Week 13 - Cerebral Palsy Flashcards

1
Q

CP

A

Cerebral Palsy

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2
Q

CVA

A

Stroke

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3
Q

HIE

A

hypoxic-ischemic encephalopathy

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4
Q

HIE - definition

A

decreased umbilical or uterine blood flow, resulting in decreased oxygen flow

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5
Q

PVL

A

periventricular leukomalacia

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6
Q

PVL - definition

A

a softening of white brain tissue near the ventricles

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7
Q

ITB

A

Intrathecal baclofen infusion

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8
Q

ITB - definition

A

Pump implanted in the abdomen and infused medication to the spinal cord

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9
Q

IVH

A

Intraventricular hemorrhage

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10
Q

IVH - definition

A

of the newborn is bleeding into the fluid-filled areas, or ventricles, surrounded by the brain

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11
Q

(with CP) ___ to ___ % of cases are a result of birth complications (i.e. HIE)

A

5 to 10%

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12
Q

70-80% of cases occur during _____ life

A

intrauterine

*or prenatal

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13
Q

10% of CP cases are developed ____ birth

A

after

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14
Q

20-30% of cases are _____

A

unknown

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15
Q

a grouping of clinical syndromes that affect
movement, muscle tone, and coordination as a result of
an injury or lesion of the immature brain

A

CP

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16
Q

True or False: CP always involves a disorder in the sensorimotor development

A

TRUE

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17
Q

True or False: CP is a lifelong motor disability

A

FALSE: it is a lifelong DEVELOPMENTAL disability

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18
Q

TRUE or FALSE: The injury occurs when the brain is still developing –
during the prenatal, perinatal or postnatal period until the
age of 8 (referred to as acquired brain injury)

A

TRUE

19
Q

TRUE or FALSE: About 4.1-4.6 children out of every 100 born in the US have
some type of cerebral palsy

A

About 3.1-3.6!!!! children out of every 1000!!!!

20
Q

Delayed ____ ______ is a common symptom of CP

A

Motor Development

21
Q

Muscles/nerves are intact rather, the portion of the _____ that controls the muscle function and tone is damaged

A

brain

22
Q

______ is the degree of resistance when a muscle is

stretched

A

Tone

23
Q

________ high tone, increased resistance is present when stretch (stretch reflex), and may have limited ROM due to tone, also called spasticity

A

Hypertonicity

24
Q

______ low tone, no resistance to stretch (areflexia) and hypermobility is present

A

Hypotonicity

25
Q

______ ______ changes between increased tone and decreased tone

A

Fluctuating Tone

26
Q

When hypertonicity is present and the child is lying on
his back you will often observe the hips ______
rotated and adducted and the ankles ______

A

internally

plantarflexed

27
Q

When hypotonicity is present and the child is lying on
his back the hips _____ flex and _____ rotate due
to low tone and gravity – (flop outward)

A

abduct

externally

28
Q

Motor milestone that is delayed =

A

inability to sit independently

29
Q

May have difficulty sucking, _____ and chewing

A

swallowing

30
Q

May only use 1 _____, may demonstrate unusual

_____ or gait pattern, and/or uncoordinated reaching

A

hand

crawling

31
Q

_______ results from cerebral cortex involvement characterized by

  • hypertonicity (spasticity),
  • most common type (80%),
  • can lead to contractures (shortening of muscles)
A

Spastic

32
Q

1 side of the body is involved; UE is usually more affected

and held in a position of flexion; most walk by their 3rd birthday

A

Hemiplegia

33
Q

Hemiplegia: ___ side of the body is involved; ___ is usually more affected and held in a position of flexion; most walk by their ___ birthday

A

1
UE
3rd

34
Q

involves both LE’s with less involvement of the UE’s; most sit
by the age of 3; approximately 80-90% will eventually walk

A

Diplegia

35
Q

Diplegia: involves both ___ with less involvement of the ___; most sit by the age of __; approximately 80-90% will eventually walk

A

LE’s
UE’s
3

36
Q

______ LE’s and UE’s are involved; only a small percentage will
walk, presents of dysarthria, eating difficulties, drooling; susceptible to deformities, scoliosis and hip dislocation

A

Quadriplegia

37
Q

Quadriplegia: ___ and ___ are involved; only a small percentage will
walk, presents of _____ , eating difficulties, drooling; susceptible to deformities, scoliosis and hip dislocation

A

LE’s
UE’s
dysarthria

38
Q

5 Characteristics of Athetoid

A
  • decrease oral motor control,
  • drooling,
  • dysarthria,
  • hypermobility and
  • excessive uncontrolled movement
39
Q

Athetoid – also called dyskinetic – characterized by involuntary
and uncontrolled movements – slow and writhing – results
from _____ _____involvement – accounts for 10-20% of CP
cases

A

basal ganglia

40
Q

3 Characteristics of Ataxia

A
  • wide-based gait to maintain balance,
  • intention tremors and
  • hypotonicity
41
Q

Ataxia – results from ____ involvement characterized by
unsteadiness and difficulty with balance especially when
ambulating

A

Cerebellum

42
Q

____ _____ is used to reduce spasticity, elongate

muscles and for positioning

A

Inhibitory Casting

43
Q

Treatment used for: hands -to prevent fisted position of flexion; feet -to prevent foot drop

A

Splinting

44
Q

Therapy used to challenge and strengthen sitting balance, equilibrium

A

Hippotherapy