SB Flashcards
Spina bifida
what is spina bifida
it is a spinal cord malformation or a group of congenital malformation of CNS
classification of SB
spina bifida occulta
meningocele
myelomeningocele
about spina bifida occulta
**also known as hidden spina bifida
**asymptomatic
**no meninges herniation
**sensory loss
**urinary system problems
**weakness in lower extremities
**difficulty walking
**foot deformity
**no spinal cord damage
Meningocele
**rare
**vertebral arch closure is incomplete
**consist of meningeal cyst
**mild disability
myelomeningocele
**most common
**also known as open spina bifida
**herniated spinal nerve and nerve roots
**there is spinal fluid flow
**common in girls 7;1
where does neural tube develop from?
neural layer early in embryonic development
Causes of SB
**Maternal folic and vitamin deficiency
**genetics
**maternal obesity
**diabetes in pregnancy
**maternal stress
**mother with epileptic seizures
**maternal fever in the first trimester
hydrocephalus
**affects 80% of children’s with myelomeningocele
**flask paralysis can be seen
**muscle weakness can be observed
**decrease or loss of tendon reflexes
**decrease or lost proprioception
**bowel and bladder incontinence
**paralytic and congenital deformities
*Can be corrected by SHUNT SURGERY
what are some other lesions on the system
**pressure ulcers on skin
**severe vasomotor changes
**osteoporosis
**soft tissue contracture
**skeletal deformities
why can’t they walk?
weakness of quadriceps femoris
imbalance of the muscle
foot deformities
spine deformities
knee deformities
flack
spasticity
what is the other name for spina bifida and why?
also known as cocktail party syndrome because the children’s with this disorder are always lively and happy.
general evaluation of SB
muscle weakness,
sensory deficits
spasticity,
bladder and bowel incontinence
circulation
psychology
learning and intelligence
main aim of PTR in SB
support normal development changes.
developing physical abilities.
gaining independency.
preventions.
increase proprioception.
increase muscle strength.
Foot deformities
Equinovarus
Calcaneovalgus
Flexion deformities
Knee deformities
Hypertension
Flexion deformities
