PT 724 CP treatment goals, and assitive devices

how long should strength training for CP take place

- 40-50 min sessions

with increased rest intervals (3 min)

what type of treadmill training improves walking velocity and gross motor function

body weight supported training

what type of treadmill training increases endurance and strength

non-supported

Strength training into adulthood for CP can increase muscle mass up to ____

27%

if a child's strength is very weak how should we strength train

the single joint

what types of treatment classifications should we use for children with CP

- Task Specific training

- strength training

- treadmill training

- mobility training

- postural control

- goal directed training

tape and elastic garments can facilitate ________ control

postural

tape and elastic garments can assist with improving ______ activities through sensory receptors of sensory systems to improve proprioception

dynamic

Elastic garments provide compression to assist with

muscle activation and body awarenss

what is the drawback to tape and elastic garments with treating CP

- difficulty in maintaining a wear schedule

what is the pathway to creation of goals for CP

- what changes need to be made to the environment

- decide what needs to occur in order to achieve goal

- total amount of time to practice

- identify strength needed specific to goal

- address all components of the ICF

- quality of life

what are the main goals for children with CP in infancy

- education

- encouraging movement in any way

what are the goals for GMFCS 1 and 2 in infancy

- progression through developmental sequence

what are the goals for GMFCS 3 in infancy

head control

what are the goals for GMFCS 4 and 5 in infancy

postural equipment needed for eating sitting (6months), sleeping, standing (by 12 months)

what are the treatment ideas for infants with CP

- importance of handling

- movement across all planes

- encourage full lengthening of muscles

- mix of handling/facilitation and self directed movement

what is the goal for preschool aged children with CP

- to manage the primary impairments and prevent secondary impairments

at what age is it better to predict motor skill attainment in children with CP

preschool

when may parents begin to see activity and participation limitations compared to other children with their own children with CP

preschool

what are the interventions for preschoolers with CP

- large focus on maintain or regaining mobility

- weight bearing to reduce or prevent secondary impairments

- have comfortable supports for postures

- don't make walking the main goal

- focus on functional independent mobility

what is the focus for school age and adolescent children with CP

- on risk of secondary impairments

what are the interventions for school age and adolescent children with CP

- teaching friends and other how to help them

- education plants

- childs wants and goals

- caregiver body mechanics

- encourage physical activity

what is the PT main goals for transitioning to adulthood for those with CP

- maintain function, prevention deterioration, achieve optimal independent living

what are the aspects of transitioning to adulthood that PT can help with

- preparing for fatigue

- driver training

- shift from parent control to client control

what are the treatment strategies for hypotonia

- weight bearing

- deep pressure through joints

- give support where necessary

what are the treatment strategies for hemiplegia CP

- AFOs, stretching, casting to maintain ROM

- use of both hands and crossing midline

- ensure weight bearing and use of involved side

what are the treatment strategies for diplegia CP

- maintain ROM with stretching, casting, AFOs

- ensure strong trunk control and posture

- hip/ LE strengthening

- motor control of LEs

____ stretching is better than ___ for muscle lengthening

active; short term passive

in diplegia CP what muscle are most important to maintain ROM

- gastroc and hamstrings

what is the main goal for quadriplegia CP

- reach maximum functional level of independence

what are the treatment strategies for quadriplegia CP

- slow rhythmical rotation

- stretching or ROM maintenance

- trunk and heal control, right and equilibrium reactions

- weight bearing

- standing protocols and positioning

- strengthen through movement

what are the treatment strategies for ataxia CP

- balance and protective reactions

- proximal stability

- weight vests, ankle weights compression may be used

what are the treatment strategies for athetoid CP

- hold postures, work on co-contraction in midline

- control and direct movement with resistance

- weight bearing UE to increase safe movement transitions

what are the benefits for standers

- improve muscle strength in legs

- improve endurance and overall cardio health

- prevent or improve contractures by providing gentle strength

- improve bone mineral density and strengthen bones

- prevent fractures

- prevent or minimize hip dislocations or development of hip dysplasia

- prevent pressure sores

- improve circulation

- improve breathing

- improve constipation

- improve urinary function

- improve hand use by allowing use of the hands in supported position

- improve self-esteem and social interactions by placing the child in a position more typical of their peers