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Students with Neuromuscular Disabilities and Brain Injury,[object Object]
Neuromuscular disabilities and brain injuries,[object Object],Epilepsy ,[object Object],Cerebral Palsy,[object Object],Traumatic Brain ,[object Object],Muscular Dystrophy ,[object Object]
Epilepsy- What is it? ,[object Object],It is a condition that produces brief disturbances in the electrical functioning of the brain, causing seizers. (Kuder, 2006),[object Object],Seizers happen without immediate cause and usually are repeated.,[object Object],Epilepsy is broken down into two groups.,[object Object],Generalized epilepsy affects both hemispheres of the brain.,[object Object],Partial epilepsy focuses on one side of the brain. ,[object Object]
Epilepsy,[object Object]
Epilepsy – Etiology ,[object Object],Causes are unknown, unless it was caused by an injury.,[object Object],Research has shown that epilepsy is more prevalent in people that have experienced severe illness, brain damage, strokes, brain abscess, problems present at birth, tumors, kidney failure, low oxygen to the brain during birth and abnormal levels of blood sugar or sodium.,[object Object]
Epilepsy- Etiology cont. ,[object Object],Researchers have said some forms of epilepsy may be inherited. ,[object Object],Sometimes women experience spontaneous seizers because of changing in their hormones throughout their life.  If females have to much estrogen it can cause more electrical discharge to the brain. ,[object Object]
Epilepsy - Symptoms,[object Object],During seizures,[object Object],Unconsciousness ,[object Object],Convolsions,[object Object],Jerking of limbs ,[object Object],Usually eachseizure is similar to the last,[object Object],Social communication problems,[object Object],An aura consisting of a strange sensation (such as tingling, smelling an odor that isn't actually there, or emotional changes) occurs in some people prior to each seizure.,[object Object],Severe epilepsy can cause aphasia which is memory loss after a seizure.  ,[object Object]
Epilepsy- Diagnosis,[object Object],Neurological examination,[object Object],EGG (electroencephalograph) exam which is reading of the electrical activity in the brain,[object Object],Varies blood testing ,[object Object],Eligible for services under IDEA through other health impairments. ,[object Object]
Epilepsy - Treatment,[object Object],Removal of tumor, abnormal blood vessel.,[object Object],Medication called anticonvulsants may reduce the number ofseizures.,[object Object],Brain surgery ,[object Object],Vagal nerve stimulator,[object Object],Special diets ,[object Object]
Epilepsy- Interventions/ Services ,[object Object],Intervene early ,[object Object],Mnemonic devices ,[object Object],Color coded notebooks to help organize work,[object Object],Repetitive lesson strategies throughout the unit.,[object Object],Therapies like yoga to relieve stress,[object Object]
Cerebral Palsy- What is it?,[object Object],A term describing a group of muscle and nerve disorders that affect a child’s ability to move. ,[object Object],Types: ,[object Object],Hypertonia(spasticity),[object Object],Athetoid,[object Object],Ataxic,[object Object],Mixed,[object Object]
Cerebral Palsy- What is it? Continued.,[object Object],Hypertonia (spasticity)-Significant limitations to range of motion. Muscles contracted, movements are slow and jerky. Muscular stiffness, over-reaction, and tightness, often due to oversensitive stretch reflexes ,[object Object],Athetoid- involuntary movement of limbs, lack of head control. Flailing of arms and legs. Writhing movements. ,[object Object],Ataxic- difficulty with balance and poor coordination,[object Object],Mixed-combination of two or more types.,[object Object],*Of the children who have cerebral palsy, approximately 60% have spasticity.  ,[object Object]
Cerebral Palsy- Etiology,[object Object],Prenatally(before birth) - Anoxia (lack of oxygen), radiation exposure, drugs that harm the fetus, genetic disorder, fetal stroke, injury, infection of the uterus or kidney, toxemia, anemia, Rh factor, rubella.,[object Object],Perinatally(during birth)- Anoxia, Rh factor, high bilirubin levels, injury. ,[object Object],Postnatally (after birth) - Anoxia; injury; infections such as toxoplasmosis, meningitis; other central nervous system disease.,[object Object],Cerebral Palsy is non-progressive. ,[object Object],*For nearly 40% of all children with this disorder, we don't know what causes the damage.,[object Object]
Cerebral Palsy- Symptoms,[object Object],Things to look for:,[object Object],Delay in reaching motor milestones, such as sitting or walking. ,[object Object],Abnormal movement, muscle tone that is too low (hypotonia) or too high (hypertonia). ,[object Object],Unusual reflexes, such as a very active knee-jerk; persistent primitive reflexes.,[object Object],Lethargy, or lack of alertness,[object Object],Irritability or fussiness,[object Object],Abnormal, high-pitched cry,[object Object],Trembling of the arms and legs,[object Object],Abnormal posture, such as the child favoring one side of the body,[object Object]
Cerebral Palsy- Diagnosis	,[object Object],Check motor skills, muscle tone, and posture,[object Object],CT (computed tomography).  Image of the brain that can determine underdeveloped areas of brain tissue. ,[object Object],MRI (magnetic resonance imaging). Generates a picture of the brain to determine areas that may be damaged,[object Object],Intelligence testing ,[object Object]
Cerebral Palsy- Interventions/Services	,[object Object],Early Intervention,[object Object],Alternative Augmentative Communication,[object Object],Assistive technology ,[object Object],Speech Language Therapy ,[object Object],Physical Therapy,[object Object],Occupational Therapy  ,[object Object],Eligible for services under IDEA through Orthopedic Impairments ,[object Object],Great Resource!,[object Object]
TBI- What is it?,[object Object],[object Object]
 Open-head injury: also known as localized. A visible injury that usually is confined to one portion of the brain. (example, gunshot wound)
Close-head injury: caused by a rapid acceleration and deceleration of the head, during which the brain bounces around inside the skull. (example, car accidents, falls, and sports injuries),[object Object]
Cognitive impairments: Memory difficulties; slowness in thinking; problems concentrating; problems with perception and attention; problems planning and sequencing
Behavior and personality problems: Fatigue; mood swings; anxiety; depression; difficulty with emotional control,[object Object]
Types of responses that are looked at:
Eye opening response
Verbal response
Motor response,[object Object]
Subacute Treatment
Chronic Treatment and Long-Term Rehabilitation,[object Object]
Clear patients' airways
Medicate patients (to calm them, prevent seizures or otherwise prevent further injury)
Monitor and surgically relieve high levels of intracranial pressure(the pressure caused by the buildup of excess brain fluid in the skull)

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Neuromuscular Diseases and TBI Prelearning

Notes de l'éditeur

  1. Diplegia—This means only the legs are affected.Hemiplegia—This means one half of the body (such as the right arm and leg) is affected.Quadriplegia—This means both arms and legs are affected, sometimes including the facial muscles and torso.