Exam 2 Flashcards
Which test measures a patient’s level of consciousness?
Glasglow Coma Scale
What are the 3 Categories of the Glasglow Coma Scale?
-Eyes
-Verbal
-Motor
What scores are indicative of Normal functioning each category of the Glasglow Coma Scale?
-Eyes: 4
-Verbal: 5
-Motor: 6
Definition: Responds immediately to minimal stimuli and is aware of environment
Alert
Definition: State of severe drowsiness
Lethargic
Definition: Displays indifference to external stimuli
Obtunded
Definition: Deep sleep; aroused only with vigorous stimulation
Stuppor
Definition: No verbal or voluntary response with vigorous stimulation
Coma
Definition: Awareness of stimulation without distraction from other stimulation
Attention
Definition: Awareness of time, place, person
Orientation
Definition: Overall management of emotions
Affect
What is Amnesia
The loss of Memory
What is Retrograde Amnesia?
Inability to recall events leading up to the brain injury
What is Post-traumatic Amnesia?
Inability to recall events in between brain injury and regaining consciousness
Which test measure Level of Cognitive Functioning?
The Ranchos Los Amigos Cognitive Scale
How many levels are included in the Ranchos Los Amigos Cognitive Scale?
10
Which Ranchos Los Amigos Cognitive Scale levels correspond with low, medium, and high cognition?
-Low (1-3)
-Medium (4-6)
-High (7 and up)
What are the 5 Aspects of Language and in which order do they occur?
-Comprehension
-Repetition of speech
-Naming
-Reading
-Writing
What are Cranial Nerve Tests used for?
To help provide the location of a dysfunction
Are pain, touch, and temperature primary or secondary sensations?
Primary
What is the Absence of Pain?
Analgesia
What is the Absence of Touch Sensation?
Anesthesia
What is the term for Abnormal Touch Sensation
Parasthesia
Are vibration, kinesthesia, and proprioception primary or secondary senses?
Primary
Are stereognosis, tactile localization, 2-point discrimination, graphesthesia, and barognosis primary or secondary sensations?
Secondary
Definition: Knowing what you are touching with your eyes clothes
Steriognosis
Definition: The inability to recognize objects by touch
Asteriognosis
Definition: Knowing where on your body you are being touched and how much of your body is being touched
Tactile Localization
Definition: Being able to distinguish being touched with one point or simultaneously with two points
2-point Discrimination
Definition: Knowing what is being drawn on your skin without looking
Graphesthesia
Definition: Knowing which object is heavier than the other without looking
Barognosis
Definition: A subjective opinion of own body
Body Image
Definition: knowledge of own body
Body Concept
Definition: perception of sensory input from body
Body Schema
Definition: Loss of perception of sensory input from a part of the body
Sensory Neglect
Which part of the brain controls Coordination
The Cerebellum
What is Intralimb coordination?
Coordinating movement with one limb
What is Interlimb coordination?
Integrated performance between 2 or more limbs
What is Dysdiadokinesis?
Rapid, alternating movements between agonist and antagonist
What is Dysmetria?
Difficulty with endpoint accuracy (finger to nose or finger to finger test)
What is Ataxia?
Difficulty coordinating movement/ Difficulty starting and stopping
What is the Rebound Phenomenon
This happens when a person is attempting to move a limb against resistance and the resistance is suddenly taken away, the limb will keep going in the direction of movement for a short time then rebound (jerk back in the opposite direction)
What is Nystagmus
Rapid, alternating eye movement after spinning
Definition: Degree of residual contraction in innervated muscle
Muscle Tone
What is Spasticity?
Hypertonia which specifically affects flexors or extensors
What is Rigidity?
Hypertonia of all the muscles
Which test measures how much hypertonia a patient has based on their ability to move through a ROM
Ashworth Scale
What is Sustained Clonus?
Continuous beating of contraction after a muscle is quickly stretched
What is Un-sustained Clonus?
After a muscle is quickly stretched, it will then perform a few beating contractions, then stop
Which tests measures the amount of tone a person has with reflexes?
Deep Tendon Reflex Test
What are the grades used in the Deep Tendon Reflex Test and what does each grade mean?
0 Absent, no response
1+ Low normal, diminished
2+ Normal
3+ Brisker or mor reflexive than normal
4+ Very brisk, hyperreflexive, with clonus
5+ Sustained Clonus
What is Flaccidity?
Absence of tone response (when a patient’s arm is limp when being passively moved)
What are Fasciculations?
Muscle twitches
What is Dystonia?
A disorder causing muscles to contract involuntarily.
Definition: The cooperative action of muscles working together
Synergies
What are the Brunnstrom Stages of Recovery?
7 recognized stages of Stroke recovery
What is Plegia?
Complete paralysis
What is Paresis?
Weakness from an incomplete lesion
What is Apraxia?
Difficulty with motor planning?
What is Ideational Apraxia?
Patient is unable to conceptualize what movement they’d like to perform
What is Ideomotor Apraxia?
Patient is unable to comprehend a command to perform a movement
What is the Romberg test?
Testing balance with eyes open and closed
Which outcome measure assesses Sitting and Standing Balance and also assesses fall risk/ambulation potential
Berg Balance Scale
Which outcome measure assesses walking balance?
Functional Gait Analysis
Which outcome measure assesses walking speed?
10 Meter Walk Test
Which outcome measure assesses Walking Distance?
6 Minute Walk Test
Which outcome measure assesses Transfer Ability?
5 Times Sit to Stand (5TSTS)
Which outcome measure assesses Balance Confidence?
Activity-Specific Balance Confidence Scale
Definition: Neuro deficits lasting less than 24 hrs/ AKA mini strokes with no lasting effects
Transient Ischemic Attack (TIA)
Definition: Neuro deficits lasting >24 hrs with minimal deficits
Reversable Ischemic Neuro Deficit (RIND)
Definition: Syndrome with onset of neuro deficits involving a specific area of the brain ranging from mild to fatal
Stroke
What are the 2 types of Strokes and what makes them different?
-Ischemic: Cut off of blood supply to a specific area of the brain (most commonly from atherosclerosis)
-Hemorrhagic: Pressure on neural tissue due to brain bleed (typically occurs in the younger population)