2024 Update.
Which of the following options is a MOST LIKELY to be a characteristic of athetoid
cerebral palsy? - Correct Answer Slow, writhing movements
Charteristics of athetoid cerebral palsy explanation: - Correct Answer 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 - Correct Answer insult to the brain during development, at birth , or within
the 1st few years resulting in permanent, non-progressive damage
Etiology of CP - Prenatal - Correct Answer maternal infections, diabetes, malnutrition,
seizures or radiation exposure
Etiology of CP - Preinatal - Correct Answer prematurity, low birth weight, multiple births,
prolapsed umbilical cord, interventricular hemorrhage, and asphyxia
Etiology of CP: Postnatal - Correct Answer infection (meningitis, encephalitis), asphyxia,
traumatic brain injury(tbi)(falls, shaken baby syndrome), stroke, near drowning and brain
tumor
clinical picture of CP - Correct Answer distribution of motor involvement may take one of 3
different types
distribution of motor involvement of CP - Correct Answer diplegia, hemiplegia and
quadriplegia/tetraplegia
diplegia: extremity impacted - Correct Answer both legs affected while the trunk and UE's
may be affected to lesser degree
diplegia: typical standing posture - Correct Answer hip flexion, adduction and internal
rotation.
, knee flexion.
ankle plantar flexion.
diplegia: typical gait - Correct Answer poor disassociation between legs, noted trunk
rotation, and high guard positioning of arms for balance.
may use wheelchair, walker or crutches.
hemiplegia: extremity impacted - Correct Answer one arm and leg on the same side
affected
hemiplegia: typical standing posture - Correct Answer shoulder adduction and internal
rotation.
elbow and wrist flexion.
hip internal rotation.
knee extension.
ankle plantar flexion.
hemiplegia: typical gait - Correct Answer asymmetrical gait with circumduction of LE's.
may use cane or crutches for balance.
quadriplegia/tetraplegia : extremity involvement - Correct Answer all four extremities and
trunk involvment
quadriplegia/tetraplegia : typical standing posture - Correct Answer with greater levels of
trunk involvement the child may demonstrate head involvement
hypotonia - Correct Answer floppy, rag doll, or low tone, muscle body. lower than normal,
usually throughout the body.
hypotonia characteristics - Correct Answer 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.