HSP article (On Final Only) Flashcards

1
Q

What two things can help diagnose HSP?

A

PT history + instrumented gait analysis (cannot always be confirmed by genetic testing)

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2
Q

What is HSP?

A

HSP is a degeneration of the corticospinal tract and (to a lesser extent) dorsal column fibers characterized by progressive muscle weakness, increased tone, and spasticity of the lower extremities resulting in the predominant clinical feature of gait disturbance

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3
Q

What is the critical issue of misdiagnosing someone with HSP as having CP

A

lack or referral to genetic specialist

those with HSP need to see genetic specialist

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4
Q

Is there a difference between HSP and CP in lower body Instrumented gait analysis

A

no

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5
Q

What have they found to be the main difference between HSP and CP in the IGA? (MOST IMPORTANT THING FROM THE ARTICLE PLS MEMORIZE THIS)

A

Upper body movement:

an atypically large excursion of lateral trunk flexion (typically bilaterally)

cervical translation (cervical retraction/protraction) which is movement of the chin in a forward and backward direction

Note: this is not diagnostic but rather indicates further testing needed if you see these

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6
Q

T or F: in the dr.bickleys study the majority of clinicians were confident in the ability to distinguish CP from HSP

A

F, 95% said no or unsure

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