Exam 1 Flashcards by margaret bender

what is a primary impairment?

direct result of pathology

ex. sensory deficit d/t CVA

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what is a secondary impairment?

happens b/c of primary impairment

ex. contracture, pressure ulcer

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modified ashworth scale 0

no increase in spasticity

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modified ashworth scale 1

slight increase in spasticity

catch and release

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modified ashworth scale 2

slight increase from 1

moderate to minimal resistance

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modified ashworth scale 3

marked increase in spasticity

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modified ashworth scale 4

prom is difficult to achieve

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modified ashworth scale 5

affected limb has become rigid q

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what is stereogensis

cant recognize object in hand

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what is graphesthesia

traced figure identification in hand

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wernicke’s aphasia is?

fluent, receptive, make needs known

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broca ‘s aphasia is?

non fluent, expressive words dont come out right

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dysarthria is?

uncoordinated speech

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dysphagia is?

trouble swallowing

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dysmeteria is?

inability to judge distances properly

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dysnynergia is?

lack of coordination of synergistic mm

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causes for CVA?

vascular, space occupying lesion, infection

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R CVA

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

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L CVA

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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UE flexion synergy

shldr girdle- elevate &amp; retract 
GH- abd, ER, ext
forearm- supinate 
elbow- FLEX
wrist- FLEX
finger- flex

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LE flexion synergy

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

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UE extension synergy

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

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LE extension synergy

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

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hemiplegic synergy patterns definition is?

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

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typical UE hemiplegic positions

``` shoulder add (ext) elbow flexion (flex) forearm pronation (ext) wrist flexion (flex) ```

STNR (wolf) symmetric tonic neck reflex neck flexion

UE flexion | LE extension

STNR (wolf) symmetric tonic neck reflex neck extension

UE extension | LE flexion

ATNR (fencer) | asymmetric tonic neck reflex

flexion of skull limbs | extension of jaw limbs

STLR symmetric tonic labyrinthine reflex supine

how head moves in space. | max ext b/c on ext side

STLR symmetric tonic labyrinthine prone

how head moves in space | min ext b/c on flexion side

ATLR asymmetric tonic reflex ceiling side

flexion

ATLR asymmetric tonic reflex floor side

extension

tonic lumbar reflex- serving tennis | side away

ext UE | flexion LE

tonic lumbar reflex- serving tennis | side toward

flexion UE | extension LE

Marie Foix Reflex

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

raimistes phenomenon

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

souque's phenomenon

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

brunstrom stage 1

shock stage, flaccid

brunstrom stage 2

recovery, min mvmt

brunstrom stage 3

vol control of in synergy patterns

brunstrom stage 4

some mvmts combine out of synergy

brunstrom stage 5

decrease spasticity, different motions out of synergy

brunstrom stage 6

individual isolated motion | no spasticity with PROM

brunstrom stage 7

normal movement

beaver's axiom

paralyzed for one movement but not another | ex. upper trap

intrinsic grasp reflex

cant grasp palm | unable to release grasp

intrinsic avoiding reflex

stroke over palm | allowing you to open hand and hyperextend fingers

PNF definition for traction is

elongation of a segment in relation to its axis of movemnt

PNF definiton for approximation is

compression of stretch throughout the movement

contract relax passive technique

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

contract relax active technique

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

Chop influences

flexion with D1 and D2 flexion

Lift influence

extension with D1 and D2 extension

chop and ________ achieve the same goal

reverse lift

lift and _________ achieve the same goal

reverse chop

pelvic pattern of ______ helps with weight bearing

depression

pelvic pattern of ________ helps with open chain patterns

elevation

D1 flexion (upper cut)

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

D1 extension(throw trash away)

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

D2 flexion (waiter holding plater)

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

D2 extension (putting sword away)

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

D1 flexion and scapular movemnt

anterior elevator

D2 flexion and scapular movment

posterior elevation

D1 extension and scapular movemnt

posterior depression

D2 extension and scapular movement

anterior depression

D1 flexion and pelvic motion (crossing your legs)

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

D1 extension

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

D2 flexion

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

D2 extension

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

D1 flexion and pelvic movement

anterior elevation

D1 extension and pelvic movement

posterior depression

D2 flexion and pelvic movement

anterior depression

D2 extension and pelvic movment

posterior elevation