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20 Cards in this Set
- Front
- Back
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Define CMT
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unilateral shortening of the SCM resulting in cervical sidebending and contralateral rotation
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CMT etiology
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1) birth trauma
2) fetal position or uterine compression (big baby) 3) ischemic injury 4) plagiocephaly 5) link to back to sleep (1992) |
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CMT prevalence
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1974= 1/300
2010= 1/6 |
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leading cause of death for infants 0-12m
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SIDS
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What increases risk of SIDS
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young mothers
second hand smoke prone sleeping little prenatal care |
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risk factors of CMT and plagiocephaly
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breech position
difficult labor/delivery use of vacuum or foreceps large bith weight male gender multiple babies |
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ischemic injury resulting in nerve and muscle damage can be caused by
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kinking/shortening of SCM in utero-->damaged muscle repalced by fibrotic tissue-->tissue swells
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orgin of SCM
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medial 1/3 od clavical and manubrium
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insertion of SCM
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mastoid process and nuchal line
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What other muscles are involved in CMT
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Platysma
Scalenes Trapezius posterior musculature of superior spine hyoids facial muscles |
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Define plagiocephaly
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cranial asymmetry of forehead and/or occiput occurring in the first 3 mo of life
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characteristics of brachycephaly
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wide head with flattening of front or back of skull (or both)
symmetry in face |
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characteristics of scaphocephaly
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long narrow head shape
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craniosynostosis
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premature closure of sutures in skull (normal closing 1-2 yrs)
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DDH
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Developmental dysplasia of the hip
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DDH classification
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subluxed
dislocatable dislocated teratologic |
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plagiocephaly treatment options
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positioning off the flat spot- sidelying sitting equiment
helmet for remodeling DOC band |
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plagiocephaly classification
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asymmetry index 0-10, 11-15, 16+
Argenta classification:Type 1-5 |
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DDH etiology
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normal development until 3rd trimester
mechanical factors-small uterine space, primapara mom, breech physiological factors-maternal hormones (laxity) environmental factors- carrying baby-hip position |
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diagnosing DDH
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PROM
assymetric thigh/buttock fold uneven knee height or leg length positve barlow ao ortolani test abnormal gait 18-24 mo US, X-Ray |
