CP
Is CP progressive or nonprogressive?
nonprogressive
GMFCS is 5 levels, what level is most severe? describe its presentation
has physical impairments that restrict volunary control of movement and the ability to maintain head and neck position against gravity
is impaired in all areas of motor function
cannot sit or stand independently even with adaptive equipment
cannot independently walk though ,may be able to use powered mobililty
hemiplegia
diplegia
quadriplegia
Baclofen primarily works to do what
amplify inhibitory neuron response to reduce muscle contraction reducing spasticity
Ataxic CP has generalized ____
hypotonia
what regions of body does diplegia affect?
LE > UE
GMFCS-ER level 1 persons with CP can do: (list typical presentations)
can walk indoors and outdoors and climb stairs without using hands for support
can perform usual activities such as running and jumping
has decreased speed, balance, and coordination
Someone who has dyskinetic CP has what kind of motor movements
increase in unwanted motor movements
Botilinum toxin (BOTOX) inhibits release of what ____ which inhibits skeletal muscle contraction
Ach
Ataxic CP has loss of smooth spatial trajectories causing difficulties with what type of test (dysmetria)
finger to nose test
Name common causes for CP
premature births (most common)
intrauterine infections
hypoxic-ischemic insoles
intercerebral hemorrhage
GMFCS-ER level 2 persons with CP can do: (list typical presentations)
has the ability to walk indoors and outdoors and climb stairs with a railing
has difficulty with uneven surfaces, inclines or in crowds
has only minimal ability to run or jump
Ataxic CP affects what part of the brain?
cerebellum
What are postural/walking strategies for ataxic CP
Increased BOS
• Impaired Balance
• Continuous equilibratory responses.
• Truncal Ataxia (unstable truncal-head movements)
• Unsteady Control of Limbs during standing/gait
• Dyscoordinated/fragmented limb moves
muscle contractors are commonly seen in what type of CP
dyskinetic
Premature births can cause what?
interventricular hemorhhage
aka UMN damage
GMFCS-ER level 3 persons with CP can do: (list typical presentations)
walk with assistive mobility devices indoors and outdoors on level surfaces
maybe able to climb stairs using a railing
may propel a manual wheelchair but may require assistance for long distances
Spastic diplegia is a result of what type of brain lesion
periventricular leukomalacia (PVL) hemorrhage
patients with hemiplegia may demonstrate what kind of gait due to their spastic gastro-solus muscle complex
tiptoeing
Dyskinetic CP affects what part of brain
basal ganglia
Dyskinetic Subtypes:
Choreoathetotic-Dyskinetic CP has 2 common predominant hyperkinesia movements which are what?
Chorea: Rapid involuntary, jerky, chaotic, and fragmented
movs/postures
Athetosis: slow, constantly changing “worm-like” writhing
movs/postures
GMFCS-ER level 4 persons with CP can do: (list typical presentations)
walking ability severely limited even with AD
uses wheelchairs most of the time and may propel their own power wheelchair
may participate in standing transfers
name common forms of CP tetraplegia (most severe)
seizures
IQ defecits
impoverished nutrition
difficulty swallowing
growth failure
FC aspiration pneumonia
hyperonia, spasticity, or mixed hyper/hypo
Selective dorsal rhizotomy cut which nerves?
sensory nerves to alter spaticity process
Adductor tone causes scissoring gait and can cause what to happen
hip disclocation or subluxation