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40 Cards in this Set
- Front
- Back
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Cerebral Palsy
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group of clinical syndromes
- affect movement - affect muscle tone - affect coordination |
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caused by
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- injury or lesion in immature brain
- it is not a disease |
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twin birth
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400% increase in probability of CP
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Most common symptom in CP
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motor performance abnormalities
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Symptoms of CP
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- Tone abnormalities
- Reflex abnormalities - Postural abnormalities - Delayed motor development - Motor performance abnormalities |
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hypertonicity definition
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muscles appear in a "FLEXED" position and resist movement
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hypotonicity definition
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muscles appear in a very relaxed or "flaccid" position and allow hyper-mobility. "LOOSE"
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HYPERTONICITY
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- limits function
- contractures - exhausting - cramps |
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HYPOTONICITY
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fluctuating from loose muscle tone to contractures
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areflexia
(reflex abnormality) |
absence of primitive reflexes normally present 0-12 months of age
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hyperreflexia
(reflex abnormality) |
over reactive or over responsive reflexes
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clonus
(reflex abnormality) |
a series of involuntary, rhythmic, muscular contractions and relaxations
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CP is present at birth.....
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But not identified until motor milestones are delayed in the first year of life
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What is most significant to a pediatrician when diagnosing CP?
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lack of independent sitting ability
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CP will always include........
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motor delays
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Abnormal motor performace
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- Asymmetrical hand use
- Abnormal crawling method - Uncoordinated reach - Difficulty sucking, chewing and swallowing - Malnourished |
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Spastic CP
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- 1st most common form
- Hypertonicity and slow, restricted movements |
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quadriplegic
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both arms and legs
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diplegic
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both legs only
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hemiplegic
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arm and leg on one side only
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Athetoid CP
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- aka Dyskinetic type
- involuntary and uncontrollable movements (jerky) - slow and writhing - 2nd most common - contractures are not common |
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Ataxia CP
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- least common type
- difficulty with balance and general unsteadiness - unsteady balance during ambulation - TREMORS and CLUMSY |
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Most common Mixed Form CP
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Spastic with Athetoid features
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Least common Mixed Form of CP
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Athetoid with Ataxia
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Disorders with CP
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-Cognitive Impairment - PERMANENT
-Seizure Disorder - MANAGED -Visual/Hearing Impairments - DEPENDS - Oral Motor Disorders - MANAGED - Gastrointestinal Disorders - DEPENDS on DIET -Pulmonary DIsorders - INCREASE WITH AGE |
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Cognitive impairment is most common in......
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Mixed type CP
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Cognitive impairment is least common in.....
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Athetoid type
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Most common in Spastic Hemiplegia and Quadriplegia
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Seizure disorder
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People with cognitive impairments have higher frequency of.....
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seizures
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stabisus
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crossed eyes
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nystagmus
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repetative, uncontrolled eye movements
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homonymous hemianopsia
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visual field cut involving same side of both eyes
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visual tracking deficits
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difficulty with following object with eyes only
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visual fixation deficits
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difficulty focusing on object
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dysarthria
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disorder of the muscles that affect speech
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aspiration
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breathing food into the respiratory system
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Contractures pulled back to the body can......
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cause hygiene issues and infections
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Cerebral palsy is NOT....
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a disease
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CP is usually diagnosed between
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12 to 18 months
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CP is sometimes observed as early as....
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6 months
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