2.6 Lundy Ch. 2 (4) Flashcards
1
Q
PNS demyelination often results in
A
- disrupted proprioception
- weakness
2
Q
Guillain-Barré
A
- antibodies attack Schwann cells
- usu 2-3 weeks after mild infection
3
Q
Guillain-Barré s/s
A
- decreased sensation
- skeletal paralysis
- pain, hypersensitivity
- cranial nerves of face may be affected
4
Q
Guillain-Barré course
A
- rapid onset
- plateau
- gradual recovery (usu complete)
5
Q
severe cases of Guillain-Barré (recovery)
A
may have cardiorespiratory problems
6
Q
Guillain-Barré treatments
A
- plasmapheresis
- IV immunoglobulin therapy
**remove or neutralize antibodies that are attacking the cells
7
Q
PT for Guillain-Barré
A
- acute: ROM
- recovery: strengthening, functional mobility
8
Q
CNS demyelination
A
damage to myelin sheaths in brain and spinal cord
9
Q
MS
A
multiple sclerosis
10
Q
What happens in MS?
A
immune system attacks oligodendrocytes, producing plaques
11
Q
plaques
A
patches of demyelination
12
Q
MS s/s
A
- weakness
- lack of coordination
- impaired vision
- impaired sensation
- slurred speech
13
Q
MS age of onset
A
20-40
14
Q
types of MS
A
- relapsing/remitting
- secondary progressive
- primary progressive
- progressive relapsing
15
Q
Deficiency in this may result in greater likelihood of developing MS
A
vitamin D
16
Q
MS more common in (men/women)
A
women
17
Q
PT treatment of MS
A
- maintain and improve function when possible
- avoid high temp, excessive exertion
- regular exercise
- stress mgmt
