Neuro Conditions

Question 1

GMFCS Level 1

Answer 1

walks withOUT limitations
(can be with use of orthotics)

Question 2

GMFCS Level 2

Answer 2

walks WITH limitations

Question 3

GMFCS Level 3

Answer 3

walks using hand-held device

Question 4

GMFCS Level 4

Answer 4

self-mobility w/ limitation
may use power mobility

Question 5

GMFCS Level 5

Answer 5

transported in a manual WC

Question 6

sensory integration

Answer 6

the behavioral manifestation of sensory processing which leads to modulation and praxis

Question 7

sensory processing

Answer 7

neurophysiologic term that reflects the reception, modulation, integration, and organization of sensory stimuli, but not necessarily the adaptive environmental interaction we observe

Question 8

sensory modulation dysfunction

Answer 8

an over or under responsiveness to stimulation and may be reflected in sensory seeking or avoiding

Question 9

sensory based motor disorders

Answer 9

may have neuroanatomic origins in neural activity before motor execution causes dyspraxia and postural disorder

Question 10

signs of tethered cord

Answer 10

• cutaneous tufts of hair or dimples on LB
• skin discolorations in LB
• LBP that worsens with activity and improves with rest
• leg pain or numbness
• gait disturbances
• foot or spinal deformities
• difficulties with B&B control
• repeat UTIs

Question 11

shunt malformation warning signs

Answer 11

HAs
vomiting
lethargy
irritability
swelling or redness along shunt tract
decreased school performance
periods of confusion
seizures

Question 12

what is the most common motor disability in childhood?

Answer 12

CP

Question 13

greater than ____ of the children with CP have co-occurring conditions

Answer 13

half

Question 14

4 types of CP

Answer 14

spastic
athetoid
ataxic
mixed

Question 15

CP pts with pure spasticity only have _____ system damage

Answer 15

pyramidal

Question 16

what system is involved with athetoid CP?

Answer 16

extrapyramidal

Question 17

what birth conditions are a risk factor for CP?

Answer 17

<32 weeks (premature)
<2500 grams birth weight

Question 18

prenatal infections that are greater risk for CP

Answer 18

cheap storch:
chicken pox
hepatitis (B,C,E)
enterovirus
AIDS
parvovirus
syphilis
toxoplasmosis
other
rubella
cytomegalovirus
herpes simplex virus

Question 19

what is periventricular leukomalacia?

Answer 19

bilateral white matter necrosis
associate with premature and CP

Question 20

what is the most common variety of neonatal IVH?

Answer 20

subependymal germinal matrix

Question 21

what grades of IVH result in neurodevelopmental sequelae?

Answer 21

3-4

Question 22

4 classifications of CP

Answer 22

diplegia
hemiplegia
triplegia
quadriplegia

Question 23

T/F: CP involvements are usually symmetrical

Answer 23

F

Question 24

most common type of CP

Answer 24

spastic diplegia

Question 25

describe the nature of the neuro and MSK lesions of CP

Answer 25

neuro = non-progressive MSK = progressive

Question 26

how does normal development of bone and muscle?

Answer 26

bones grow faster than mm stretch to mm along with presence of growth hormones signal the muscle to grow by adding sacromeres at the musculotendonous conjunction

Question 27

how does CP affected muscle growth?

Answer 27

unable to move through full ROM --> unable to fully stretch mm --> inability to stimulate typical amount of growth

Question 28

tight PF would lead to what impairment at the foot?

Answer 28

pronation

Question 29

what is a moment?

Answer 29

center mass x distance force acting at a distance from an axis or rotational center causing object to rotate

Question 30

lever arm dysfunction

Answer 30

abnormal mm forces combined with the lack of normal growth stimulation alter bone growth both in shape and orientation

Question 31

the genetic blueprint for bones is dependent on ___ & _____

Answer 31

internal muscle forces external ground reaction forces

Question 32

autism is generally evident before ___ years of age

Answer 32

3

Question 33

common impairments with autism

Answer 33

impaired motor performance apraxia impaired coordination toe walking intellectual impairments sensitivity to stimuli

Question 34

what is Asperger characterized by?

Answer 34

social interactions

Question 35

standardized testing for sensory profiles

Answer 35

sensory profile 2 infant/toddler sensory profile adolescent/adult sensory profile SPSC sensory profile school companion

Question 36

symptoms of down sydrome

Answer 36

low tone muscle weakness joint laxity slow postural reactions intellectual impairments heart defects cervical instability

Question 37

what should you monitor for with myelomeningocele SB?

Answer 37

scoliosis hydrocephalus

Question 38

what are neurofibromatoses?

Answer 38

genetic disorders that cause tumors to grow in the NS