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N Cerebral Palsy

notes from lecture

Cerebral Palsy (CP) definition disorder of posture & mvmt seconday to damage to immature brain. (before, during, after birth) earlier, the more severe, esp 1st trimester.
Cerebral Palsy (CP) congenital before, during birth
Cerebral Palsy (CP) acquired to 3 yrs
Cerebral Palsy (CP) spastic damage to motor cortex &/or pathways, variety of distributions, trunk tone varies (can be low), conforms poorly to surface/position, tone changes w/position, afraid to move, takes a lot of energy to move, poor balance & post adjust
Cerebral Palsy (CP) hypotonia precursor to other CP types in infant (can start hypotonic baby and end up spastic), total body, jt hypermob/sublux possible, no tone changes w/posture, frog-leg, UE ER & abd, poor head control, floppy head, perched on hyper ext neck, ring sitting
Cerebral Palsy (CP)athetoid: basal ganglia damage mm tone fluctuates thru out body, tone changes w/position, involuntary mvmt btw one extreme of ROM to another, writhing pattern, poor balance, can't stabilize mid ranges, poor nutrition, hi energy outpt, poor speech, amb hard & wide, walker or loftstrand
Cerebral Palsy (CP) ataxic cerebellar damage, controls balance & coordination, low tone trunk, dysmetric (don't have good timing or control of timing), intention tremor, classic ataxic gt
Cerebral Palsy (CP)rigid decorticate/decerebrate
Cerebral Palsy (CP)spastic distribution hemiplegia most common, UE involvement > LE usually, intraventricular hemorrhage or hypoxia, can usually walk, w/UE strong hand helps wk hand
Cerebral Palsy (CP)spastic distribution diplegia LE's > UE's, low tone trunk, PVL (periventricular leukomalacia) brain damage-maybe injury of lack of O2 or blood flow, prematurity, crouched, gt-no dissociation
Cerebral Palsy (CP)spastic distribution quadriplegia UE's > LE's, mvmt dominated by flex or ext tone, UE/LE position dominated by flex or ext ton, UE/LE position dominated by position of head & trunk, low tone trunk, trouble w/head control, W sit, bunny hop instead of crawl, high guard
Cerebral Palsy (CP)GMFCS (gross motor function classification system)1st decrease speed balance & coordination
Cerebral Palsy (CP)GMFCS (gross motor function classification system)2nd limited jumping & running on uneven surfaces
Cerebral Palsy (CP)GMFCS (gross motor function classification system)3rd AD or WC
Cerebral Palsy (CP)GMFCS (gross motor function classification system)4th mostly WC
Cerebral Palsy (CP)GMFCS (gross motor function classification system)5th limited in all motor functions w/no Ind mob
Cerebral Palsy (CP)some associated probs mental or physical dev delay, persistent dev reflexes, seizures, sensory deficits (hypersensitivity, poor integration, deprivation)-spastic hem, ataxic, athetoid have normal/abv mental capacity. spastic quad, rigid have below normal. athetoid/hearing
Cerebral Palsy (CP)associate probs cont speech deficits, chewing, swallowing, gag reflex prob, may not be able to control behavior, contractures, hip probs, scoliosis, kyphosis, club ft, tibial torsion, mm atrophy, dental issues
Cerebral Palsy (CP) medical management baclofen-pump implanted in pt, wont do until @ least 3 yo & takes 6 mo to kick in, valuim, botox, dorsal rhizotomy (intense PT 1 yr post op)
Cerebral Palsy (CP) orthopedic tendon release (tenotomy), tendon lengthening (z plasty), tendon transfer, arthrodesis, hip sx, sx to correct spinal defromity, serial casting
Created by: jessigirrl4
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