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Quiz 2 Flashcards

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1
Q

definition of CP

A

group of permanent disorders of movement/posture development that causes activities limitations that are attributed to non progressive disturbances that occurred in the developing brain

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2
Q

what does CP look like

A

plegia
spasticity
dyskinesia
ataxia
mixed

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3
Q

how common is CP

A

most common physical disability of childhood (2 per 1000) births

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4
Q

how is CP diagnosed

A

clinical and neuro signs

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5
Q

what age is CP diagnosed at

A

12-24 months

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6
Q

motor types for CP

A

spasticity
dyskinesia
ataxia
mixed
hypotonia

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7
Q

most common motor type for CP

A

spastic

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8
Q

limbs affected in spastic quadriplegia/ bilateral

A

both arms and legs
trunk face and mouth can also be affected

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9
Q

limbs affected in spastic diplegia/ bilateral

A

both legs

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10
Q

limbs affected in spastic hemiplegia unilateral

A

one side (arm and leg)

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11
Q

GMFCS level 1

A

kids walk and climb stairs w/o limitations
can run and jump but speed, balance and coordination are impaired

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12
Q

GMFCS level 2

A

kids walk and climb stairs holding onto railings. limitations on uneven surfaces and includes and in crowded spaces

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13
Q

GMFCS level 3

A

kids walk on level surface with AD. May climb stairs w/ railing. May propel WC manually or transported for longer distances

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14
Q

GMFCS level 4

A

kids may walk short distances on a walker and relay on wheeled mobility at home and in community

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15
Q

GMFCS level 5

A

restricted voluntary control of environment and ability to maintain anti gravity head and trunk posture. all areas of Motor control limited. transported, no independent mobility

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16
Q

common co morbidities of CP

A

inability to walk, inability to talk, pain, epilepsy, behavioral disorders, intellectual impairment, vision impairment, bladder control problems, sleep disorders, salvia control

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17
Q

types of etiology of CP and occurance

A

prenatal 80%
post natal 10%
peri natal 10%

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18
Q

risk factors for CP

A

low birth weight
premature birth
multi births
maternal conditions
prenatal infections/ toxin exposure
perinatal: breech birth, complication LD
postnatal: meconium aspiration

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19
Q

what is the leading cause of CP in preterm infants

A

periventricular leukomalacia

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20
Q

what is PVL

A

damage to white matter

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21
Q

what is IVH or ICH

A

bleeding in brain d/t weak or fragile blood vessels

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22
Q

does genetics play a role in CP

A

yes

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23
Q

symptoms of IVH

A

apnea
bradychardia
cyanosis
weak suck
high pitch cry
seizures
swelling/ bulging of fontanelles (soft spots)
anemia

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24
Q

perinatal causes of CP

A

birth asphyxia
hypoxic ischemic encephalopathy
neonatal stroke

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25
postnatal causes of CP
non-accidental injury head trauma meningitis/encephalitis cardiopulmonary arrest
26
is CP an UMN or LMN problem
UMN patho
27
where do UMN synapse onto LMN
ventral (anterior) horn of SC
28
where do UMN travel through
pyramidal tracts
29
+ signs of UMN lesion
muscle spasticity d/t reduced descending inhibitory signals from brain
30
- signs of UMN lesion
weakness of loss of dexterity d/t reduced descending excitatory signals from brain
31
do lesions of extrapyramidal tracts cause UMN signs?
no b/c they modulate and refine movement
32
what does selective dorsal rhizotomy do
sacrifice sensory rootlets to reduce spasticity and inc. LE dissociation
33
manual ability classification system
levels 1-5 (1 is handles objects easily and 5 is does not and has sever limits for simple actions)
34
communication function classification system
levels 1 -5 with 1 least severe
35
eating and drinking ability classification system
levels 1-5 (1 least severe)
36
primary considerations with CP
neurological insult
37
secondary considerations with CP
abnormal growth and development of the MSK system
38
Tertiary considerations with CP
movement compensations for NM and MSK for person to achieve functional mobility
39
barriers to ambulation for youth with CP
limited access to community resources barriers to PA and fitness opportunities more sedentary more deconditioned
40
how much time is spent in sedentary behavior for kids with CP
75-98%
41
3 components of PT exam
history systems review exam
42
BS/BF exam for CP
vitals, height, weight, BMI, strength, ROM, aerobic capacity, balance, endurance, power spasticity and SMC
43
activity exam for CP
PEDI gait speed GMFM 66 motor planning and performance observations
44
participation measures for CP
COPM GAS PEM-CY SFA CAPE
45
How to measure strength for CP
MMT or HHD- best isokinetic, isotonic, functional strength
46
how to measure endurance for CP
submax: 10 MWT, 1,3, or 6MWT (or 6m WC push) functional mobility: modified TUG (FTST) max aerobic: shuttle run test anaerobic/power: muscle power sprint muscle endurance: 30 sec RM lateral step ups and sit to stands PA: accelerometers, pedometers, PA record
47
precautions with CP and exercise
cardiopulmonary conditions monitor vitals obesity is higher rate covid (long haul)
48
how to measure BMI with CP
use CP BMI growth chart for kids (gender specific)
49
how to measure pain for kids with CP
self report (verbal, questionnaire, analogue) behavioral cuing (expressions, sweating, cardiorespiratory change) pain checklist (non communicators) pain assessment instrument for CP FLACC or FACES
50
measures for spasticity
modified tardieu scale modified ashworth scale
51
what is SCALE
selective control assessment of lower extremity to quantify LE selectivity voluntary motor control
52
what does SCALE test specifically and scoring?
hip flex/ext knee flex/ext ankle DF/PF subtler inversion/eversion toe flex/ext 2 (normal), 1 (impaired), 0 (unable)
53
balance measures for CP
pedi reach test pedi balance scale righting or equilibrium rxns SATCo
54
SATCo levels (general)
1 (C7 only head control) 2-4 thoracic control 5-6 lumbar control 7 full trunk control
55
CP MSK exam for BS/BF
scoliosis ROM or hips alignment and symmetry of LE
56
what to look at ROM for CP
hip IR/ER Hip abd Thomas and ober tests
57
what to look for alignment for CP
femoral anteversion tibial torsion galeassi for LLD
58
components of hip surveillance for CP
parent/child questions on pain and stiffness and changes X-ray physical exam based on age and GMFCS level
59
when to refer to MD after hip surveillance for CP
migration % greater than 30% on x ray hip ABD end range (R2) less than 30 deg hip abduction or Thomas test shows deterioration or asymmetry yes to questions
60
best way to measure muscle strength for CP
HHD correlated to GMFM
61
do you do break test or make test for CP
make
62
shuttle run versions for CP, distances, and GMFCS levels
SRT-1: 10m, level 1 SRT-2: 10m, level 2 SRT-3: 7.5m, level 3
63
how to test muscular endurance for CP
sit to stand lateral step ups 1/2 kneel to stand
64
sit to stand differences between GMFCS levels
1 and 2: no hand support 3: hand support for balance only
65
lateral step up differences between GMFCS levels
1 and 2: 20cm bench 3: 13cm with hand support
66
how to measure RPE in kids
OMNI 0-10
67
five dimensions of gross motor function measure
lying and rolling sitting crawling and kneeling standing walking, running, jumping
68
ages for PEDI
6 months - 7.5 years
69
ages for PEDI CAT
birth to 21 yo
70
true equines gait
hip and knee extended knee recurvatum equinus
71
jump gait
anterior pelvic tilt lumbar lordosis hip and knee flexed equines
72
apparent equinus
increased hip and knee flexion decreased equinus
73
crouch gait
excessive hip and knee flexion scissoring excessive dorsiflexion
74
what pre does DGI
activity
75
grades for SFA
K-6
76
ages for CAPE
6-21
77
Ages for PEM CY
5-17
78
meds for spasticity
baclofen botox

Peds (5 decks)

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