Cerebral Palsy
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Define CP. | A group of clinical symptoms characterized by a disorder of movement and posture due to a static lesion or defect in an immature brain, most common non-progressive movement disorder in children. | |
What are the prenatal causes of CP? | Infections, fetal anoxia, Rh incompatibility, developmental deficits due to chromosomal abnormalities or brain malformations, or teratogens. | |
What are the perinatal causes of CP? | Brain injury or asphyxia during traumatic birth, preeclampsia, or prematurity. | |
What are the postnatal causes of CP? | Head injury, infections, IVH, HIE. | |
Define spastic CP. | Hypertonus ranging from increased resistance to passive movement to co-contraction in severe cases. | |
Define athetoid CP. | Tone fluctuates between lo, normal, and high, may be sudden or dramatic. | |
Define ataxic CP. | Usually hypotonic, tone usually low and unchanging. | |
Define flaccid CP. | Severe hypotonia. | |
Define mixed CP. | Athetoid with spastic component, ataxic with athetoid or spastic component, trunk hypotonic and extremities hypertonic. | |
Define monoplegia. | Single extremity involvement, upper or lower. | |
Define hemiplegia. | Involves one side of the body: face, neck, trunk, UE & LE. | |
Define diplegia. | Total body with greater involvement of trunk and LE than face and UE. | |
Define quadriplegia. | Total body including face, neck, and trunk with equal involvement of UE and LE. | |
Define paraplegia. | Involves both LE, no UE involvement. | |
Define triplegia. | Involves three extremities. | |
What are the primary motor abnormalities that occur with CP. | Persistence of primitive reflexes, abnormal muscle tone, balance and righting reaction, and voluntary movements, and involuntary movement like tremor/writhing/jerky movements. | |
What are associated signs/symptoms of CP? | Seizure disorders, cognitive dysfunction, speech/language disorders, oromotor/feeding difficulties, visual/hearing/perceptual impairment, somatosensory disorders, emotional/behavioral disorders, LD, orthopedic disorders. | |
What orthopedic disorders may occur in CP? | Scoliosis (ATNR), contractures, and dislocations. |
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