Exam #2 Flashcards

1
Q

Goals for acute spinal cord intervention?

A
  • Prevent contractures
  • Improve muscle strength and respritory function
  • Assisted cough
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2
Q

Early treatment activities with SCI?

A
  • Teach rolling to prevent pressure sores

- Long sitting push ups

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3
Q

intermediated treatment interventions for SCI?

A
  • Transfers from W/C to floor

- W/C skills

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4
Q

What is parkinsons?

A

PD is a pregressive neurodegenerative disease which involves loss of cells on the substantia nigra

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5
Q

What does the substantia nigra do?

A

It is responcible for producing dopamine to control movement

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6
Q

What is dystonia? and who is it ore common in?

A

-It is involuntary muscles contractions

more frequent in younger people

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7
Q

How is parkinsons classified?

A

It is often classified as an extrapyramidal disorder (something that happens at the medulla oblongata)

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8
Q

What are 4 basic signs for parkinsons?

A
  • Tremors
  • Rigidity
  • Mask like face
  • Pill rolling with fingers
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9
Q

What are 5 potential causes for parkinsons?

A
  • Idopathic
  • Toxic exposure
  • Arteriosclerosis
  • Trauma
  • Drug induced
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10
Q

What are some signs of Shy-Drager syndrome?

A

Frequent urination incontinence

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11
Q

PT treatment considerations for parkensons?

A
  • Extension of the trunk
  • Trunk rotation
  • weight shifting
  • hand dexterity
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12
Q

What are some activitites to do with someone with parkinsons?

A
  • Sit to stand from chair
  • Figure 8’s around chairs
  • Obstacle courses
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13
Q

What is multiple sclerosis?

A

A demyelinating desease of the central nervous system

-Scar like plaques form on the basal ganglia, optic nerve , mid brain

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14
Q

What is the measurement extreams for the progression of parkesons? (0-10)

A

0: normal neurologlical exam
10: death due to MS, respiratory paraysis

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15
Q

What is the most common type of MS?

A

RRMS: relapsing remitting MS

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16
Q

What is RRMS?

A
  • 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
17
Q

What is the most common symptom of ms?

A
  • Sensory impairment
  • paresthesia
  • Optic neurtis
18
Q

What are the two types of progressive MS?

A
  • Primary-progressive MS (PPMS)

- Secondary progressive MS (SPMS)

19
Q

What type of MS affects men ad woman equally?

A

PPMS

20
Q

is PPMS the worst?

A

YES, Continuous worsening of MS from the beginning with no relapse

21
Q

how does SPMS differ from the others?

A

The disease will progress with or without relapsing

-Usually do not full recover from relapses

22
Q

How is MS diagnoses?

A
  • 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
23
Q

epidemiology of MS?

A
  • Onset is between 20-50 years old
  • 3:2 females to males
  • Geographic latitude
24
Q

What are some common places in the world where MS is more common?

A
  • Canada
  • Northern usa
  • Europe
  • South Africa
25
Q

What is the initial symptom of MS?

A

Blurred or double vision

-Blindness

26
Q

What are some symptoms of MS?

A
  • Numbness
  • Muscle weakness
  • coordination problems
  • speech impairments
  • tremor
  • spasticity in legs
27
Q

What are some symptoms of MS?

A
  • Clonus
  • Bowel and bladder problems
  • Visual problems
  • cognative changes
  • Short term memory loss
28
Q

High frequency zones for MS are?

A
  • Europe
  • Canada
  • Northern USA
  • New Zealand
29
Q

What are some low frequency zones for MS?

A
  • Asia
  • Africa
  • South America
30
Q

Where is the highest prevalence of MS?

A

In Canada

31
Q

How to manage MS?

A

-Graded exercises
-Heat and cold
-ROM
-Sensory feed back
-