CNS and PNS

Question 1

UMN lesions (5)

Answer 1

1. TBI
2. CVA
3. SCI
4. MS
5. Parkinson’s

Question 2

Originates in anterior horn of SC and out into periphery. Skeletal mm. Cranial nerves. Efferent nerves

Answer 2

LMN

Question 3

LMN lesions (4)

Answer 3

1. Muscular dystrophy
2. Polio
3. Peripheral nerve injury
4. Myasthenia gravis

Question 4

Male genetic disorder. Proximal weakness first in pelvis then shoulder. Flexion contractures and scoliosis. Most severe

Answer 4

Duchenne Muscular Dystrophy DMD

Question 5

Viral infection, induces flaccid weakness by damaging motor neurons. Don’t push too hard! Healing: motor units- mm hypertrophy- reinnervation

Answer 5

Post polio/poliomyelitis

Question 6

Decreased comm b/t motor neuron and mm. Autoimmune common in females 20-30. Prox weakness (eyes, face) before distal (limbs)

Answer 6

Myasthenia Gravis

Question 7

Temp paralysis and sensory loss. Peripheral nerve injury

Answer 7

Neuropraxia

Question 8

Stretch or compression of axon. Peripheral nerve injury

Answer 8

Axonotmesis

Question 9

Severed neuron. Peripheral nerve injury

Answer 9

Neuromesis

Question 10

Neuromuscular disorders. (4)

Answer 10

1. MS
2. GBS
3. ALS
4. Parkinson’s

Question 11

Chronic, slow progressing disease of CNS. Demylinated glial plaques of UMN. Etiology unknown

Answer 11

MS

Question 12

Four types of MS

Answer 12

1. Benign
2. Exacerbating-Remitting
3. Remitting-Progressive
4. Progressive

Question 13

MS w/ Abrupt onset. Almost complete remission. Little to no permanent functional disability

Answer 13

Benign MS

Question 14

MS w/ sudden onset. Partial or complete remission. Remain stable for long periods of time

Answer 14

Exacerbating-Remitting MS

Question 15

MS w/ gradual onset and potential for sudden symptoms in one area. Exacerbations expected. Progressive disability. Symptoms do not remit as completely.

Answer 15

Remitting-Progressive MS

Question 16

MS w/ slow onset. Exacerbations. No remitting of symptoms resulting in severe disability. More common in men

Answer 16

Progressive

Question 17

MS symptoms (4)

Answer 17

1. Motor function loss
2. Fatigue
3. Spasticity
4. Incontinence

Question 18

Spasticity due to MS results from…

Answer 18

corticospinal demyelination

Question 19

MS. Slow, uncoordinated progression of reciprocal LE movements. Staggering, wide base gait, poor footing

Answer 19

Ataxia

Question 20

MS. Inability to perform rapidly alternating movements

Answer 20

Dysdiadochokinesia

Question 21

MS. Overreaching

Answer 21

Dysmetria

Question 22

MS optic defects (3)

Answer 22

1. Diplopia
2. Optic neuritis
3. Nystagmus

Question 23

MS speech (3)

Answer 23

1. Slurring
2. Dysphagia
3. Dysarthria

Question 24

MS functional rehab (5)

Answer 24

1. Bed mob
2. Balance
3. Amb
4. Xfers
5. Energy conservation

Question 25

MS precautions (3)

Answer 25

1. Overstretching 2. Heat 3. Mm fatigue

Question 26

Chronic progressive degenerative disease where rate of dopamine produced drops. Idiopathic onset.

Answer 26

Parkinson's

Question 27

Parkinson's ACh>Dopamine=

Answer 27

Facilitation>inhibition

Question 28

Parkinson's affects _______ which is outside the corticospinal tract

Answer 28

Extrapyramidal (EP) system

Question 29

EP system regulates (3)

Answer 29

1. Posture 2. Righting reactions 3. Initiate movement

Question 30

Parkinson's s/s (4)

Answer 30

1. Tremors 2. Rigidity 3. Postural reflex loss 4. Bradykinesia

Question 31

Parkinson's rehab

Answer 31

controlled mobility w/ rotation

Question 32

Both UMN and LMN. Degeneration of motor cells in frontal cortex, parietal lobe, cranial nerve nuclei, and anterior horn. Male more common

Answer 32

ALS

Question 33

Two tracts most affected by ALS

Answer 33

Corticospinal and corticobulbar

Question 34

ALS symptoms occur ______ first

Answer 34

Distally

Question 35

ALS rehab focus (5)

Answer 35

1. ADs 2. Low rep 3. Xfer 4. Deep breathing 5. Shoulder mobs

Question 36

Acute, demyelination of cranial and spinal nerves. Re-myelination typically occurs. Attacks spinal and cranial roots

Answer 36

GBS

Question 37

GBS s/s (2)

Answer 37

1. Symmetrical distal-prox weakness | 2. Proprioceptive loss> sensory

Question 38

GBS acute rehab (2)

Answer 38

1. Respiration | 2. Maintain ROM

Question 39

GBS subacute rehab

Answer 39

PNF Iso-ecc-conc