LE: Cerebral Palsy Flashcards
(30 cards)
The first catch or lengthening of the muscle is the range that the child can access for function. Therapists can slowly and carefully stretch muscles beyond this point to the absolute range, which is the apparent length of the muscle that the child cannot actively access beyond the functional range.
Both statements are false
An 11 month old child with cerebral palsy attempt to maintain a quadruped position. Which reflex would interfere with the activity if not integrated?
Symmetrical tonic neck reflex
As a very observant physical therapist, you noticed your 10 year old athetoid cerebral palsy propelling his wheelchair with difficulty as he enters the treatment area. Which of the following could be a probable reason for this difficulty?
Seat width is too wide
You are currently teaching a developmentally 3 month old child to crawl. As a well versed physical therapist, which of the following, if not integrated, will hinder your goal?
Tonic labyrinthine reflex
You are currently assessing a 3 year old child diagnosed with spastic cerebral palsy. Which of the following is an unusual characteristic for the child? Distal fixing (toe-curling or fisting) Asymmetric posture Poor postural tone Inability to sustain a posture against gravity None of the above
Inability to sustain a posture against gravity
You are currently treating a spastic quadriplegic cerebral palsy patient who is 2 years old, but is developmentally 4 months of age. You noticed that she kept on bending to the right and inferred that her right quadratus lumborum might be tight. How would you treat the patient?
Side lie the child on the left at the edge of the plinth
A physical therapist uses the Modified Ashworth Scale when assessing a cerebral palsy patient. Which of the following assessment procedures would be the most appropriate when using this scale?
Passive range of motion
A mother comes into the rehab center for a consult with the physician. You asked her for her reason for seeing the doctor. Her reply was, “I noticed my 7 month old son was able to stand whenever I held him upright, but now he is unable to do so.” As a very knowledgeable physical therapist, what would be your response?
“That is a normal response and there is nothing to be worried about.”
Rh incompatibility could lead to a disease called nuclear neonatal jaundice of the brain. High levels of bilirubin in the subthalamic nucleus would predispose a child to athetoid cerebral palsy.
The first statement is true, while the second statement is false
You are formulating your plan of care for a chronologically and developmentally 6 year old cerebral palsy patient who falls under GMFCS level 3. Which of the following will be an appropriate activity?
Navigating curbs and ramps using a wheelchair
A physical therapist comes to you asking for advice regarding his 8 year old dystonic cerebral palsy patient who presents with difficulty in sensory processing. Which piece of equipment would you suggest the physical therapist use to best address the child’s dyspraxia?
Weighted vest
Spasticity is hypertonia in which resistance to externally imposed movement increases with increasing speed of stretch and varies with the direction of joint movement. Dystonia is a movement disorder in which voluntary sustained or intermittent muscle contractions cause twisting and repetitive movements, abnormal postures, or both.
First statement is true and the second statement is false
During movement assessment of a 5 year old cerebral palsy patient’s knee flexion range of motion, you noticed a slight increase in muscle tone manifested by a catch followed by minimal resistance from 100° of knee flexion up to the end of available range of motion. Being the brilliant physical therapist you are, you document this as:
Grade 1+ as to modified ashworth scale
As you assess a 2 year old child’s movement, you noticed the child crawls using his upper extremity mainly to reach his toy that is just right infront of him. What type of cerebral palsy is most linked with this feature?
Spastic diplegia
As you do a postural assessment of your patient, you noticed several asymmetries to his posture as seen in the photo below. This is indicative of what type of deformity?
Windswept deformity of the hips described as an adduction deformity of the elevated hip and an abduction deformity of the opposite hip.
Which of the following is not an intrauterine etiology for Cerebral Palsy
- Chorioamnionitis
- Maternal Fever > 38*C
- Difficulty Labor
- None of the above
-Difficulty Labor
Which etiology is more appropriate for Athetoid CP
- Ischemia
- Premtaturity
- Kernicterus
- All of the above
-Kernicterus
A child’s standing posture is characterized by a right thoracolumbar scoliosis. The scoliosis is not present when the child is in sitting position. Which of the following dysfunctions is most likely the cause of this child’s posture?
LLD
The therapist is examining a patient with a diagnosis of CP. The PT notes that all of the extremities and the trunk are involved. Further assessment also reveals that the lower extremity is more involved than the upper extremity and that the right side is more involved than the left. The patient most likely has which classification of the cerebral palsy?
Spastic diplegia
When helping a child with cerebral palsy into a standing position that has a low postural tone, which appropriate part of the body should the PT stabilize?
Pelvis
Pediatric patients are told to avoid W-sitting because it will:
Increase femoral anteversion.
Scissoring gait may be attribute to spasticity of:
Gracilis
Orthotic intervention is usually recommended with a child with cerebral palsy with idiopathic scoliosis:
25 degrees
The following are not typically features of hypotonic cerebral palsy patients except:
- Repositions lower extremities when sitting on the floor to help keep trunk upright.
- Decreased proprioception
- Uses a very wide base to move on the floor independently
- Joints may be hypomobile owing to poor reciprocal inhibition
-Repositions lower extremities when sitting on the floor to help keep trunk upright.
