Cerebral Palsy "Facts"
Name two key facts in the definition of Cerebral Palsy
Non-progressive, disorder of movement and posture
what is the most common motor finding type of CP
Spastic
Name the classification scale used for children with CP
GMFCS
ages 2-18
prognosis assistance
Name the most common tool used for children with CP ages 5 months to 16 years
Gross Motor Function Measure (GMFM)
what are the two versions?
name 3 types of equipment can that a child can use to assist in gait
reverse walker, cane, forward walker, loftstrand crutches, supportive walker
Name one perinatal complication that may leads to a medical diagnosis of CP
low birthweight, neonatal stroke, infection, hemorrhage, hypoglycemia
What "type" of CP would a child be diagnosed with if they have involuntary movement
Dyskinetic
often Basal Ganglia damage
Name a tool used for 0-84 month old children with CP that compares them to a normal/typical child
Peabody Developmental Motor Scale (PDMS-2)
What type of equipment can you use to help a completely dependent child stay upright
stander
what is the reported prevalence of CP
4/1000 births
What is the "least" common type of CP
Ataxic
Name a tool that consists of an interview to determine disability level
PEDI (Pediatric Evaluation of Disability Inventory)
Name three types of orthotics used in the neuro population with emphasis on pediatrics
DAFO, AFO, KAFO, hinged, SMO, orthotic insert
Name two post-natal complications that may result in CP diagnosis
Ischemic Periventricular leukomalacia (PVL), l metabolic disease, injuries, chronic lung disease
Name three early signs of possible CP (flags or soft signs)
persistent:
arching posture, jittery, feeding problems, fussiness
Name the automatic postural reflexes that are part of balance
head righting, body righting, protective extension, equilibrium
If a 5 year-old child can sit on a chair but needs adaptive seating for trunk control and walks short distances with a device what GMFCS level would you report
Level IV
Name three types of mobility equipment that can be used in peds (other than walkers)
Wheelchair, power chair, scooter, adaptive stroller,
What percentage of children with CP survive into adulthood
90%
Name three reasons/justifications for early intervention
family education, plasticity, encourage "typical" movement patterns, prevent secondary impairments
Name two pediatric balance testing tools
functional reach, tandem, heel toes, BOT, GMFM
What is the most common pelvic posture in sitting seen in children with CP and why
posterior tilt, tight hamstrings
Name 3 ways that a family can potential obtain financial assistance to pay for special equipment needs
health insurance, school district, grants, local agencies