TERM

WILLIAM LITTLE (1862)

SIGMUND FREUD (1897)
BAX (1964)

A DISORDER OF MOVEMENT AND POSTURE

DUE TO A DEFECT OR LESION OF THE
IMMATURE BRAIN
MUTCH (1992)

A GROUP OF NON-PROGRESSIVE, BUT OFTEN

CHANGING, MOTOR IMPAIRMENT SYNDROMES
SECONDARY TO LESIONS OR ANOMALIES OF
THE BRAIN ARISING IN THE EARLY STAGES OF
ITS DEVELOPMENT
CLINICAL SYNDROMES
ALTERNATION IN:
MUSCLE TONES
DEEP TENDON REFLEXES
PRIMITIVE REFLEXES
POSTURAL REACTIONS
THE ESSENTIAL DIAGNOSTIC SIGNS IS
A MOTOR DEFICIT
 EPIDEMIOLOGY

IS THE LEADING CAUSE OF CHILDHOOD

DISABILITY
1.5-2 PER 1000 LIVE BIRTHS
CAUSE
PRENATAL PERIOD
PERINATAL PERIOD
POSTNATAL PERIOD
 PRE NATAL PERIOD
CONGENITAL MALFORMATION
MATERNAL INTRAUTERINE INFECTIONS
REPRODUCTIVE INEFFICIENCY
TOXIC OR TERATOGENIC AGENTS
MATERNAL MENTAL RETARDATIONS
MATERNAL SEIZURES
MATERNAL HYPERTHYROIDISM
PLACENTAL COMPLICATIONS
MULTIPLE BIRTHS
ABDOMINAL TRAUMA
 PERI-NATAL PERIOD
PREMATURITY < 32 WEEKS
BIRTH WEIGHT < 2500 GRAM
GROWTH RETARDATION
TRAUMA
INFECTIONS
SEIZURES
HYPERBILIRUBINEMIA
POST NATAL PERIOD
TRAUMA
INFECTION
INTRACRANIAL HEMORRHAGE
COAGULOPATHIES
5 BASIC HYPOXIC
ISCHEMIC
NEUROPATHOLOGY
PARASAGITAL CEREBRAL INJURY
PERIVENTRICULAR LEUKOMALACIA
(VOLPE)
FOCAL AND MULTIFOCAL ISCHEMIC BRAIN
NECROSIS
STATUS MARMORATUS
SELECTIVE NEURONAL NECROSIS
 CLASSIFICATION OF CP
SPASTIC
MONOPLEGIA
HEMIPLEGIA
DIPLEGIA
TETRA/QUADRIPLEGIA
ATAXIC
DYSKINETIC/ATHETOID
MIXED
EVALUATION THE CP
CHILD
HISTORY
CLINICAL EXAMINATION
LABORATORY TEST
DIAGNOSTIC IMAGING
HISTORY
A HISTORY IS A KEY COMPONENT IN
EVALUATING THE DISABLED CHILD
INFORMATION OBTAINED CAN QUIDE ONE IN
UNDERSTANDING CAUSE, DETERMINING
UNDERLYING MEDICAL PROBLEMS,
DETERMINING FUNCTION, AND DEVELOPING A
MEDICAL TREATMENT PLAN
PRENATAL HISTORY
INFORMATION OF PREGNANCY
EXPOSURE OF TOXINS, ALCOHOL, OR DRUGS
GESTATIONAL AGE (PREMATURITY)
ACUTE MATERNAL ILLNESS
PRENATAL CARE
FETAL MOVEMENTS
TRAUMA OR RADIATION EXPOSURE
FAMILY HISTORY
FAMILIAL DISEASE
PERINATAL HISTORY
DELIVERY TYPE AND PRESENTATION OF CHILD
BIRTH WEIGHT
APGAR SCORES
COMPLICATIONS
DEVELOPMENTAL
HISTORY
DEVELOPMENTAL MILLESTONES
CURRENT GROSS MOTOR FUNCTION
CURRENT FINE MOTOR FUNCTION
CURRENT LANGUAGE
CURRENT SOCIAL AND PERSONAL SKILLS
PERSISTENT REFLEXS
TONE AND PATTERNS
GENERAL INFORMATIONS
NUTRITION : FEEDING STYLE, ORAL SKILLS,
BW, HW.
MEDICATIONS AND ALLERGIES
PAST SURGERIES
SEIZURES
VISUAL DISTURBANCES
HEARING DISTURBANCES
IMMUNIZATION
 CLINICAL EXAMINATION
MUSCULOSKELETAL EXAMINATION
NEUROLOGIC EXAMINATION
MUSCULOSKELETAL
EXAM
STATIC AND DYNAMIC EVALUATION
STATIC : ISOLATING EACH JOINT, ASSESSING
ROM ALONG WITH TONE AND SPASTICITY
DYNAMIC : MOVEMENT , FUNCTION AND GAIT
NEUROLOGIC
EXAMINATION
TONE ASSESSMENT
POSTURAL AND REFLEX ASSESSMENT
ASSOCIATED PROBLEM IN
CP
MENTAL RETARDATION
SEIZURES
OROMOTOR
GASTROINTESTINAL
DENTAL
VISUAL & HEARING IMPAIRMENT
CORTICAL SENSORY DEFICIT
PULMONARY PROBLEM
THERAPEUTIC
MANAGEMENT
CP CHILD OFTEN HAVE MULTISYSTEM
INVOLVEMENT.
REHABILITATION MANAGEMENT REQUIRES
NUMEROUS PROFESSIONAL USING A VARIETY
OF TECHNIQUES AND METHODS.
PERIODIC REASSESSMENT AND
PROGRAMMATIC UPDATING ARE ESSENTIAL.
THE MAJOR GOALS OF THE REHABILITATION
PROGRAM ARE ANTICIPATORY TREATMENT OF
POTENTIAL COMPLICATION AND FOSTERING
THE ACQUISITION OF NEW SKILLS
THERAPEUTIC
MANAGEMENT
THERAPEUTIC EXERCISE
FUNCTIONAL TRAINING
ORTHOSES AND DURABLE MEDICAL
EQUIPMENT
MANAGEMENT OF SPASTICITY
ORTHOPEDIC SURGERY
PSYCHOSOCIAL ISSUES
VOCATIONAL
REHABILITATION
UNEMPLOYABLE/UNABLE TO WORK
SHELTERED EMPLOYMENT
COMPETITIVE
UNEMPLOYABLE
UNABLE TO WORK
IQ LESS THAN 50
REQUIRED ASSISTANCE USING HAND
SHELTERED EMPLOYMENT
IQ BETWEEN 50 AND79
AMBULATION WITH OR WITHOUT ASSISTIVE
DEVICES
SPEECH HARD TO UNDERSTAND TO NORMAL
HAND USE NORMAL TO REQUIRING
ASSISTANCE
COMPETITIVE
IQ GREATER THAN 80
AMBULATION WITH OR WITHOUT ASSISTIVE
DEVICES
SPEECH HARD TO UNDERSTAND TO NORMAL
HAND USE NORMAL TO REQUIRING
ASSISTANCE
DEFINITION
SIGNIFICANTLY SUBAVERAGE GENERALLY
INTELECTUAL FUNCTIONING EXISTING
CONCURRENTLY WITH DEFICITS IN ADAPTIVE
BEHAVIOR AND MANIFESTED DURING THE
DEVELOPMENTAL PERIOD
(American Association of Mental Retardation)
MENTAL RETARDATION
CHILDREN WITH MENTAL RETARDATION
ENCOMPASS A WIDE RANGE OF PHYSICAL
CONDITIONS, BEHAVIORS, AND SPEECH AND
LANGUAGE ABILITIES
IQ LEVEL
69-55 MILD RETARDATION
54-40 _ MODERATE RETARDATION
39-25 _ SEVERE RETARDATION
< 25 _ PROFOUND RETARDATION