Exam #2 Flashcards
Goals for acute spinal cord intervention?
- Prevent contractures
- Improve muscle strength and respritory function
- Assisted cough
Early treatment activities with SCI?
- Teach rolling to prevent pressure sores
- Long sitting push ups
intermediated treatment interventions for SCI?
- Transfers from W/C to floor
- W/C skills
What is parkinsons?
PD is a pregressive neurodegenerative disease which involves loss of cells on the substantia nigra
What does the substantia nigra do?
It is responcible for producing dopamine to control movement
What is dystonia? and who is it ore common in?
-It is involuntary muscles contractions
more frequent in younger people
How is parkinsons classified?
It is often classified as an extrapyramidal disorder (something that happens at the medulla oblongata)
What are 4 basic signs for parkinsons?
- Tremors
- Rigidity
- Mask like face
- Pill rolling with fingers
What are 5 potential causes for parkinsons?
- Idopathic
- Toxic exposure
- Arteriosclerosis
- Trauma
- Drug induced
What are some signs of Shy-Drager syndrome?
Frequent urination incontinence
PT treatment considerations for parkensons?
- Extension of the trunk
- Trunk rotation
- weight shifting
- hand dexterity
What are some activitites to do with someone with parkinsons?
- Sit to stand from chair
- Figure 8’s around chairs
- Obstacle courses
What is multiple sclerosis?
A demyelinating desease of the central nervous system
-Scar like plaques form on the basal ganglia, optic nerve , mid brain
What is the measurement extreams for the progression of parkesons? (0-10)
0: normal neurologlical exam
10: death due to MS, respiratory paraysis
What is the most common type of MS?
RRMS: relapsing remitting MS
What is RRMS?
- 1 or 2 flare ups up to 3 years followed by periods of remission
- Periodic attacks that last a few weeks and then gradually disappear
What is the most common symptom of ms?
- Sensory impairment
- paresthesia
- Optic neurtis
What are the two types of progressive MS?
- Primary-progressive MS (PPMS)
- Secondary progressive MS (SPMS)
What type of MS affects men ad woman equally?
PPMS
is PPMS the worst?
YES, Continuous worsening of MS from the beginning with no relapse
how does SPMS differ from the others?
The disease will progress with or without relapsing
-Usually do not full recover from relapses
How is MS diagnoses?
- A patient must experience 2 separate attacks at least one month apart
- Must have detectable damage to the myelin of the CNS, must occur more than once
epidemiology of MS?
- Onset is between 20-50 years old
- 3:2 females to males
- Geographic latitude
What are some common places in the world where MS is more common?
- Canada
- Northern usa
- Europe
- South Africa
What is the initial symptom of MS?
Blurred or double vision
-Blindness
What are some symptoms of MS?
- Numbness
- Muscle weakness
- coordination problems
- speech impairments
- tremor
- spasticity in legs
What are some symptoms of MS?
- Clonus
- Bowel and bladder problems
- Visual problems
- cognative changes
- Short term memory loss
High frequency zones for MS are?
- Europe
- Canada
- Northern USA
- New Zealand
What are some low frequency zones for MS?
- Asia
- Africa
- South America
Where is the highest prevalence of MS?
In Canada
How to manage MS?
-Graded exercises
-Heat and cold
-ROM
-Sensory feed back
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