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RSNG 1538 MOBILITY EXAM GUIDE QUESTIONS AND ANSWERS
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RSNG 1538 MOBILITY EXAM GUIDE QUESTIONS AND ANSWERS
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RSNG 1538 MOBILITY EXAM GUIDEQUESTIONS AND ANSWERS
Cerebral palsy - answer-chronic, nonprogressive disorder of posture and movement.
Characterized by abnormal muscle tone and coordination
One of the most common permanent physical disability in childhood.
ROM, I&O, HOB up - answer-a few things to consider for cp patients
-nonprogressive lesions in the brain
-myelin deficits
-reduced plasticity
-altered cell number
-blockage of oligodendrocyte maturation
-impaired axonal growth
-altered synaptogenesis - answer-Etiology of CP
Talk - answer-don't assume that patient can't ________ for themselves. See if they can
or cannot.
-genetic causes
-pregnancy-induced hypertension
-birth trauma
-anoxia, asphyxia
-intracranial haemorrhage
-congenital abnormities
-prematurity--very premature infants are 100 times likely to have cp -
answer-prenatal/perinatal factors for cp
-infection
-trauma (shaken baby synd.)
-stroke
-poisoning - answer-postnatal factors of cp
-vary from child to child
-persistence of primitive reflexes
-delayed gross motor development
-abnormal muscle tone
-lack of progression through developmental milestones
-abnormal posturing/maintain posture and balance
-spasticity or uncontrolled movements
-ataxia and toe walking
-seizures
-attention-deficit disorder
, -sensory impairments
-speech and swallowing impairments - answer-manifestations of cp
-infants at risk warrant careful assessment during early infancy (it's important to listen to
the parents/care giver)
-neurologic examination and history
-neuroimaging (mri preferred method)
-metabolic and genetic testing - answer-diagnostic evaluation of cp
-dyskinetic
-spastic
-ataxic
-rigid (tremor, atonic)
-mixed - answer-types of cp
-poor head control after 3 months
-stiff or ridge limbs
-arching back/pushing away
-floppy tone
-unable to sit without support at age 8 months
-clenched fists after 3 months - answer-possible motor signs of cp
-excessive irritability
-no smiling by age 3 months
-feeding difficulties
persistent tongue thrusting
frequent gagging or choking
with feeds - answer-possible behavioral signs of cp
-epilepsy
-cognitive disability
-learning problems
-poor attention span
-visual impairment
-gastroesophageal reflux
-poor nutritional status - answer-other disabilities with cp
Therapy:
speech
physical
occupational
play, etc.
Surgical intervention:
nissen fundoplication
release contractures
Nonsurgical
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