Cerebral Palsy

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1
a brain-based, non-progressive, permanent condition
cerebral palsy
2
what is the primary feature of cerebral palsy
motor impairement
3
when does the injury of cerebral palsy occur
during brain development
4
what is the difference between congenital and acquired cerebral palsy
Congenital=prenatal or during birth
Acquired=after birth
5
what are the subtypes of pyramidal cerebral palsy
spastic hemiplegia
spastic diplegia
spastic quadriplegia
6
One side of body affected; UE mostly affected
spastic hemiplegia
7
Both LEs affected; UEs less or not affected
Often attributed to premature birth
spastic diplegia
8
All limbs impacted symmetrically
More likely to have other conditions and cognitive impairments
spastic quadriplegia
9
what are the subtypes of extrapyramidal cerebral palsy
dyskinetic
ataxia
mixed types
10
Uncontrolled or involuntary movements
Increased in stress, not present in sleep
Head/trunk control often impacted
dyskinetic
11
Unsteadiness, difficulty with balance
Controlled or refined movements are difficult
Least common
ataxia
12
Dystonia with spasticity is most common
mixed type
13
what are the functional classification systems used for cerebral palsy
Gross Motor Functional Classification System
Manual Abilities Classification System (ADLs)
14
what is the etiology of cerebral palsy
- Historically lack of oxygen at birth was considered the major cause
- 1980s research supported this to be only a small cause
- CDC reported in 2020 that 85-90% of CP cases are congenital meaning the injury occurred before birth
- Further research into the genetic link of CP is currently ongoing
- Strongest risk factors are currently premature birth and low birth weight
15
1 in ___live births have cerebral palsy
500
16
what populations have higher rates of cerebral palsy
Higher rate in boys
Higher rate in middle- and low-income areas
Higher rate in Black children
Higher rate in multiples
17
what are the signs and symptoms of cerebral palsy
tone
reflexes
posture
delayed motor milestones
atypical motor patterns
associated disorders
18
when is cerebral palsy diagnosed
12-24 months of age but able to diagnose earlier
19
how is cerebral palsy diagnosed
Functional skills
MRI
Genetic Testing
CUS
Neurological testing
20
secondary problems increase with age for people with cerebral palsy what are some examples of this
contractures
deformities
respiratory issues
21
do people with cerebral palsy have a higher or lower life expectancy than the general population
lower
22
where might you work with someone with cerebral palsy
any setting
23
what are the precautions for cerebral palsy
surgical precautions
non-surgical precautions
fall risk
contractures
24
what are some considerations for cerebral palsy
decreased ROM
tone
scoliosis
contractures
trauma
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