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Neuromuscular > Exam 1 > Flashcards

Exam 1 Flashcards

1
Q

what is a primary impairment?

A

direct result of pathology

ex. sensory deficit d/t CVA

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2
Q

what is a secondary impairment?

A

happens b/c of primary impairment

ex. contracture, pressure ulcer

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3
Q

modified ashworth scale 0

A

no increase in spasticity

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4
Q

modified ashworth scale 1

A

slight increase in spasticity

catch and release

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5
Q

modified ashworth scale 2

A

slight increase from 1

moderate to minimal resistance

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6
Q

modified ashworth scale 3

A

marked increase in spasticity

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7
Q

modified ashworth scale 4

A

prom is difficult to achieve

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8
Q

modified ashworth scale 5

A

affected limb has become rigid q

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9
Q

what is stereogensis

A

cant recognize object in hand

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10
Q

what is graphesthesia

A

traced figure identification in hand

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11
Q

wernicke’s aphasia is?

A

fluent, receptive, make needs known

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12
Q

broca ‘s aphasia is?

A

non fluent, expressive words dont come out right

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13
Q

dysarthria is?

A

uncoordinated speech

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14
Q

dysphagia is?

A

trouble swallowing

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15
Q

dysmeteria is?

A

inability to judge distances properly

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16
Q

dysnynergia is?

A

lack of coordination of synergistic mm

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17
Q

causes for CVA?

A

vascular, space occupying lesion, infection

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18
Q

R CVA

A 
left side of body affected
visuospatial impairment
difficult problem solving
increase safety risk
unaware of impairments
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19
Q

L CVA

A 
right side of body affected
speech and language impairment
difficulty planning/sequencing moment
apraxia
aware of impairments
anxious about poor performance
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20
Q

UE flexion synergy

A 
shldr girdle- elevate & retract 
GH- abd, ER, ext
forearm- supinate 
elbow- FLEX
wrist- FLEX
finger- flex
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21
Q

LE flexion synergy

A

hip- add, er, FLEXION
knee- flexion
ankle/foot- df, invert

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22
Q

UE extension synergy

A 
shoulder girdle- depress, retract
GH- ir, ADD
forearm- pronation 
elbow- extension 
wrist- EXTENSION
finger- flexion
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23
Q

LE extension synergy

A

hip- ext, ir, ADD
knee- EXT
ankle- PF, invert

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24
Q

hemiplegic synergy patterns definition is?

A

antagonist mm to dominant components are weaker and more difficult to elicit

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25
Q

typical UE hemiplegic positions

A 
shoulder add (ext)
elbow flexion (flex)
forearm pronation (ext)
wrist flexion (flex)
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26
Q

STNR (wolf)
symmetric tonic neck reflex
neck flexion

A

UE flexion

LE extension

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27
Q

STNR (wolf)
symmetric tonic neck reflex
neck extension

A

UE extension

LE flexion

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28
Q

ATNR (fencer)

asymmetric tonic neck reflex

A

flexion of skull limbs

extension of jaw limbs

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29
Q

STLR
symmetric tonic labyrinthine reflex
supine

A

how head moves in space.

max ext b/c on ext side

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30
Q

STLR
symmetric tonic labyrinthine
prone

A

how head moves in space

min ext b/c on flexion side

31
Q

ATLR
asymmetric tonic reflex
ceiling side

A

flexion

32
Q

ATLR
asymmetric tonic reflex
floor side

A

extension

33
Q

tonic lumbar reflex- serving tennis

side away

A

ext UE

flexion LE

34
Q

tonic lumbar reflex- serving tennis

side toward

A

flexion UE

extension LE

35
Q

Marie Foix Reflex

A

force pt into PF and inversion -> relic of DF to ankle and hip flexion

36
Q

raimistes phenomenon

A

abd/add unaffected UE, same motion as the affected UE

37
Q

souque’s phenomenon

A

finger ext when affected arm is passively flexed and 90 deg flexion

38
Q

brunstrom stage 1

A

shock stage, flaccid

39
Q

brunstrom stage 2

A

recovery, min mvmt

40
Q

brunstrom stage 3

A

vol control of in synergy patterns

41
Q

brunstrom stage 4

A

some mvmts combine out of synergy

42
Q

brunstrom stage 5

A

decrease spasticity, different motions out of synergy

43
Q

brunstrom stage 6

A

individual isolated motion

no spasticity with PROM

44
Q

brunstrom stage 7

A

normal movement

45
Q

beaver’s axiom

A

paralyzed for one movement but not another

ex. upper trap

46
Q

intrinsic grasp reflex

A

cant grasp palm

unable to release grasp

47
Q

intrinsic avoiding reflex

A

stroke over palm

allowing you to open hand and hyperextend fingers

48
Q

PNF definition for traction is

A

elongation of a segment in relation to its axis of movemnt

49
Q

PNF definiton for approximation is

A

compression of stretch throughout the movement

50
Q

contract relax passive technique

A

take to end range, contract mm on stretch, post isometric able to PASSIVELY move it to a new range

51
Q

contract relax active technique

A

take to end range contract mm on stretch, post isometric able to ACTIVELY move it to a new range on ITS OWN

52
Q

Chop influences

A

flexion with D1 and D2 flexion

53
Q

Lift influence

A

extension with D1 and D2 extension

54
Q

chop and ________ achieve the same goal

A

reverse lift

55
Q

lift and _________ achieve the same goal

A

reverse chop

56
Q

pelvic pattern of ______ helps with weight bearing

A

depression

57
Q

pelvic pattern of ________ helps with open chain patterns

A

elevation

58
Q

D1 flexion (upper cut)

A

shoulder flexion, add, ER
wrist flexion , radial deviation
finger fleixon

59
Q

D1 extension(throw trash away)

A

shoulder ext, abd, IR
wrist ext, ulnar deviain
finger ext

60
Q

D2 flexion (waiter holding plater)

A

shoulder flexion, abd, ER
wrist ext, radial deviation
finger ext

61
Q

D2 extension (putting sword away)

A

shoulder ext, IR, add
wrist flex, ulnar deviation
finger flex

62
Q

D1 flexion and scapular movemnt

A

anterior elevator

63
Q

D2 flexion and scapular movment

A

posterior elevation

64
Q

D1 extension and scapular movemnt

A

posterior depression

65
Q

D2 extension and scapular movement

A

anterior depression

66
Q

D1 flexion and pelvic motion (crossing your legs)

A

hip flexion, add, ER
ankle df, inversion
toe extension

67
Q

D1 extension

A

hip ext, abd, IR
ankle pf, eversion
toe ext

68
Q

D2 flexion

A

hip flex, abd, IR
ankle df, eversion
toe ext

69
Q

D2 extension

A

hip ext, add, ER
ankle PF, inversion
toes flexion

70
Q

D1 flexion and pelvic movement

A

anterior elevation

71
Q

D1 extension and pelvic movement

A

posterior depression

72
Q

D2 flexion and pelvic movement

A

anterior depression

73
Q

D2 extension and pelvic movment

A

posterior elevation

Neuromuscular (1 decks)

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