3. Understanding Impairments, Treatment Planning & Treatment Progression for the Neurological Patient Flashcards

1
Q

πŸ’‘ what do you do next?

For each identified activity limitation…

A

Identify the missing components

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2
Q

Motor control generally develops in cephalo-caudal direction and

A

proximal to distal

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3
Q

πŸ’‘ primitive reflexes

what are the tonic and phasic primitive reflexes

A
  • Tonic Reflexes:
    • ATNR – asymmetrical tonic neck reflex
    • STNR – symmetrical tonic neck reflex
    • ATLR – asymmetrical tonic labyrinthine reflex
    • STLR – symmetrical tonic labyrinthine reflex
  • Phasic reflexes:
    • Extensor Thrust
    • Flexor Withdrawal
    • Crossed Extension Reflex
    • Grasp Reflex
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4
Q

Flexion of the neck results in flexion of the arms and extension of the legs; extension of the neck results in extension of the arms and flexion of the legs.

A

Symmetric Tonic Neck Reflex

(a tonic reflex)

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5
Q

Head rotation to the left causes extension of left arm and leg and flexion of right arm and leg; head rotation to the right causes extension of right arm and leg and flexion of left arm and leg

A

Asymmetric Tonic Neck Reflex

(a tonic reflex)

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6
Q

Prone lying position facilitates flexion; the supine position facilitates extension. The reflex can also be thought of as inhibition of extensor tone in the prone position.

A

symmetrical tonic labyrinthine reflex

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7
Q

name of reflex

This is initiated by a change in the position of the upper trunk with respect to the pelvis. Rotation of the trunk to the right results in flexion of the right upper extremity and extension of the right lower extremity; rotation of the trunk to the left results in extension of the right upper extremity and flexion of the right lower extremity.

A

Tonic Lumbar Reflex

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8
Q

Resistance applied to abduction or adduction of the nonaffected lower extremity evokes a similar reaction in the affected limb.

A

Raimiste’s Phenomenon

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9
Q

Flexion in the UE causes flexion of the ipsilateral LE

A

Homolateral Limb Synkineses

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10
Q

developmental progression

supine developmental progression

A

Supine β†’ hooklying β†’ bridging β†’ side lying β†’ sidelyin on elbows β†’ sydelying on hands β†’ long sit β†’ short sit

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11
Q

prone developmental progression

A

pivot prone β†’ prone on elbows β†’ prone on hands β†’ quadruped β†’ kneeling β†’ 1/2 kneeling β†’ standing

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12
Q

motor task requirements

the ability to demonstrate adequate mobility of all tissues involved in a movement (joint, soft tissue, neural, fascia, etc). It also refers to the ability to initiate a contraction.

A

MOBILITY

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13
Q

motor task requirements

the ability to initiate a movement/transition (a contraction) for the transition to another posture

A

Transitional Mobility a subcategory of MOBILITY

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14
Q

motor task requirements

the ability to maintain postural stability and orientation with the center of mass (COM) over the base of support (BOS) and the body at rest. Proximal stability is needed for distal mobility.

A

STABILITY (static postural control)

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15
Q

motor task requirements

movement is now added to a previously static posture – movement of the proximal components over a fixed (weight bearing) distal component. The COG moves over the fixed BOS. ie: weight shifting while in quadruped, shifting weight in standing, etc

A

CONTROLLED MOBILITY (Dynamic Postural Control)

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16
Q

motor task requirements

The distal component is moving while the proximal musculature provides dynamic stability to guide the limb in space. Activities have two functions: manipulation and exploration of the environment

A

SKILL

17
Q

what is the reaction of the asymmetrical tonic labyrinthine reflex on a patient sidelying on the left side?

A
  • extension tone on the weight bearing side
  • flexion on the non weight bearing side
18
Q

what is the reaction of the symmetrical tonic labyrinthine reflex on a patient lying in the supine position?

A

extension