Medical Speech Pathology Exam Part II

22 cards

What Is Cerebral Palsy?  How Is It Treated?  Various Types Of Cerebral Palsy And Their Characteristics. 


 
  
Created Oct 13, 2011
by
anniehale12

 

 
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1
Explain what CP is, using terms like nonprogressive, immature, cerebral, and palsy. [387-388]
 
a developmental non-progressive neuromuscular disorder caused by damage to the immature brain...
2
About how many children per thousand live births have CP? [388]
 
Prevalence:  2-2.5 per 1000, about ½ born prematurely
3
Which conditions cause the neurological damage of Cerebral Palsy? [388-389]
 
About 40% of CP cases are unknown causes.
Prenatal: Include radiation exposure, or an intrauterine...
4
Which neurologic system(s) get damaged in CP? [389]
 
-The white matter (the wiring) of the brain in the pathways used for motor control ( Upper...
5
What are positive and negative signs in CP diagnosis? [389]
 
Positive: Refer to the presence of atypical neuromotor features, such as increased or decreased...
6
Explain spasticity and the ATNR.[389-391]
 
Spasticity: A group of neuromotor signs that are seen in association with disturbances in the...
7
Briefly, what are chorea, athetosis, dystonia, and ataxia? [391]
 
Dyskinesia: Involuntary movements – rapid, random and jerky (called chorea) or slow and writhing...
8
What are hemiplegia, paraplegia, and quadriplegia? [393]
 
Hemiplegia: One side of the body is more affected than the other; usually, the arm is more...
9
How many of the people with CP have intellectual impairment? seizures? speech, language, or...
 
Intellectual Impairment: About 50%
Seizures: About 40%
Hearing, Speech, and Language...
10
Discuss the perceptual disturbances common in CP, such as hyperirritable attention, perceptual...
 
Hyperirritable attention: unable to refrain from reacting to various stimuli; short attention...
11
Discuss the emotional disturbances common in CP such as lability, attitudes, fears, and motivation.
 
lability- autonomic response compromised of flushing incongruous laughing, gagging etc.
attitudes-...
12
About what percent of people with CP become self-supporting? in sheltered workshops? partially...
 
Self Supporting-10%
In Sheltered workshops-40%
Partially independent & at home-35%
Fully...
13
Nowadays, what helpful thing can drugs do for a person with CP (regarding spasticity, and how...
 
Muscle Relaxation- Valium( Used to tone down CNS and indirect muscle relaxation)
Baclofen...
14
What is a neurolytic procedure and how do they work to help people with CP? [400-401]
 
Block muscle impulses in stretch relex arc by injecting chemicals (such as botox) at the entry...
15
How can surgery help people with CP? [402-403]
 
Orthopedic- disconnects, lengthens or transfers affected muscle
Neurologic- have tried ventrolateral...
16
What can braces do to help people with CP? [397]
 
17
What is NDT and what does it try to do? [396]
 
Neurodevelopment therapy: Employed by both occupational and physical therapists, provides the...
18
What problems with breathing occur in (some) people with CP?
 
  • -Breathing...
19
Which laryngeal problems with occur in (some) people with CP?
 
-Lack of integration between breathing and trying to use voice (dysprosody)
  • -Hypo-nasality...
20
Which articulation problems are associated with spasticity? with athetosis?
 
-Sometimes the jaw deviates laterally, or the tongue can't be elevated, or tongue movement...
21
What could the physical therapist (PT) and the occupational therapist (OT) do to help  a...
 
PT (physical therapist)
  • optimal...
22
Discuss both the benefits and the limitations of using an augmentative/alternative communication...
 
The client struggles with spoken language -
So you provide them with augmentative communication...


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