Final: Paed's Neuro

Question 1

Neurological Deficits

Answer 1

impairments in muscle tone, sensation, range of motion, strength or coordination

Question 2

Goals for low tone

Answer 2

and joint hypermobility need to be stabilized

Question 3

Goals for increased muscle tone

Answer 3

limited joint range need mobility and muscle extensibility

Question 4

PT Goals Infancy

Answer 4

promote symmetry, limit abnormal postures and movements, and facilitates normal motor development

Question 5

CP

Answer 5

most frequently encountered neurological condition

Question 6

CP is diagnosed when

Answer 6

motor milestones and exhibits abnormal muscle tone

Question 7

Motor cortex afffects

Answer 7

Spastic: resistance to passive movement, typically gives way as more pressure is applied

Question 8

Brain Stem affects –

Answer 8

Rigid: ‘stiffness’ is present throughout the ROM

Question 9

Cerebellum

Answer 9

Ataxic (Ataxia): poor balance/coordination

Question 10

Basal Ganglia

Answer 10

Athetoid (Athetosis): repetitive, slow, involuntary movements

Question 11

4 Types of CP

Answer 11

spastic(stiff), athetoid(dyskinetic), ataxia(rare), mixed

Question 12

Selective Dorsal Rhizotomy

Answer 12

sensory rootlets from the lower extremity are selectively cut
(reduces spasticity in the leg)

Question 13

Spina Bifida

Answer 13

varying degrees of neurological impairment, depending on severity and

Question 14

primary neurological impairments

Answer 14

failure of the neural tube to close, and secondary orthopedic impairments

Question 15

Secondary orthopedic impairments

Answer 15

abnormal muscle function around the joint and decreased mobility,

Question 16

kyphosis and scoliosis

Answer 16

deformities of spine

Question 17

Common limitations in children with SB include

Answer 17

tightness in hip flexors, hip adductors and dorsiflexors or evertors of the ankle

Question 18

common form of muscular Dystrophy.

Answer 18

Duchenne’s Muscular Dystrophy (DMD) is the most common form of muscular Dystrophy.

Question 19

MD

Answer 19

progressive muscle weakness which starts in the legs and pelvis and later affects the whole body

Question 20

Gower’s Sign

Answer 20

children’s use of their arms to push themselves erect by moving their hands up their thighs due to weakness in proximal muscle groups

Question 21

primary impairment in MD

Answer 21

weakness secondary to progressive loss of myofibrils.

Question 22

Secondary impairments of MD

Answer 22

include the development of contractures and postural misalignment.

Question 23

Postural misalignment

Answer 23

antigravity postures such as standing can result in scoliosis.

Question 24

MD in adolescence

Answer 24

progression of weakness and contractures

Question 25

Traumatic Brain Injury

Answer 25

anatomic and physiological differences and developmental milestones achieved prior to injury

Question 26

TBI most common from

Answer 26

falls.

Question 27

Down’s Syndrome

Answer 27

Trisomy 21 (extra chromosome)
Low tone, late achieving motor milestones

Question 28

DCD

Answer 28

Developmental Coordination Disorder

General clumsiness, lack of coordination, poor strength