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PHS321 Lecture 6/15

The child with Cerebral Palsy part 1

What is cerebral palsy CP is an umbrella term that describes disorder of monements, posture and motor funciton resulting from a nonprogressive lesion/abnormality of the developing brain
what is the life expectancy for a child with cp mild/moderate = normalsevre = shortend lifespan
what are the causes of CP Prenatal (15%)- viral infection- metabolic- vascular occlusionPerinatal (15%)- hypoxia secondary to acidosispost natal (10%)
what are common motor aspects of CP (7) 1mm weakness2delayed motor development3.lack of selective control4.sterotypical movemnt patterns and postures5.alterations in mm tone6. sensory impairment7. balance and anticipatory postural losses
what other associated impairments can exist with CP visual, auditory, language delay, (65%) hearing and epilepsy
what are the three areas of cp classification 1. motor type 2.topography 3.level of motor function
what are the 5 motor types of cp 1.spactic (corticospinal)2.dyskinetic (basal ganglia)3.ataxic (cerebellar)4. hypotonic5.mixed
describe spastic cp Spactic cp involves the corticospinal area. increased in velocity dependant resistance to passive mvt. altered timing and activation of mm
describe dyskinetic CP Dyskinetic CP occurs with basal ganglia is effected. results in dystonia (exaggerated mvt) and athetosis (writing movements)
describe ataxic cp where cerebellar mainly affected resulting in difficulty with timing and coordination
what are common effects of ataxia (8) 4drhin dysmetria, dyssenergia, diadokinesia, disarthria,Rebound phenomenon, Hypotonia, intention tremmor, nystagmus
descrbe the classifcation of topography with cp either unilateral (one side of body) with monoplegic (one limb) or hemiplegic (one side) or bilateral (both sides of body) diplegia (both arms or legs) quadraplegia all four limbs
what is the prognosis for walking for a child with CP - (I) sitting by 2 = walking- if not by 4 then no walking- maximum ambulatory status acheived by 7- Intelectual impriments delays walking
what is the prognosis for hemiplegic cp 100 walking by age 3
what is the prognosis for diplegic cp variable but 95% ambulate with/without aid during lifetime
Created by: rranja03