Rehab II - Pediatric Disorders
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51 terms
Terms | Definitions |
|---|---|
 Down Syndrome | what pediatric disorder is a genetic disorder as a result of trisomy 21 (95% of cases) |
| Down Syndrome | what pediatric disorder is the most common chromosomal disorder |
| > 35 yrs | the risk of having a baby with Down Syndrome increases with what age of the mother |
| 75% | what % of babies with Down Syndrome are born to women under 35 |
| Trisomy 21 | what are the different types of Down Syndrome |
| Translocation | what are the different types of Down Syndrome |
| Mental retardation, Seizures | what are characteristics of Down Syndrome |
| Cardiac malformations, Congenital heart disease in 40-45% | what are characteristics of Down Syndrome |
| Ligament disorders (hypotonism) can cause dislocation in cervical vertebra | what are characteristics of Down Syndrome |
| Short stature (average ht 4 1/2 to 5 ft), decreased muscle tone | what are characteristics of Down Syndrome |
| Delayed postural reaction, motor development, short wide hands | what are characteristics of Down Syndrome |
| Atlantoaxial instability | what are associated problems with Down Syndrome |
| 55 | what is average life expectancy of Down Syndrome |
| Minimizing complications, strenthen proactively to avoid kyphosis | what are things for physical therapy to work on with Down Syndrome |
| Ensure quality movement, learning styles | what are things for physical therapy to work on with Down Syndrome |
| Introduce new skills in small pieces, Practice in familiar environments, Encouragement | what are things PT should look like with Down Syndrome |
| Combine skills to become more functional, Facilitate generalization of skills | what are things PT should look like with Down Syndrome |
| Cerebral Palsy (CP) | what pediatric disorder is caused by a permenent, non-progressive injury to the brain |
| Congenital | what are the types of cerebral palsy |
| Acquired | what are the types of cerebral palsy |
| Congenital (85-90%) | what type of cerebral palsy is injury to brain, during gestation or during birth |
| Acquired (10-15%) | what cerebral palsy is brain injury after birth |
| Spastic/hypertonic (75%) | what characteristic of cerebral palsy is increased muscle tone |
| Spastic/hypertonic (75%) | what characteristic of cerebral palsy is a lesion in the motor cortex of the cerebrum |
| Ataxic | what characteristic of cerebral palsy is poor balance reactions, unsteadiness of movement due to lesion of the cerebellum |
| Ataxic | what characteristic of cerebral palsy is tremors, unsteady gait, loss of coordination |
| Dystonic/Choreoathetosis/Athetosis | what characteristic of cerebral palsy is fluctuating tone due to lesion in basal ganglia |
| Dystonic/Choreoathetosis/Athetosis | what characteristic of cerebral palsy involves large involuntary movements and lesion in the basal ganglia or cerebellum |
| Hypotonic | what characteristic of cerebral palsy is "floppy", reduced strength and endurance, trouble moving against gravity |
| Spastic athetosis | what is a common combination of characteristics with cerebral palsy |
| Monoplegia | what is it called when only one limb is affected |
| Diplegia | what is it called when the trunk and LE's are affected |
| Hemiplegia | what is it called when one side (UE usually more than LE) is affected |
| Quadriplegia/Tetraplegia | what is it called when all 4 limbs, head and trunk are affected |
| Monoplegia, hemiplegia, ataxic | what gait are all children able to walk |
| Diplegia | 85-90% of children with what problem are able to walk |
| 2 | children with cerebral palsy are able to sit by what age |
| 3 | children with cerebral palsy are able to crawl by what age |
| 8 | children with cerebral palsy are able to walk by what age |
| Tonic neck reflexes | persistence of what is associated wit decreased likelihood of walking |
| Depakote, Phenobarbital, Clonazepam | what are drugs used with cerebral palsy to help with seizures |
| Dorsal rhizotomy | what is cutting of dorsal (sensory) nerve roots |
| Botulimnum toxin | what prevents release of Ach at neuromuscular junction |
| Serial casting | what is a series of casts that progressively stretch the limb |
| Z plasty | what is surgical release of a muscle or tendon |
| Help parents develop skill and confidence in caring for child, letting child do things indenpendently | what are things PT can do for pt with cerebral palsy |
| Hip flexors, knee flexors, hip adductors, ankle PF's | what are common areas for contractures |
| Head & body positioning, emotion, illness, fatigue & temperature | what are factors that influence tone |
| Normal | children with mild to moderate cerebral palsy have a what type of lifespan |
| 10 | children with severe spastic cerebral palsy nearly half die by what age due to infection |
| Lack of mobility and feeding difficulties | what are key predictors of cerebral palsy of a reduced life expectancy |
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