Please enable JavaScript.
Coggle requires JavaScript to display documents.
Cerebral Palsy (CP) - Coggle Diagram
Cerebral Palsy (CP)
GMFCS classifications
Level I - Can ambulate around community, climb stairs w/o aid. Can perform gross motor skills (running/ jumping), speed balance and coordination are limited
Level II - Can walk in most settings, may experience difficulty walking long distances, balancing. May walk with aid over long distances. Minimal ability to perform gross motor skills such as running/ jumping
Level III - Walk using aid in most indoor settings. May climb stairs using railing or assistance. Use wheeled mobility when travelling long distances and may self-propel for shorter distances
Level IV - Use methods of mobility that require assistance, or powered mobility. Walk for short distances w assistance or use powered mobility.
Level V - Transported in manual wheelchair in all settings. Limited in maintaining antigravity head and trunk postures and controlling U/L movements
Clinical considerations
- Severe CP, aerobic exercise should start with frequent short bouts of mod intensity
- Fatigue – Patients with CP fatigue easily due to poor economy of movement
- Endurance training is best done through six-to-fifteen-minute walks or wheelchair pushes, 2x/ week or more
- Hydrotherapy may provide pain relief, and increase fitness, mobility, strength and function
Safety
- Strapping of the hands or feet to the pedals when using the arm or leg cycle ergometer
- Use of gloves during wheelchair exercise is recommended.
- Awareness of medications, document presence of seizures and other associated disorders (i.e. visual, sensory, cognitive problems).
Types of CP
1. Spastic: Caused by damage to the motor cortex of the brain before, during or after birth → muscles appear stiff and tight, rotated
2. Ataxic: Caused by damage to the cerebellum → incoordination, jerky, rigid, wide BOS
3. Dyskinetic/ Dyskinesia: Damage to basal ganglia → involuntary movements, dancey
4. Mixed: - More than one form of the condition. Visual problems, cognitive impairments, speech and language difficulty and/or pain
-
-
-
-