| Childhood diseases |
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| Cerebral Palsy |
Non progressive damage to motor portion of brain resulting in tone disorder and affecting movement and onset is before during or after birth up to 3 years |
not genetic (caused by tetratogens (7-8 months) and other factors) |
Hypertonic( spastic or rigid), Hypotonia (flopp), Athetosis (mixxed or fluctuationg tone), Ataxia (in normal to low tone) |
Limited ability to initiate pr move through full ROM,poor ability to control co contraction, (plegias) |
contractures, postura reflex mechanisms, deficits in all performance areas because of tone, 40% noral intelligence, if not walking by 6 then wont be |
neurodevelopment treatments, biomechanical, adaptation includes splinting, bracing, and technological devices. , life span around 40 years, 10% of adults entirely self supporting, |
| Spina Bifida |
Neural tube birth defect of the backbone and sometimes spinal chord, congenital |
thought to have genetic gfactor, folic acid reduces risk, |
Occulta, Meningocele, Myelomeningocele, (cyst hold nerev of spinal chord |
back needs to be surgically closed, hydrocephalus, paralysis below level of defect, musculoskeletal deformities, bowel and bladder dysfunction |
visospatial deficits, memory deficits, coctail party speech, |
85% survive to adulthood |
| Muscular dystrophy |
Genetic resulting in flaws in muscle protien gene. -genetic diseases marked by progressive wekness and degeneration of the skeletal, voluntary muscles that control movement.(most common is Duchenne |
Myotonic (c19) muscle weakness, cns, (congenital-elayed sucking,swallowing,breathing motor and MR) |
duchenne-2-6 yrs onset males only (x linked)-starts with frequent falling, can't get up, gowers sighn, some have MR, life span only to 20 death from pneumonia, respiratory failure, cardiac problems |
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| spinal chord injury |
damage to spinal chord that results in loss of function such as mobility or feeling |
10,000 incidence a year moslty due to car accidents and violence |
high tetraplegia c1-t4/ low tetraplegia c5-c7/ paraplegia-lumbar or sacral below t10 |
high tetraplegia- no function below level of injury, c1-c3 use ventilator/low tetraplegia-c5-shoulder and bicepts but no wrist use, c6- wrist control but no hand use, c7t1-dexterity problems and no function below this spinal level/hand not affec at lumbar |
c7-independent with adaptations--leading cause of death is pnemonia, pulmonary emboli, septicema |
((paralysis and loss ofo sensation below level of leision |
| juvenile rhumatoid arthritis |
inflammation involving the joints that may last for a minimum of 6= consecutive weeks( thought to be an autoimmune disease) |
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polyartricular (5 or more joints- female)painful swelling/Systemic JRa associated with fever and anemia/spondylo arthropathy(males)-early assymetrical involvement of large joints |
avoid moving, joint contractures, tense rigid, tutoring, |
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splinting during flare ups,excersize and prevent deformity, joint protection |
| prematurity |
small for gestation agebron before 37 weeks, one month or more early |
multiple fetuses, teenage pregnancy, smoking, diabetes, infections, 11% of all births are preme |
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child appears apathetic, periods of apnea, waxy covering and fine body hair,not enough strength for feeding |
(PVL)(periventricular leukomalacia), infection, bleeding, hemorhage, jaundice |
high chance of LD |
| osteogenisis imperfecta |
genetic deficit in which bones break easy often from little or no apperent cause |
type 1 most common , mildest, type 2 most sever, type 3collagen improperly formed, type 4 3-1 |
no cure, develop optimum bone mass and muscle strength, adaptive equipment, excersize-especially swimming |
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| arthrogryphosis |
non progessive contracture of 2 or more joints at birth(rare)more common in males |
limited movement in uterou may cause abnormal dev of tendons bones and joints |
amyoplasia ( abnormal dev of muscle fibers)/ Cns and spinal chord can be malformed/can be genetic syndrome |
limb muscle replaced by fibrous or fatty tissue/multiple joint contractures/normal intelligence |
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wrst with cns involvement best is amyplasia// Splinting ROM compensation and adaptation |
| fragile X syndrome |
more males than females |
hypotonia, poor eye contact, speech is persverative echolailic, Iq usually moderate but females can be svere |
like autistic adhd agressive anxiety and unstable mood |
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| retts syndrome |
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| prader-willi |
hypotonia as baby, failure to thrive infancy |
mild to moderate MR |
temper tantrums and other behavior problems, shrt stature, apnea, |
high pain threshhold, |
obesity is major cause of morbidity and mortality |
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| angelman |
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| fetal alcohol |
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| down syndrome |
related to trisomy 21 gene |
low muscle tone/ joint hyperflexibility |
need to be taught stranger awareness--iq (50-60) |
mild-55-60- academics grade 3-7/moderate -40-54 unlikely to pass 2nd grade/severe-25-39 basic habit training/prfound below 25-caregiver needd for survival |
heart risks and resperatory problems |
high risk for alzheimers |
| MR |
not diagnosed after age 18/significantly sub average intellectual function- (IQ under 70-75) |
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