapped around the posterior brainstem due to downward traction of the spinal cord indicative of Chiari II

What is a lemon sign?

is the shape of the skull

What are the different types of spina bidfia

myelomeniongecele meninogecele myocele spina occulta

Describe myelomeningocele

most common nerves outside spinal tract-- open defect motor, sensory, bowel and bladder impairments majority 75% lumbar-lumbosacral

Decribe meningocele

incomplete skin coverage= CSF leak neuro signs may normal pocket but no nerve elements

Describe myelocele spina bifida

cystic cavity anterior to the spinal cord majority 75% lumbar-lumbosacral

Describe occulta spina bifida

L5-S1 is most common no neurological deficits rarely associated with tehtered cord or lipoma

what is hydrocephalus?

CSF build up in the ventricles

what is tethered cord?

spinal cord gets stuck to the base of spine w/ growth SC can't move

What is syringomyelia

pockets of fluid throughout the spinal cord

What is Arnold Chiarir Type II Malformation ?

downward displacement of medulla, brainstem and cerebellar tonsil through fooramen mangnum

What are the symtpoms of arnold chiari type II?

sleep apnea palpitations/arrhythmis diploplia dysphagia impaired fine motor coodination and ataxia

What are the symptoms of hydrocephalus?

HA nausea altered mental status lethargy personality change swallow issues hoarse cry vision changes

What are the symptoms syringomyelia?

motor changes (fine motor) sensory changes (temperature) reflex changes neck pain

What are symptoms of a tethered cord?

motor, sensory, reflex change back pain progressive scoliois bowel or bladder/ sexual changes change in function

What is the sign or gaze palsy associated with severe hydrocephalus?

sunset gaze upward gaze palsy

what is the most frequent shunt complication

infection

When do children with thoracic level SB roll?

18 months

What are the predictors of ambulation?

lower motor level no histroy of shunt no hx of hiip or knee contracture surgery

what are the cuntional abilities for thoracic level?

standing at 12-18 months gait with HKAFO wheelchair training as early 12 months

Functional abilities of lower thoracic and lumbar

RGO after age 3 if L3 spared -- child may use AFO

Functional abilities of low lumbar aand sacral

bracing may not be required but might benefit from AFO or GRAFO if PF are non-functional

What is common impairment in the feet for T6-T12

club foot

What is a common gait pattern you might see with a patient with an L4 myelomeningocele?

trendelenburg

What are common orthopedic conditions for spina bifida

scoliosis clubfoot hip subluxation and dislocation

What is neurogenic bowel?

surgery required for patient with difficulty with independence and maintaining continenence 80% of kids have it

what is a neurogenic bladder?

present in >90% patients with MMC hypertonic bladder= thoracic lesions hypotonic= sacral lesions need annual renal ultrasouns and renal function testings

What is the management for neurogenic bladder?

management= normal renal function and maximize continende independent catheteization as early as 5/6 years old UTI ver common urologic cause 40% deaths between 5-30 years old

What are common considerations for skin care for spina bifida?

allergy to latex high risk for pressure injuries

Developmental Neuro Flashcards

(57 cards)