Question 1

Strength training programs for children with cerebral palsy have been demonstrated to&#10;A) increase muscle strength.&#10;B) increase muscle tone.&#10;C) increase functional community ambulation skill.&#10;D) increase aerobic capacity.

Accepted Answer

Systematic reviews and randomized control trials have demonstrated that strength training increases muscle strength but have shown minimal impact on gait parameters such as gait speed. No reports of improved community ambulation or aerobic capacity have been reported as a sole result of strength training. Evidence supports that strength training does not increase muscle tone

Question 2

A 6-year-old child with cerebral palsy who walks independently in the school environment using a wheeled, rear walker, would be classified in the Gross Motor Function Classification System as&#10;A) Level I.&#10;B) Level II.&#10;C) Level III.&#10;D) Level IV.

Accepted Answer

Walking with an assistive device places child in Gross Motor Function Classification System Level III.

Question 3

Evidence has shown that &#34;participation&#34; scores of children with cerebral palsy increase with&#10;A) aerobic training programs.&#10;B) Partial body weight-supported treadmill training.&#10;C) Progressive resistance exercise training.&#10;D) Passive range of motion and stretching.

Accepted Answer

Only aerobic training has reported improvement in participation of children with cerebral palsy

Question 4

A physical therapist would like to assess the level of participation of a 18-year-old college student with spastic cerebral palsy. Which of the following standardized measurement tools is most appropriate?

A) Children's Assessment of Participation and Enjoyment
B) Bruininks Oseretsky Test of Moot Proficiency
C) Gross Motor Function Classification System
D) School Function Assessment

Accepted Answer

The Children's Assessment of Participation and Enjoyment may be used up until age 21 years. The School Function Assessment is for younger children up to grade 6. The Gross Motor Function Classification System is not a standardized measurement tool; it is a classification system. The Life-H would also be an appropriate assessment, but it was not given as a choice.

Question 5

The Peabody Developmental Motor Scales-2nd edition is an appropriate tool for assessing the level of motor development of a child with cerebral palsy who is&#10;A) 3 years old.&#10;B) 7 years old.&#10;C) 13 years old.&#10;D) 21 years old.

Accepted Answer

The Peabody is appropriate for young children 1 month to 72 months (6 years).

Question 6

To measure a 6-year-old child's level of participation in life activities, the best standardized measurement tool to use is the&#10;A) Gross Motor Function Measure, 88.&#10;B) Peabody Developmental Motor Scale-2nd edition.&#10;C) School Function Assessment.&#10;D) Times Up and Go Test.

Accepted Answer

The School Function Assessment is the only instrument that looks at completion of activities within the context of everyday activity, thereby measuring participation. The other tests are impairment or activity level measurements.

Question 7

When assessing the lower extremity range of motion of a child with spastic diplegic cerebral palsy, accuracy of the measurement is&#10;A) not achieved because of the changes in muscle tone.&#10;B) easily achieved using a standard goniometer.&#10;C) enhanced by averaging two consecutive measurements.&#10;D) supported by high intersession reliability of goniometry.

Accepted Answer

Goniometric measurements are highly variable in children with cerebral palsy in both intersession and intrasession testing. It is recommended to take the average of two measurements to improve accuracy.

Question 8

A 13-year-old child with spastic diplegic cerebral palsy has decreased dorsiflexion range of motion bilaterally. An appropriate activity to include in his home program to increase dorsiflexion range of motion is

A) passive range of motion of the ankle.
B) wear orthotics for at least 3 to 4 hrs daily.
C) strength training of the dorsiflexors.
D) heel lift exercises.

Accepted Answer

Evidence has shown that passive range of motion has minimal effect on increasing range of motion. Only sustained stretching (i.e., with positioning, orthotics) has been shown to be effective

Question 9

A 6-year-old child with spastic diplegic cerebral palsy can ambulate independently with a rear walker in the school environment, cannot stand without support, and sometimes loses her balance when reaching for objects while sitting at her desk. The best standardized assessment of dynamic balance to use in examination of this child is

A) Berg Balance Test.
B) Gross Motor Function Measure 66 (GMFM-66).
C) Standing balance with eyes open and eyes closed.
D) Modified Functional Reach Test in sitting.

Accepted Answer

Because she cannot stand without support, the Berg Balance and standing balance tests are not good choices. The GMFM is not a test of balance. Because she is expected to function in sitting at her desk but is having difficulty reaching for objects, it is important to more fully examine how far she can reach in sitting without losing her balance and in what directions.

Question 10

A child with cerebral palsy commonly presents with impairments of&#10;A) range of motion.&#10;B) strength.&#10;C) coordination.&#10;D) soft tissue mobility.&#10;E) All of the above

Accepted Answer

All of these impairments are commonly present in children with cerebral palsy.

Deck 19: Cerebral Palsy