Busy. Please wait.

show password
Forgot Password?

Don't have an account?  Sign up 

Username is available taken
show password


Make sure to remember your password. If you forget it there is no way for StudyStack to send you a reset link. You would need to create a new account.
We do not share your email address with others. It is only used to allow you to reset your password. For details read our Privacy Policy and Terms of Service.

Already a StudyStack user? Log In

Reset Password
Enter the associated with your account, and we'll email you a link to reset your password.
Don't know
remaining cards
To flip the current card, click it or press the Spacebar key.  To move the current card to one of the three colored boxes, click on the box.  You may also press the UP ARROW key to move the card to the "Know" box, the DOWN ARROW key to move the card to the "Don't know" box, or the RIGHT ARROW key to move the card to the Remaining box.  You may also click on the card displayed in any of the three boxes to bring that card back to the center.

Pass complete!

"Know" box contains:
Time elapsed:
restart all cards
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.

  Normal Size     Small Size show me how

Peds Disorder-CP

Cerebral Palsy

Cerebral Palsy non-progressive damage to the CNS during prenatal, birth or postnatal periods
What is involved in CP wide variety of motor & cognitive dysfunction depending on the extent of involvement
What is the tone like in CP initially hypotonic w/decreased head & trunk control (DON'T confuse increased tone w/strength)
When are children referred to therapy 12 months of age due to missed milestones
What does the PT determine for CP abnormal motor patterns to inhibit & normal patterns that should be facilitated/practiced
What pattern of movement due children usually develop for compensatory extensor tone to achieve movement & sustain positions
What do abnormal movement patterns over time create deformities of the soft tissue
Soft tissue deformities result in bony changes, skeletal deformities & dislocations
When should intense treatment be started as early as 4-6 months of age or earlier if identified with delays out of the NICU
What therapies should be involved both school/early intervention & medical based
What does CNS have plasticity to change movement patterns
What are types of CP (named by motor impairment) hypotonicity, hypertonicity, fluctuating
What is CP hypertonicity spastic-most common type, indicates a fixed lesion in the motor portion of the cerebral cortex & Rigidity-severe decerebrate lesion
What is CP fluctuating moving all the time (athetosis/athetoid-involvement w/basal ganglia & diff w/midline movements) & Ataxia/ataxic-cerebellar lesion (diff w/distal movements, balance & coordination) Wide BOS
Types of CP (classified by body involvement) monoplegia, diplegia, paraplegia, hemiplegia, quadriplegia
Monoplegia involvement of only one extremity
diplegia BLE involvement w/mild UE involvement (most common presentation)
paraplegia only BLE involvement
Hemiplegia UE & LE involvement on same side
Quadriplegia equal involvement of BUE's & BLE's
Types of CP (classified by degree of severity) Gross Motor Function Classification System (level I, II, III, IV, V)
Physiologic Differences w/CP Decreased: size of muscle fibers, number of motor units, firing frequency, changes in recruitment order of motor units
Ricks Factors for Developing CP Intraventricular Hemorrhage (IVH), Periventricular Leukomalacia (PVL), Encephalopothy (hypoxia/anoxia) & Malformation of the CNS
Intraventricular Hemorrhage (IVH) bleeding into germinal lateral ventricles, increasing severity grade I-IV & increased risk for CO w/greater severity of bleed
Periventricular Leukomalacia (PVL) softening/death of the white matter, affects descending motor tracts, cystic type=more likely to have UE?LE spasticity
Encephalophy (hypoxia/anoxia) brain infection or swelling
Medical Treatments muscle relaxants, botox, selective dorsal rhizotomy & baclofen pump
Muscle relaxants (oral) diazepam, dantrium, baclofen
Botox injection into the dominant spastic muscle to cause temporary paralysis (lasts 3-6 months)
Selective Dorsal Rhizaotomy invasive surgery, cut sensory roots (gallbladder area)
Baclofen pump continuous intrathecal (under the skin) infusion directly into the spinal cord (most commonly used)
CP Assessment/Treatment Postural control & tone, musculoskeletal, neuromuscular, gross motor skills/functional mobility & orthotics/equipment
Created by: jklincoln