Term
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Definition
| CP describes a group of disorders of the development of mov't and posture, causing activity limitation, that are attributed to NON-PROGRESSIVE disturbances that occurred in the developing fetal or infant brain. The motor disorders of CP are often accompanied by disturbances of sensation, cognition, communication, perception, and/or behavior, and/or by a seizure disorder. |
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Term
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Definition
| Neurologic insult to the immature brain at any time before birth up to postnatal per. (2 yrs); related to hypoxic ischemic encephalopaty and grade III/IV IVH |
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Term
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Definition
| hypertonicity/spasticity, muscle stretch reflexes, primitive reflexes, dec. postural rxns, inadequate force production and control, poor selective control, inapprop. co-contraction, stereotypical mov't w/ little variety, dec. balance control, mov't has high energy cost, sensory processing impairments, abnormal involuntary mov'ts (athetoid) |
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Term
| Associated impairments in CP |
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Definition
| vision/hearing impairments, seizures, learning disabilities/cognitive deficits, behavioral problems, feeding and swallowing problems |
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Term
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Definition
| most common and severe MOTOR disability in childhood |
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Term
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Definition
| ischemia, hypoxia, infection, toxin, trauma |
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Term
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Definition
| maternal infections, intrauterine growth retardation, brain malformation, hypoxic-ischemic brain injury, multiple births, poor prenatal nutrition |
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Term
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Definition
| hypoxic-ischemic brain injury (anoxic trauma), premature birth, LBW, placental vascular lesions |
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Term
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Definition
| encephalitis and other infections, hypoxic-ischemic brain injury, IVH |
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Term
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Definition
| injury in the distribution to the middle cerebral a.; periventricular atrophy |
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Term
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Definition
| multiple cystic lesions in the white matter; diffuse cortical atrophy |
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Term
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Definition
| lesion(s) in basal ganglia |
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Term
| types of possible motor impairment in CP |
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Definition
| spasticity, dyskinesia (dystonia and choreoathetosis), ataxia, or mixed |
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Term
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Definition
| quadriplegia (6%), diplegia (44%), hemiplegia (33%) |
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Term
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Definition
1. children w/ hemiplegia and who sit independently will most likely walk by age 2
2. poor prognosis-persistent primitive reflexes
3. all children w/ CP who will eventually walk do so by 7-8 y/o |
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Term
| good prognosis for walking |
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Definition
1. head control by 9 mo.
2. sit indep. by 24 mo.
3. crawled by 30 mo. |
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Term
| poor prognosis for walking |
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Definition
1. no head control by 20 mo.
2. can't sit indep. by 36 mo.
3. not crawling by 61 mo. |
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Term
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Definition
| most will survive into adulthood; may have dec. life expectancy if have severe mobility and feeding difficulties; fxnal changes, including mobility changes, occur and can affect QOL issues |
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Term
| Participation for kids w/ CP |
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Definition
| limited opportunities to participate in age-approp. activities in the home, school, community, work force; limited education achievement; limited peer and social relations; only about 40% are gainfully employed |
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Term
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Definition
| orthotics, muscle strengthening, horseback riding, constraint-induced therapy |
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Term
| Problems in adults with CP |
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Definition
| significant pain, poor dental health, hip/back deformities, bladder/bowel prob., fatigue, malnutrition, changes in mobility |
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