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PEDs Final CP
Cerebral Palsy and Duchene Muscular Dystrophy
| Question | Answer |
|---|---|
| What is scissoring? | Legs in crossed position, knees, hips, and ankles stiff. Children make a crossing or "scissoring" movement with legs |
| What is the significance of tonic neck reflex persisting past 4-6 months | One of the early clues to CP. A persistent infantile rest/sleeping posture is a sign of spasticity when it remains constant after 4-5 months of age. |
| Why does the child with CP need more calories? | Spasticity burns more calories and energy than a normal child. |
| What are the causes of CP? | Neonatal encephalopathy, traumatic brain injury, carbon monoxide poisoning, respiratory distress/obstruction, drowning, insulin reaction, brain abbess, granuloma, hemorrhage, embolus/thrombus, meningitis, encephalitis |
| What are prenatal causes of CP? | Teratogens, genetic syndromes/chromosomal abnormalities, brain malformation, intrauterine infections, maternal factors |
| What are perinatal causes of CP? | Sepsis, CNS infection, asphyxia, prematurity |
| What are characteristics of spastic cerebral palsy? | Scissoring of the legs, hypertonicity, poor control of posture, and coordination |
| What is the role of baclofen in CP? | Effective in decreasing overall spasticity |
| What is the role of botox in CP? | Reduces contracture deformities and pain management |
| Why does the child with CP need range of motion? | Early efforts focus on alleviating abnormal posture by positioning, exercising, and prevention of contracture deformities. |
| How does spasticity impact feeding issues? | The child has persistent gagging, choking, and pushing tongue out of mouth with possible drooling and aspiration. |
| What is ataxic CP? | A wide based gait, rapid repetitive movement performed poorly, disintegration of movement of upper extremities when child reaches for an object. |
| What is dyskinetic CP? | Abnormal involuntary movement, AKA athetosis: slow-worm-like writhing movements involving the extremities, trunk, neck, facial muscles, and tongue. |
| What is mixed CP? | A combination of Spasticity and Athetosis (Dyskinetic) |
| What is Gower's sign? | A characteristic way of rising from a squatting or sitting position on the floor |
| Why does the calf muscles enlarge in Duchene Muscular Dystrophy? | From fatty infiltration |
| What are clinical manifestations of Duchene Muscular Dystrophy? | Lordosis, waddling gait, progressive muscle weakness, and Gower's sign |
| Is there a link between mental retardation and cerebral palsy? | No. Some children have both, but there is no link between the two. |
Created by:
Keller_KI
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