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16 Cards in this Set
- Front
- Back
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Define CP |
Group of chronic disorders impairing control of movement -Classified based on area of body exhibiting impairments |
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Etiology of CP |
-Caused by an insult to the brain of the newborn baby during the pre, peri, or postnatal period -Cerebral insults have a wide range and include vascular, hypoxic-ischemic, metabolic, infectious, traumatic and genetic causes |
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What is the Pathophysiolgy of CP? |
Results in non-progressive, non-contagious motor conditions Non-progressive, however motor abilities may decline at later age due to secondary impairment of MS, cardiopulm, integumentary systems |
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BF&S Impairments associated with CP |
-Insufficient force generation -Tone abnormalities -Poor selective control of motor activity -Poor regulation of muscle activity in anticipation of postural changes -Dec ability to learn unique movements -Abnormal patterns of movement in total flexion and extension -Primitive reflexes may interfere with normal posture and movement |
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Co-existing conditions associated with CP |
-Disturbances in sensation, perception, cognition, communication, and behavior -NM: spasticity, muscle weakness, limited ROM -Learning disabilities -Epilepsy -Visual impairment -Hydrocephalus -Deficits in speech and language |
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Activity and Participation restrictions associated with CP |
Mobility Education -Difficulty with certain activities in mainstream school Social restrictions -Restrictions in certain physical activities due to disability -Restriction dependent on accessibility |
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How is CP classified? |
By distribution of the motor disability: quad, hemi, di By severity or degree of movement disorder: mild, mod, severe By type of muscle tone - hyper, hypo, or involuntary movement functionss - hyperkinetic, athetosis, ataxia |
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What is the GMFCS |
Gross Motor Function Classification System 5 level classification system Describes the gross motor function of children and youth with CP by self initiated movement |
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What movements are emphasized in the GMFCS |
Sitting Walking Wheeled mobility Emphasis is on usual performance in the home, school and community |
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How are levels of the GMFCS dinstinguished |
Based on functional abilities, assistive technology, or wheeled mobility and to a much lesser extent, quality of movement |
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What do the levels represent? |
The childs present abilities and limitations in gross motor function |
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How is prognosis determined for CP |
Using motor growth curves and percentiles for children with CP as grouped by their GMFCS level Helps to understand gross motor abilities of children in each level and how they will change with age and how much independence they are likely to acheive |
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Monitoring seizures in children with CP |
-Protect child from external injury -Watch for resp and cardiac problems during episode -Inc occurrences need to be looked at by a physician due to inc brain damage -Caution with vestibular stimulation because this movement could trigger a seizure |
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What are common medication side effects that may interfere with treatment? |
Sedation, weakness, drowsiness, dry mouth |
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General interventions for CP |
-Elongate spastic hamstring and heel cords -Serial casting may be used to inc the length of muscle Maximize gross motor function level -WB and postural challenges to strength -AFOs -Adaptive equipment |
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Potential interventions for CP |
•Focuson family education •Neurodevelopmentaltherapy •Strengthtraining •Conductiveeducation •Orthoticdevices •Balancetraining •Therapywith animals |
