Medical Management of Cerebral Palsy 2
Popularity (by total correct streak): 0
Popularity (by number of users): 1
| What types of splints and orthotics are commonly used with CP? | Resting hand splints, thumb spica splints, AFO’s, knee immobilizers, hip abduction wedges. | |
| What is the purpose of treatment with orthosis and splints in CP? | Maintain ROM, prevent contractures in specific joints, provide stability, and control involuntary movements. | |
| What is the function of inhibitive casting? | Immobilization, or to allow for weight bearing activity and tone reduction. | |
| What is the function of serial casting? | A conservative means of increasing joint ROM and functional movement. | |
| What is the effect of serial casting on increasing ROM? | Soft tissue is held in the lengthened state allowing for the addition of sarcomeres and gradually increased ROM. | |
| What is the purpose of the three main types of surgical intervention for contracture management? | To increase ROM through release, lengthening, or transfer of the affected muscles and tendons. | |
| What is the postoperative treatment for soft tissue and bony surgical procedures? | Immobilization for 6-8 weeks followed by splinting, therapy involves stretching and strengthening the affected muscles and strengthening the antagonist muscles. | |
| What is the surgical intervention for scoliosis? | Implanted rods or wires hold the spine in an improved alignment while grafted bone fuses it into the new position. | |
| What is the surgical intervention for dislocated hips? | A varus osteotomy involves altering the angle of the femur to place the head in the acetabulum which may need to be reshaped. | |
| What is the primary goal of selective posterior (dorsal) rhizotomy? | To decrease the spasticity of the legs in children with spastic diplegia. | |
| How is selective posterior rhyzotomy (SPR) performed? | L2-S1 rootlets are tested to determine the major contributors to the spasticity, these afferent sensory rootlets are severed leaving touch and position sense intact. | |
| How is baclofen administered by a surgically implanted pump? | A disc pump is under the skin of the abdomen and a catheter travels around to the back where it is inserted through the lumbar spine into the intrathecal space. | |
| What are the advantages of the baclofen pump? | Automatic dosing, reduction in spasticity, adjustable dosing. | |
| What are the disadvantages of the baclofen pump? | Mechanical failure, infection, need for close medical supervision. | |
| What is the general purpose of adaptive equipment? | Prevent abnormal postures while providing a stable foundation for the development of more skilled movement and better alignment. | |
| What is the general purpose of augmentive and alternative communication devices? | To provide purposeful communication and social interaction which are essential for the emotional health and development of children. | |
| What is the purpose of nasogastric and gastrostomy tubes? | To provide delivery of nourishment. | |
| What is the difference between a nasogastric and gastrostomy tube? | Nasogastric is for short term use. |
Quisition is a browser-based flashcard system that repeats old cards and introduces new ones at optimal time intervals. You can create your own card packs or use those developed by others.
