Term
| Cerebral Palsy-what is it? |
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Definition
-lesion of the brain
-non-progressive
-occurring prior to 2 years old
-resulting in a disorder of posture and voluntary movement |
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Term
Cerebral Palsy
-incidence |
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Definition
| Incidence-1.5- 4.7 cases per 1000 births in US |
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Term
|
Definition
occurring prior to 2 years old
Prenatal
Perinatal
Postnatal |
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Term
Cerebral Palsy
-Prenatal - describe, causes |
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Definition
most common (80%)
-Maternal infections
-DM
-Malnutrition
-Seizures
-Radiation exposure |
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Term
Cerebral palsy
-perinatal - describe, causes |
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Definition
about 6%
-Prematurity
-Low birth weight-
-Multiple births
-Prolapsed umbilical cord
-Intraventricular hemorrhage
-Asphyxia |
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Term
Cerebral palsy
-Postnatal - describe, causes |
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Definition
( abut 10-20 %)
-Infection (meningitis, encephalitis)
-Asphyxia
-TBI (falls, shaken baby syndrome, MVA)
-Stroke
-Near drowning
-Brain tumor
-Problem with development of heart and lungs |
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Term
| Cerebral Palsy accompanied by |
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Definition
-Intellectual Disability 50-75%
-Seizures 30%
-Vision impairments 50%
-Visual-motor/perceptual issues
-Hearing 10%
-Speech, language & oral motor 50%
-Behavior disorders
-Orthopedic issues |
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Term
| orthopedic issues that accompany cerebral palsy |
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Definition
-ROM contractures orthopedic deformities
-Subluxation/dislocation, scoliosis, club foot |
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Term
| cerebral palsy calssification |
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Definition
1. Type of Muscle Tone
2. Distribution of limb involvement
3. Functional Skills |
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Term
| Cp classification by tone |
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Definition
1. Spastic- Hypertonia-
2. non spastic Hypotonia
3. Choreoathetosis – (chorea) writhing
4. Dystonia
5. Ataxia-
6. Mixed |
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Term
|
Definition
| sustained muscle contraction resulting in sustained end-range posture |
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Term
| cerebral palsy classification by Distribution of limb involvement |
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Definition
-Diplegia
-Hemiplegia
-Quadriplegia |
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Term
| Cp classification by severity |
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Definition
Gross Motor Function Classification System
for Cerebral Palsy (GMFCS)
-Scale from 1-5
-Scale is age dependent
-1 being limited impairment
-5 being severe impairment |
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Term
| Spasticity treatments (medication) |
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Definition
-Botox- Prevents release of acetylcholine at neuromuscular junction
-Baclofen, decreases excitatory input into alpha motor neurons-Given(Intrathecally, with a pump often, and this affects other muscles as well) |
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Term
Seizures
medical management |
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Definition
medications
Tegretol, Clonazepam, Phenobarbital, Dilantin, Depakote |
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Term
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Definition
| release of muscle/tendon to reverse contractures |
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Term
Prognosis for cerebral palsy
-lifespan
-some indicators |
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Definition
dependent on severity
-moderate to mild - fairly normal like span
-Independent sitting by 2 = + indicator of future ambulation
-If amb is to occur usually before 8 |
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Term
|
Definition
-Address impairments and functional -limitations ( seating
-Adaptive devices
-Orthoses
-Reduce tone
-Increase strength and ROM
-Improve functional motor skills and mobility
-Educate caregivers
-Identify barriers and recommend modifications to make environment more accessible |
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