Deck 19: Cerebral Palsy

Question 1

Strength training programs for children with cerebral palsy have been demonstrated to

A) increase muscle strength.
B) increase muscle tone.
C) increase functional community ambulation skill.
D) increase aerobic capacity.

Answer 1

A
Explanation: 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

A) Level I.
B) Level II.
C) Level III.
D) Level IV.

Answer 2

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

Question 3

Evidence has shown that "participation" scores of children with cerebral palsy increase with

A) aerobic training programs.
B) Partial body weight-supported treadmill training.
C) Progressive resistance exercise training.
D) Passive range of motion and stretching.

Answer 3

A
Explanation: 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

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

A) 3 years old.
B) 7 years old.
C) 13 years old.
D) 21 years old.

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

A) Gross Motor Function Measure, 88.
B) Peabody Developmental Motor Scale-2nd edition.
C) School Function Assessment.
D) Times Up and Go Test.

Question 7

When assessing the lower extremity range of motion of a child with spastic diplegic cerebral palsy, accuracy of the measurement is

A) not achieved because of the changes in muscle tone.
B) easily achieved using a standard goniometer.
C) enhanced by averaging two consecutive measurements.
D) supported by high intersession reliability of goniometry.

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.

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.

Question 10

A child with cerebral palsy commonly presents with impairments of

A) range of motion.
B) strength.
C) coordination.
D) soft tissue mobility.
E) All of the above