Cerebral Palsy chapter 6

Out of a 1,000 births, cp occurs in how many children?

• 1.2

• 2.5

• 2.1

• 3.2

If moderate, diagnosed by ​ (a)   If severe, diagnosed before ​ (b)  

• 1 year.
• 6 months old
• 1 month
• 9 months

True or False: Mild forms are hard to diagnose in infants due to changing quickly

• True

• False

Match the following risk factors

• postnatal factors

• Born before 37 weeks gestation, Decreased body fat and muscle tone, Less able to regulate body states, Less mature organs, Respiratory, GI,Cardiac

• perinatal

  factors

• 
• premature

• 1. 40 weeks (full term) - # of weeks born= how many weeks premature

  2. Calculate weeks premature to months

  3. Chronological (actual) age – months of premature = developmental age

• Developmental Age

• 
• prenatal factors

• 

​ (a)   and ​ (b)   are the #1 risk factors. Gross motor abilities should “catch up” by ​ (c)   if not too premature. May take up to ​ (d)   if significantly premature.

• Prematurity
• low birth weight
• 1 year
• 3 years
• 6 months

The following are the 3 different ways CP is classified: 1. Distribution of involvement(# of limbs involved) 2. Abnormal tone and movement 3. Severity

• True

• False

Match the following

• Monoplegia

• Asymmetrical BLE and unilateral UE involvement

• Triplegia

• One side of the body involved

• Quadriplegia

• Involvement of all 4 limbs; UE usually more affected than LE, Difficulty in developing head and trunk control

• Diplegia

• LE involvement and most likely trunk

• Hemiplegia

• Only 1 limb involved Usually a LE

Which CP diagnosis is described?

Low tone in trunk, High tone in UE>LE, Scoliosis, kyphosis, hip sublux./disloc., LLD, visual field cuts, perceptual deficits, Development delays, Decreased endurance & balance, Gait deficits, Difficulty with transitions, Increased risk for contractures

• Spastic CP

• Spastic Diplegia

• Spastic Hemiplegia

• Spastic Quadriplegia

Which CP diagnosis is described?

Weak trunk, Uses Adductors to stabilize, Spastic extremities LE>UE, Wide range of functional abilities, Commando crawl, Bunny hop on all 4’s, Crouched gait with full body rotation

• Spastic CP

• Spastic Diplegia

• Spastic Hemiplegia

• Spastic Quadriplegia

Which CP diagnosis is described?

May have difficulty with head control secondary to inc. tone and primitive reflexes, Decreased trunk rotation often present secondary to lack of development of trunk flexors and extensors, Decreased trunk rotation makes transitions from posture to posture difficult

• Spastic CP

• Spastic Diplegia

• Spastic Hemiplegia

• Spastic Quadriplegia