FSBPT NPTE PTA Quiz 1 Questions And
Answers.
Which of the following options is a MOST LIKELY to be a characteristic of athetoid
cerebral palsy? -
\Slow, writhing movements
Charteristics of athetoid cerebral palsy explanation: -
\Slow, writhing, involuntary movements are a characteristic of athetoid cerebral palsy.
Mass patterns of flexion/extension, the imbalance of tone across joints, which may
cause contractures and deformities, and a crouching gait are all characteristics of
spastic cerebral palsy.
cerbral palsy -
\insult to the brain during development, at birth , or within the 1st few years resulting in
permanent, non-progressive damage
Etiology of CP - Prenatal -
\maternal infections, diabetes, malnutrition, seizures or radiation exposure
Etiology of CP - Preinatal -
\prematurity, low birth weight, multiple births, prolapsed umbilical cord, interventricular
hemorrhage, and asphyxia
Etiology of CP: Postnatal -
\infection (meningitis, encephalitis), asphyxia, traumatic brain injury(tbi)(falls, shaken
baby syndrome), stroke, near drowning and brain tumor
clinical picture of CP -
\distribution of motor involvement may take one of 3 different types
distribution of motor involvement of CP -
\diplegia, hemiplegia and quadriplegia/tetraplegia
diplegia: extremity impacted -
\both legs affected while the trunk and UE's may be affected to lesser degree
diplegia: typical standing posture -
\hip flexion, adduction and internal rotation.
knee flexion.
ankle plantar flexion.
diplegia: typical gait -
, \poor disassociation between legs, noted trunk rotation, and high guard positioning of
arms for balance.
may use wheelchair, walker or crutches.
hemiplegia: extremity impacted -
\one arm and leg on the same side affected
hemiplegia: typical standing posture -
\shoulder adduction and internal rotation.
elbow and wrist flexion.
hip internal rotation.
knee extension.
ankle plantar flexion.
hemiplegia: typical gait -
\asymmetrical gait with circumduction of LE's.
may use cane or crutches for balance.
quadriplegia/tetraplegia : extremity involvement -
\all four extremities and trunk involvment
quadriplegia/tetraplegia : typical standing posture -
\with greater levels of trunk involvement the child may demonstrate head involvement
hypotonia -
\floppy, rag doll, or low tone, muscle body. lower than normal, usually throughout the
body.
hypotonia characteristics -
\excessive ROM.
weak deep tendon reflexes and primitive reflexes.
peds- child is usually over weight due to deficient energy output.
impaired speech due to poor oral motor control.
gait wide base of support. short stride length and poor balance.
hypertonia -
\tight, spastic, stiff or rigid. muscle tone is higher than normal with location determined
by area of motor cortex involved.
hypertonia characteristics -
\ROM of motion may be limited.
common contractures: hip ADD, IR and flexion; knee flexion; ankle planar flexion.
hype reflexive deep tendon reflexes.
persistence of primative reflexes (asymmetrical neck reflexes [ATNR], symmetrical tonic
neck reflexes[STNR]. tonic labyrinthine reflexes [TLR]) limiting the development of
normal movement.
Answers.
Which of the following options is a MOST LIKELY to be a characteristic of athetoid
cerebral palsy? -
\Slow, writhing movements
Charteristics of athetoid cerebral palsy explanation: -
\Slow, writhing, involuntary movements are a characteristic of athetoid cerebral palsy.
Mass patterns of flexion/extension, the imbalance of tone across joints, which may
cause contractures and deformities, and a crouching gait are all characteristics of
spastic cerebral palsy.
cerbral palsy -
\insult to the brain during development, at birth , or within the 1st few years resulting in
permanent, non-progressive damage
Etiology of CP - Prenatal -
\maternal infections, diabetes, malnutrition, seizures or radiation exposure
Etiology of CP - Preinatal -
\prematurity, low birth weight, multiple births, prolapsed umbilical cord, interventricular
hemorrhage, and asphyxia
Etiology of CP: Postnatal -
\infection (meningitis, encephalitis), asphyxia, traumatic brain injury(tbi)(falls, shaken
baby syndrome), stroke, near drowning and brain tumor
clinical picture of CP -
\distribution of motor involvement may take one of 3 different types
distribution of motor involvement of CP -
\diplegia, hemiplegia and quadriplegia/tetraplegia
diplegia: extremity impacted -
\both legs affected while the trunk and UE's may be affected to lesser degree
diplegia: typical standing posture -
\hip flexion, adduction and internal rotation.
knee flexion.
ankle plantar flexion.
diplegia: typical gait -
, \poor disassociation between legs, noted trunk rotation, and high guard positioning of
arms for balance.
may use wheelchair, walker or crutches.
hemiplegia: extremity impacted -
\one arm and leg on the same side affected
hemiplegia: typical standing posture -
\shoulder adduction and internal rotation.
elbow and wrist flexion.
hip internal rotation.
knee extension.
ankle plantar flexion.
hemiplegia: typical gait -
\asymmetrical gait with circumduction of LE's.
may use cane or crutches for balance.
quadriplegia/tetraplegia : extremity involvement -
\all four extremities and trunk involvment
quadriplegia/tetraplegia : typical standing posture -
\with greater levels of trunk involvement the child may demonstrate head involvement
hypotonia -
\floppy, rag doll, or low tone, muscle body. lower than normal, usually throughout the
body.
hypotonia characteristics -
\excessive ROM.
weak deep tendon reflexes and primitive reflexes.
peds- child is usually over weight due to deficient energy output.
impaired speech due to poor oral motor control.
gait wide base of support. short stride length and poor balance.
hypertonia -
\tight, spastic, stiff or rigid. muscle tone is higher than normal with location determined
by area of motor cortex involved.
hypertonia characteristics -
\ROM of motion may be limited.
common contractures: hip ADD, IR and flexion; knee flexion; ankle planar flexion.
hype reflexive deep tendon reflexes.
persistence of primative reflexes (asymmetrical neck reflexes [ATNR], symmetrical tonic
neck reflexes[STNR]. tonic labyrinthine reflexes [TLR]) limiting the development of
normal movement.
