Cerebral Palsy | The University Of Western Ontario

University:
The University Of Western Ontario
Course:
ANAT 2200B | Systemic Anatomy of the Human Body
Academic year:

2022
Views:

346

Pages:

3
Author:

Kyuwon J.

Cerebral palsy ● Permanent disorder of movements and postures ○ Limitation in mobility ■ Gross motor (movement+ posture) ■ Fine motor (hands, reaching, grasping) ■ Self care ● Hardness on bottle or breastfeeding ● Cant manage solid transition ● Swallow safety limitation ● Self feed limitation ■ Play participation limits ● Cannot sit or play with both hands ● Limit on environmental exploration ○ Crawling ○ Rollin ○ Playing with simple toys ■ ex) spastic diplegia ● Can sit and use hands well but cannot stand or walk (limited). Difficulties in walking therefore, toe walking, scissoring ● Needs of AFOs or walkiers ■ ex) hemiplegic CP ● Crawling on asymmetric ○ Use of one hand predominantly ■ Grasping and feeding ■ Difficulties in two handed task ■ Dyskinetic CP ● Holding bottles ● Toy steadily limited ● Feeding slow ■ Severe quadriplegic CP ● Limitation in had trunk control ● Unable to sit and feed safely ● Mobilize independently ○ Non-progressive disturbance on developmental of fetal and infant brains ○ Brain injury static ■ Clinical presentation evolves with growth of child ■ Spasticity and contracture will become apparent Rx ● Prematurity and low birth weight ○ White matter vulnerability ● Hypoxic-ischemic injury ○ Perinatal aphasia in minority ● Stroke ○ Perinatal arterial ischemic stroke ○ Unilateral motor findings ● Infection/inflammation ○ Chrioamniontis ○ Congenital infections ● Severe neonatal jaundice ○ Kernicterus ○ Dyskinetic CP phenotypes ● Brain malformations ● Genetic contributions ○ Sometimes Classification ● Motor types ○ Spastic ■ Velocity dependent increased tone, hyperreflexia ○ Dyskeinetic ■ Dystornica ■ Choreoathetosis ■ Fluctuating tones ○ Ataxic ■ Impaired balance and coordinations ○ Mixed ■ Combination ● Classification ○ Hemiplegia and hemiparesis ■ One side only ■ Perinatal stroke could also be seen ○ Diplegia ■ Legs > arms ■ Seen in prematurity-related patterns