so much to know
Therapy is the gap between ______ & ________
capacity, performance
What are 2 pediatric pain scales?
FLACC pain scale & Pediatric Pain Profile
What are common settings to see children with CP?
Home-EI services, Home-based therapy, Schools IDEA part B or sec 504 (Category: orthopedic impairments), outpatient clinics, Hospital-based settings-Acute care, IPR, Hospital-outpatient, Community settings
Prenatal, perinatal, or postnatally acquiring a non-progressive lesion in the brain
Suzy can walk from home to school and climb up the stairs to her house on her own, when running to catch up with her peers or playing jump rope she falls behind. What GMFCS level is she?
Level 1: walks and climbs stairs without physical assistance, but gross motor (running, jumping, speed, balance, and coordination are limited)
How is CP classified?
_____+______
extremity (quadriplegia, diplegia, hemiplegia, or paraplegia)
+
movement type (spastic, athetoid/dyskinetic, ataxic, mixed type)
Pediatric evaluation of disability inventory (PEDI), Canadian Occupational Performance Measure (COPM), & WeeFIM are examples of what kind of standardized assessments?
Funcitonal Asssessments
What are some common medical interventions for children with CP?
Botox (3-4 months), baclofen pumps/orally, orthopedic surgery
What are two tests to diagnose CP?
Alberta Infant Motor Scales (AIMS) & NeuroSensory Motor Development Assessment (NSMDA)
Harold needs wheeled mobility leaving the house, and physical assistance of mom, dad, or both when transferring. He can use a walker for short distances at home. His OT wants to get him a power wheelchair for getting around school. What GMFCS level is he?
level 4: wheeled in most settings, physical assistance from transfers, may walk short distances when positioned correctly...may operate power wheelchair or be transported by a manual wheelchair
Name a prenatal, perinatal, and postnatal cause of CP?
Prenatal causes (before birth)
lesions generally occur in the second half of gestation. Environmental triggers- intrauterine bacterial and viral infections (TORCH infections), IUGR, genetic causes, exposure to drugs.
IUGR: Intrauterine growth reduction
TORCH: toxoplasmosis, rubella, cytomegalovirus, herpes
Perinatal causes (during or soon after birth)
acute hypoxia, prematurity and low birth weight.
Postnatal causes (within 1st 2 years of life)
cerebral vascular
Cerebral palsy Quality of Life (CP-QOL), The Pediatric QOL Inventory (PEDSQL), & Caregiver priorities and child health index of life with disabilities (CPCHILD) are what kind of standardized assessments?
What are some examples of low technology assistive technology?
Communication boards
Slant boards
Writing utensil adaptations
Adapted play options/toys
extremities involved (Quadriplegia, Diplegia, Hemiplegia, Paraplegia)
+
movement type (Spastic, Athetoid/Dyskinetic, Ataxic, Mixed Type)
Josie loves going to the natural history museum but has a hard time getting up the steps in the front and clings onto the railing to get upstairs. He gets fatigued after being at the museum for a while and walking, and her OT suggests a wheelchair for longer outings. What GMFCS level is she?
Level 2: can walk in most settings but environmental & personality factors influence choices. may require a hand-held mobility device to climb stairs or the railing.
wheeled mobility may be good for long distances.
where would you conduct natural observations of the child and family?
home, school, playground, community center, & daycare
The Gross Motor Function Measure-88, 66, Quality of Upper Extremity Skills Test (QUEST), Melbourne Assessment of Unilateral Upper Limb Function (MUUL), and Assisted Hand Assessment (AHA) are examples of what kind of standardized assessments.
Motor assessments
What are some high assistive technology interventions for children with CP?
Alternative Augmentative Communication (AAC) devices
Mobility devices
In-built smartphone and computer accessibility features
What body functions and structures does CP affect?
Motor functions
Cognition and language
Sensory functions
Yvonne needs to be transported in a manual wheelchair at the house, and out in the community. Her neck mobility is limited and needs additional support to maintain her head and trunk posture. What GMFCS level is she?
Level 5: needs wheelchair in all settings, limited ability to maintain head and trunk in antigravity, self-mobility is limited even with assistive technology
What the 2 tests to diagnose CP?
Alberta Infant Motor Scales (AIMS)
NeuroSensory Motor Development Assessment (NSMDA)
What is the classification system based on a child's typical performance in handling objects during daily activities?
Bonus: In levels 1-5 which is high functioning, and which is low functioning?
Manual Ability Classification System
(MACS)
1=high functioning
5=low functioning
What are the 3 components to promote adaptation, coping, and resilience in youth with CP?
connection, sense of self, and adaptation through occupation
What are some areas of activity and participation that are affected by CP?
Functional mobility
Self-care
Play and leisure
School participation
Community participation
Alec has a self-propelled wheelchair that he whips around at school and a walker for use at home. He can climb upstairs using the railing with supervision. What GMFCS level is she?
Level 3: handheld mobility aid at home, can climb stairs with railing with supervision or assistance, at school or in the community they can use a self-propelled chair or power mobility.