Chapter 13 and 15 Flashcards

1
Q

neural tissue requires

A

a constant supply of oxygenated blood to carry out its roles

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2
Q

blood brain barrier has a

A

protective function so not everything in the blood stream will reach neural tissue

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3
Q

arterial system

A

supplied by the internal carotid and vertebral arteries

both sets run in pairs to supply blood to the brain

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4
Q

internal carotid system

A

80%
arise from the common carotid arteries

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5
Q

vertebral system

A

20%
run up from the back of the neck, meet to form basilar artery

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6
Q

after the arterial systems enter the skull they join to form the

A

circle of willis

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7
Q

the circle of willis is meant to be protective, but is frequently a location for

A

aneurysms

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8
Q

what arteries exit the circle of willis

A

anterior cerebral arteries (ACA)
middle cerebral arteries (MCA)
posterior cerebral arteries (PCA)

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9
Q

the 3 main pairs of arteries that account for blood supply to the brain are …

A

anterior cerebral artery
middle cerebral artery
posterior cerebral artery

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10
Q

the middle cerebral artery is the main location for

A

strokes aka CVA

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11
Q

watershed regions exists between each of the

A

main cerebral blood supply distributions

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12
Q

thalamus is the

A

relay system/ gatekeeper for all major portions of the brain

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13
Q

basal ganglia is a key component for

A

motor system and cognition

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14
Q

the blood brain barrier is a

A

filter

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15
Q

how is the blood brain barrier a protective mechanism

A

prevents larger pathogens/ viruses from entering brain and hold good structures in the brain to maintain chemical balance

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16
Q

does alcohol get through the blood brain barrier

A

yes
especially into the cerebellum (coordination/balance)

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17
Q

stroke definition

A

abrupt and dramatic development of a focal neurological deficit caused by arterial occlusion or hemorrhage

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18
Q

what is the cerebrovascular system responsible for

A

the distribution of oxygenated and nutrient, rich blood to the brain and spinal structures

essential to the functions of those structures

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19
Q

what does the vascular system serve

A

the entire body, but the brain is one of the first structures to receive oxygen, rich blood from the heart by the way of the aorta, and its branches

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20
Q

medical attention immediately after onset of suspected CVS is essential for

A

maximizing outcomes

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21
Q

what is recovery

A

restoration of the function within an area of the cortex that was initially lost after the injury

22
Q

what is compensation

A

when a different neural tissue takes over function lost after an injury

23
Q

neuroplasticity definition

A

nervous system’s ability to change is a complex construct

24
Q

what are the two types of neuroplasticity

A

neural
behavioral

25
neural/ microplasticity
takes place on a cellular level
26
behavioral/ macroplasticity
changes in function
27
neuroplasticity maladaptive
poor recovery results and ineffective rewiring
28
brain changes at cellular level=
how neurons adapt and repair themselves
29
long term potentiation (LTP)
process of increasing neuroplasticity with strengthening synapses and networks
30
LTP patterns of activity leads to
patterns of neural stimulations, crucial for plastic nervous system
31
synaptic potentiation
changes at cell/synaptic level increases sensitivity to signals
32
structural potential
changes to networks of neurons. sprouting, additional dendrites and dendritic branches on axon collaterals
33
structural depression
decline in dendrite and axon collaterals (pruning)
34
behavioral/system level changes=
allows brain to respond to environmental changes or changes in the organism itself
35
principles of experience-dependent on neural plasticity
use it or lose it use it and improve it specificity repetition matters intensity matters time matters salience matters age matters transerence matters interference
36
use it and improve it
practice makes permanence, perfect practice makes perfect
37
specificity
treatment targets must be equivalent to behaviors we wish to change
38
intensity matters
how much intervention is optimal? how many sessions? how long should the treatment period be?
39
time matters
when is the optimal time for intervention, what is appropriate for chronic recovery may not always be appropriate in acute recovery
40
salience matter
the more personally relevant the action=more impact "we remember what is important to us"
41
transference matters
generalization how therapy tasks can be used in real world
42
interference
plasticity response to one experience can interfere with the acquisition of other behaviors benefitting in one area can interfere in a different area
43
removing contexts for relevant tasks and environments can alter ability to generalize=
potential lead to maladaptive changes
44
application of experiece-dependent plasticity
dosing accuracy individualized carryover environment intrinsic
45
intensity
total time in therapy sessions and distribution of sessions
46
dose
number of teaching episodes in a session
47
therapeutic alliance
degree to which client agrees with and believes that the approach a therapist is using will result in improvement
48
plasticity is relevant to
typical development, aging, and recovery following neurological lesions
49
long term potentiation is a process of
strengthening neural networks through stimulation and is critical for memory and learning
50
plasticity can be
adaptive or maladaptive