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P2F Neuro > 4c- 6a For Exam 2 > Flashcards

4c- 6a For Exam 2 Flashcards

1
Q

A series of losing and regaining balance resulting in forward motion

A

Normal gait

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2
Q

In stance phase, how much foot is on the ground?

A

60%

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3
Q

How much % is swing?

A

40%

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4
Q

What does the hip do in stance phase?

A

Flexion to extension

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5
Q

What does the knee do in stance phase?

A

Knee extension; maybe 5 deg flex at IC

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6
Q

What does anke do in stance phase?

A

Ankle DF to PF (includes pre swing)

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7
Q

Average cycle time of IC to IC

A

1.04 sec

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8
Q

Normal velocity

A

1.2-1.5 m/s

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9
Q

Normal cadence

A

100-120 steps/min

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10
Q

Stride length =?

A

1.5 x leg length

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11
Q

What happens in peds for single limb stance, staph length, velocity and cadence

A

They all increase except cadence which decreases

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12
Q

What BOS for gait post CVA?

A

Narrow

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13
Q

Steph length for gait post CVA?

A

Decreased on non-affected limb

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14
Q

What happens to hip at MSt for gait post CVA?

A

Decreased hip extension

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15
Q

For ambulation for gait post CVA, everything ?

A

Decreases

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16
Q

Double support time post CVA ?

A

Increases

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17
Q

On which leg is stride length decreased?

A

Unaffected limb

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18
Q

What happens to the UE as a result of weight shift the uninvolved side?

A

Involved side gets stiff

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19
Q

Define CP

A

It’s a group of permanent disorders of mvmt and posture, causing activity limitsbuted to NONPROGRESSIVE disturbances that happen in FETAL or INFANT brain

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20
Q

Brain lesion is

A

Static

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21
Q

MSK impairment is

A

Progressive

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22
Q

4 types of progressive MSK impairments

A

Muscle/tendon contracture
Bony torsion
Hip displacement
Spinal deformity

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23
Q

Spasticity
 Reduced postural control
 Reduced selective voluntary motor control
 Impaired sensory processing

A

Primary impairments of CP

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24
Q

 Muscle or tendon contractures
 Skeletal deformities
 Decreased strength
 Limited endurance

A

Secondary impairments of CP

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25
Q

CP is more common in?

A

Boys

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26
Q

Less than how many pounds and born when is most risk factor for CP?

A

Less than 3.3 pounds

Born at 28-31 weeks

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27
Q

A lot of 8 year olds with CP walk ?

A

Independently

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28
Q

Slow, rotational mvmt of head and torso

A

Dystonia

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29
Q

Sluggish, writhing mvmts mainly in fingers and face

A

Athetoid

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30
Q

Loss of balance and coordination

A

Ataxia

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31
Q

Tense, most common type of CP

A

Spastic

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32
Q

Abnormal mvmt patterns

A

Dyskinetic

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33
Q

 Uses no assistive devices (such
as crutches)
 Can walk indoors and outdoors and climb stairs no limits.
 Can perform usual activities
such as running and jumping
 Has decreased speed, balance and coordination

A

Level 1 GMFCS

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34
Q

Level 1 GMFCS

A

Walks without limitations

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35
Q

Level 2 GMFCS

A

Walks with limits

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36
Q

 Is limited in outdoor activities
 Has the ability to walk indoors and outdoors and climb stairs with a railing
 Has difficulty with uneven surfaces, inclines or in crowds.
 Has minimal ability to run or jump.

A

Level 2 GMFCS

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37
Q

Difference between L1 and L2

A

L2 needs railing and cant run and jump as well

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38
Q

Level 3 GMFCS

A

Walks using hand held mobility device

39
Q 
 Walks with assistive mobility 
devices indoors and outdoors on level surfaces
 May be able to climb stairs 
using a railing
 May propel a manual 
wheelchair (with assistance 
needed for long distances or 
uneven surfaces)
 Ages 12-18 –may self-propel a 
manual wheelchair (indoors) oruse powered mobility (esp. 
community and outdoors)
A

GMFCS level 3

40
Q

Level 4 GMFCS

A

Limited self mobility; may use powered device

41
Q

 Self-mobility severely limited even with assistive devices

 Uses wheelchairs most of the time and may propel their own power wheelchair

A

Level 4 GMFCS

42
Q

Level 5 GMFCS

A

Transported in a manual wheelchair

43
Q

 Has physical impairments that
restrict voluntary control of movement and the ability to
maintain head and neck
position against gravity
 Is impaired in all areas of motor
function.
 Cannot sit or stand on their own even with equipment.
 Cannot do independent
mobility, though may be able touse a power chair

A

Level 5 GMFCS

44
Q

Macs is for what ages?

A

4-18

45
Q

What is MACS?

A

Depicts how children with CP utilize their hands daily

46
Q

Handles objects easily and successfully

A

Macs level 1

47
Q

Handles most objects but with somewhat reduced quality and/or speed

A

Level 2 Macs

48
Q

Handles objects with difficulty; needs help to prepare and/or modify activities

A

Level 3 Macs

49
Q

Handles a limited selection of easily managed objects in adapted situations

A

Macs level 4

50
Q

Doe snot handle objects and has severely limited ability to perform simple actions

A

Level 5 macs

51
Q

CFCS does what?

A

Depicts communication abilities of kids with CP

52
Q

Effective s and r with unfamiliar and familiar partners

A

CFCS 1

53
Q

Effective but slower paced s/r with unfamiliar/familiar partners

A

CFCS 2

54
Q

Effective s and r with familiar partners

A

CFCS 3

55
Q

Inconsistent s/r with familiar partners

A

Level 4 CFCS

56
Q

Seldom an effective s/r even with familiar partners

A

Level 5 CFCS

57
Q

Are cognitive deficits inherent with CP

A

NO

58
Q

Most associated impairment with CP?

A

Impaired vision

59
Q

How do you assess strength in 3-5 year olds

A

Functional context

60
Q

Strength for 6-21 years with CP?

A

MMT or hand held dynamometry; observe functional mvmts

61
Q

How do kids with spastic CP stand?

A

Up on toes, knee ext, hip ADD and IR, anterior tilt pelvis

62
Q

Crouched posture for CP?

A

Ankle DF, knee flex, hips ADD, flex and IR

63
Q

Obliquity

A

Leg length inequality

64
Q

Posterior pelvic tilt ?

A

Limited hamstring ROM

65
Q

Anterior pelvic tilt ?

A

Hip flexor tightness

66
Q

Foot and ankle for CP, they have decreased ?

A

DF ROM due to short gastroc

67
Q

Equinovalgus is ?

A

Flat foot

68
Q

Tardieus R1 and R2

A 
R1 = point of first catch 
R2 = passive length
69
Q

GMFM is used for what two types of diseases?

A

CP and DOwn Syndrome

70
Q

GMFM is appropriate for who?

A

Kids who’s motor skills are at or below the level of 5 year old child

71
Q

5 GMFM dimensions

A 
Lying/rolling
Sitting
Crawling/kneeling
Standing
Walking/running/jumping
72
Q

How should GMFM be administered in terms of an orthoses?

A

Do it first without shoes/orthoses. Or equipment

73
Q

Scoring for GMFM

A 
0 = does not initiate
1 = initiates
2 = partially completes
3 = completes
74
Q

GMFM- whats a position that promotes full lengthening of muscles?

A

Prone lying

75
Q

What type of stretching is better to prevent secondary impairments in GMFM?

A

Low load, prolonged stretching

76
Q

Sensory nerve rootlets from the lower extremities are cut selectively to create
a balance between eliminating spasticity and preserving function

A

Selective dorsal rhizotomy

77
Q

Post op selective dorsal rhizotomy need PT to work on ?

A

Increasing strength

78
Q

Passive stretching for GMFM is NOT effective to?

A

Increase ROM, reduce spasticity or improve walking

79
Q

Does strengthening increase spasticity for CP kids?

A

NO

80
Q

What iso is more effective for CP?

A

Isotonic is better than isokinetic

81
Q

Movement is centered around what 3 things?

A

Task
Environment
Individual

82
Q

Controlling center of mass (COM)over thebase of support (BOS)

A

Stability

83
Q

Ability to maintain appropriate relationships between body segments and between the body and the environment

A

Postural orientation

84
Q

Dual purposes of posture

A

Stability and postural orientation

85
Q

Crouched posture in CP, hip flex

A

More than 45 degrees

86
Q

Crouched posture in CP, knee flex

A

More than 30 degrees

87
Q

a functional coupling of groups of muscles constraining them so thatthey act as a unit.

A

Synergy

88
Q

Position and movement of head in relationship to surrounding objects

A

Visual perception system during quiet stance

89
Q

Position and movement of head in relationship to gravity and inertial forces

A

Vestibular perceptual system during quiet stance

90
Q

Position of body in relationship to supporting surfaces

A

Somatosensory perceptual system during quiet stance

91
Q

Anticipatory control problems: Postural synergies in advance of volitionalmovement not seen or reduced in:

A

Stroke, CP, TBI, Down Syndrome Parkinson’s, cerebellar disorders

92
Q
  • Slower or faster movements

* Goal of the task

A

Task demands

93
Q

Adding a load

Height of surface

A

Environment demands

94
Q

Age and fatigue are what demands?

A

Individual constraints

P2F Neuro (5 decks)

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