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9 Cards in this Set
- Front
- Back
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What is the prognosis of cerebral palsy?
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Symptoms may become worse over time, but brain damage does not worsen
spasticity and gait disturbances prevent normal bone development arthritis typically occurs at a younger age leg length discrepancies |
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What are clinical signs of cerebral palsy?
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Muscle tone, movement coordination and control, reflexes
posture balance Involuntary movements Gross motor function fine motor function visual system dysfunction |
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What are assessment for MS?
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Observation - posture and postural control through transitions, assess different functional positions (prone, supine, sitting, 4 point, standing
quality of movement active range of motion and passive range of motion, look at any limitations, Shoulders spine, adductors, hamstrings Look for primitive reflexes affecting posture Observe tone in trunk/extremities Postural control - base of support |
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What are the outcome measures of MS?
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Gross motor function measure/alberta infant motor scale
Goniometry Modified ashworth scale primitive reflexes |
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What is the gross motor function?
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Evaluates change in gross motor function in children with cerebral palsy
Activities in lying and rolling up to walking, running, and jumping skills Does not tell about quality of movement |
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What is the modified ashworth scale and interventions associated with it?
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Looks at muscle tone
Positioning, activation of core muscles, weak uscles, functional strengthening through transitional movements Amount of support required, motor control , balance, timing |
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What is gait analysis?
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Impairments in CP
Primary impairments are Force generation spasticity, hyperactive reflexes decreased selective control of muscle, motor memory Secondary impairments Decreased range of motion, underdevelopment of leg bones, skeletal bones Scoliosis development, disuse of muscles, weakness |
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What are typical gait analyisis?
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True Equinus
Ankle equinus: spastic ankle PF Knee extended: spastic ankle PF Apparent Equinus Ankle neutral: mildly spastic ankle PF Knee and hip flexed: spastic knee and/or HF Jump Gait Ankle equinus: spastic ankle PF Knee and hip flexed: spastic knee and/or HF Crouch Gait Ankle DF: weak ankle PF Knee and hip flexed: spastic knee and/or HF or weak knee and HE |
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What are other common gait deviations?
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Circumduction, scissoring, knee hyperextension, toe in toe out, lumbar lordosis, decreased stride length, look at foot contact
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