PEDS (CP)

Movement disorder - Spastic

• Hypertonia

• Stiffness when trying to move

• Limited ROM

Monoplegia

One extremity (arm or leg)

Diplegia

Legs (not arms)

Hemiplegia

One side (UE & LE)

Quadriplegia

All 4 limbs (arms & legs)

Tetraplegia

All extremities & head/neck, “Total body”

Movement Disorders - Dyskinetic

Excessive, unintentional & abnormal movement affecting entire body

Movement patterns:

• Athetoid - slow, writhing

• Choreoathetoid - unpredictable, jerky

• Dystonic - stereotyped, predictable twisted posture

Movement disorders - Ataxia

• Poor balance & coordination

• Clumsy

• Involuntary tremors

• Postural instability

Movement disorders - Mixed

High and low muscle tone

Upper motor neurons (UMN)

Includes the brain and spinal cord

Lower motor neurons (LMN)

Those that branch out from the spinal cord

UMN injury results

Tone, spasticity, involuntary movements, etc

LMN injury results

Flaccidity

CP MOM TAT

C onstraint induced movement therapy

P ositioning

M odalities

O rthoses

M edical

T one

A daptive Equipment

T aping - can be part of positioning

Constraint-Induced movement therapy (CIMT)

• Hemiplegia

• Restricting use of the unaffected/stronger UE

• Intensive, repetitive practice of motor activities

• Up to 6 hrs per day, for 2 to 4 weeks

• Mitts, casts, splints, and slings

2 types of kinesiology tape

Rigid tape - limits movement, stabilizes and provides support

Flexible, elastic tape - encourages movement