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Cerebral Palsy
as it relates to PTA
| Question | Answer |
|---|---|
| CP - disease? | no, movement disorder |
| CP - progressive? | non progressive |
| causes | mostly unknown, infectious meningitis, trauma, CMV, Rh factor, poor prenatal care, asphyxia (cord issues), low birth rate (33%, 50% diplegic), cerebral hemorrhage |
| CP involvement in periventricular area, central bleed is what type (42% )? | diglegic |
| CP involvement in the parietal lobe, hemispheric bleed results in what type 36% of time? | hemiplegic |
| CP, frontal lobe involvement, global ischemia results in what type 7% of the time? | Quadriplegic |
| spasticity is? | resistance to stretch |
| what percentage of CP patients have mental retardation? | 40-60% |
| what age do children usually walk? | 12 - 18 mo |
| CP classified by? | location of involvement, type, severity |
| what type of CP is most common? | 80% spastic |
| hypotonic CP | lack resting tone |
| athetoid CP | fluctuating tone |
| classes by location? | hemiplegia, quadriplegia, diplegia |
| what level on the GMFM scale is a child at who can walk w/o restriction; limitations in more advanced gross motor skills? | level I |
| what level is a child who can walk w/o AD; limitations in walking outdoors & in the community, rough terraine, jumping | level II |
| what level can a child walk w/AD; limitations in walking outdoors & in the community | level III |
| at level III, how much energy does it take to get around? | 2x more than usual |
| what level is a child self-mobility w/limitations; children are transported or use power mobility outdoors & in the community | level IV |
| what level is a child self-mobility, severely limited even w/the use of AD? | level V |
| what types of medical tx available for CP? | PT, OT, speech TX, orthopedic surgery, baclofen pump, botox, AD |
| what is PT goal for diplegia & hemiplegia? | reduce primary impairments & prevent secondary impairments |
| what are some tx's for diplegic & hemiplegic CP? | inc force generation - overload strengthening, physioball, functional skills; stretching; address spasticity, inc mm length especially important in 2 jt mm, botox, bacolfen |
| what are LE & pelvic mm's that need STRENGTHENING? (di & hemi) | ABDOMINAL MM'S - ARE KEY!!!, TA, EO, IO hip extensors & abductors (gracilis), quads, anterior tib & gastroc/soleus |
| exercises for LE & pelvic mm stg | planks, put on ball to work on obliques, stg hip...gracilis, need good core strength! |
| what LE & Pelvic mm's that need LENGTHENING? | hamstrings, gracilis, gastroc & possibly soleus, iliopsoas |
| what to consider when developing a plan for CP patient? | where are they compared to normal development? GMFM, what skills does that show they lack? |
| what to work on w/CP? | standing, standing w/rotation, balance exercise, gait training, put on ball to force rotation, strengthen core mm's |
| PT basics for CP - level IV & V | work on trunk & head control, prevent contractures, equipment needs, TRANSFER TRAINING, power mobility is the ultimate goal not limited by physical skill, primarily by behavior & cognition), Pt/family education ....if they can't sit, they can't walk! |
| what is an exercise for head & trunk control? | see how long they can hold head up when laying over physio ball |
Created by:
djbari
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