Peds CP and handling

jaysica2014's version from 2017-03-20 02:02

Section 1

Question Answer
variety of posture control and movement disorder from damage in CNS controlling quality and quantitiy of movementCP
exact cause of CPunknown
balance reactions, aid in maintaining or regaining posturerighting and equilibrium actions
brings body back into alignmentrighting
maintains posture or alignmentequilibrium
response of reaching out with arms/hand when fallingprotection extension
amt of tension, contractility, and elasticitymuscle tone
process of contractility and elasticity of muscles working to form a movementco-activation
muscle tone is determined by whatgravity and emotion/mental state
8 common problems of motor in CPabnormal muscle tone, persistent primitive reflex patterns, poor developed normal movement pattern, distorted body awareness and body sceme due to inaccurate sensory info, joint hypermobility, muscle weakness, reduce skill development and refinement of movement, decreased exploration of environment
3 types of abnormal muscle tonehypotonicity, hypertonicity, fluctuating
hyper vs hypohigh/rigid vs floppy
puposeful movement is initiated only when one experiences a need to movereflex hierarchial model
optimal motor learning occurs when one engates in repittion during frequent regular practicereflex hierarchial
posture conrol is influences by ones intention/function ADLSsystems model
children with CP need to be challeneged with meaningful activities to solve motor issues systems model
3 types of CPspastic, athetosis, ataxia
acccess of muscle tone that causes stretching of muscle spastic
fluctuate type of CPathetosis
incoordination type of CPataxia

Section 2

Question Answer
3 most common distribution types of CP quadriplegia, diplegia, hemiplegia
4 extremity CP affectquadriplegia
diplegialower half of body
hemiplegiaone side of body
statis process that improves ability to maintain posture control while doing activitypositioning
6 principles for positioningprovide support, position symmetry and skeletal, offer variety, safety and comfort, select developmentally appropriate positions, determine whether handling interventions are needed for proper positioning
5 positionssupine, prone, sidelying, sitting, and standing
compensatory positionsitting
for one having difficulty maintaining head upright position in prone, what position on prone wedge would the needdecease height of wedge
4 tenents of Rood's theorynormalize muscle tone, treatment begins at developmental level, movments directed toward funtional goals, repitition is needed for re-educating muscles
developmental disordeersupide withdrawl, roll over to side lying, pivot prone, neck contraction, prone on elbows, quadruped, standing, walking
8 inibitition techniquesnetural warmth, gentle rocking, slow stroking, slow rolling, light joint compression, tendinous pressure, maintained stretch, reocking in developmental patterns
shift weight fward/backward, side to side, then diagnalrocking in developmental pattern
placed in elong position with stretch held for at least 30 secondsmaintained stretch
apply tactile and proprioceptive input to tendon insertion of muscletendinour pressure
pt in calm relaxed position while gentle prssure is appliedlight joint compression
apply vestibulary in slow rhythmslow rolling
apply tactile input fingertips over dorsal adjacent sideslow stroking
rhythm shaking an extremity in small incrementsgentle rocking
apply tactile and proprioceptive input as child is wrapped in blankketneutral warmth

Section 3

Question Answer
3 facilitation techniqueslight moving touch, icing, fast brushing
ice is applies in _________ swipes and water is ___3 swipes; blotted
4 proprioceptive techniqesheavy joint compression, stretch muscle tapping, vibration, and fast moving vestibular
apply proprioceptive input manually or with weights; heals/maintains postureheavy joint compression
3 to 5 taps over muscle belly to make stronger muscle response stretch muscle tapping
apply vibrator; increase contractions only while input is providedvibration
goal of NDT is to improve movement patterns, maintain posture control, facilitates performance of ADL
proximal location key pointsshoulders, hips, trunk, and pelvis
distal location key pointshands, feet, and head
if rubbing a spot and it hurts and they cry its called hypersensitivity
not engage in activitystatic
example of staticsitting at table
moving; engaged in activitydynamic
example of dynamicsitting at table and reaching for plate
6 techniques for normalizing muscle toneweight bearing, trunk rotation, scarpular protraction, foward position, slow controlled movement on affected side