hypertonicity

Question 1

which tract is the inhibitory tract to alpha motor neurons

Answer 1

corticospinal tract

Question 2

Damage to what cause rigidity, where they get “cog wheeling” tremors

Answer 2

basal ganglia

Question 3

spasticity is due to what?

Answer 3

UMN syndrome or corticospinal tract dysfunction

Question 4

how would you test for spasticity

Answer 4

passive range of motion is ALWAYS PATHOLOGIC

Question 5

NON-progressive disorder of posture/motor control; and does NOT have cognitive dysfunction

Answer 5

cerebral palsy

Question 6

what is the most important treatment for cerebral palsy

Answer 6

MOBILITY, physical fitness, and education. keep them moving or they will increase contractures! will make a tremendous difference for later developt

Question 7

syringomyelia

Answer 7

cyst in spinal cord

Question 8

What is the main surgical tx for spasticity

Answer 8

Rhizotomy: cutting sensory/dorsal root breaking up reflex arc

Question 9

how do you indicate if it is a tremor or not

Answer 9

tremors ALWAYS goes away with sleep; otherwise its not a tremor

Question 10

what are the 3 types of tremors

Answer 10

resting, postural, intension

Question 11

which tremor is most associated with basal ganglia dysfunction. tremor is most prominent at rest

Answer 11

resting tremor

Question 12

which tremor is asscoiated with cerbellum dysfunction

Answer 12

intention tremor

Question 13

which tremor kinetic tremor producing scanning movemnt at the end of motion

Answer 13

intention tremor

Question 14

Tx for tremors

Answer 14

deep brain stimulation

Question 15

Gilles Dela TOURETTEs Syndrome

Answer 15

multiple motor tics with AT LEAST ONE vocal/sonic tic

Question 16

which tremor is most related to parkinsons disease

Answer 16

resting tremor

Question 17

which tremor can be associated with ataxia

Answer 17

intention tremor

Question 18

which disorder is snake like involuntary movement between two dystonic posture; constantly moving

Answer 18

Athetosis

Question 19

chorea is due to what? characteristics?

Answer 19

basal ganglia dysunction; involuntary random parts movemnt DANCING, may finish with voluntary movement

Question 20

what movement disorder does huntington disease have?

what is the disease due to?

Answer 20

chorea

Caudate nucleus atrophies; cortical tissue atophies

Question 21

what disorder is caused by lesion in contralateral subthalamic nucleus?

Answer 21

hemi-ballismus

Question 22

violent form of chorea/limbs fling out in space and typically one sided

Answer 22

Hemi-ballismus

Question 23

which disorder has abnormal parkinsoninian movemnt DUE to medication/neuropleptics (dopa-blockade)

Answer 23

tardive dyskinesia

Question 24

which disorder is due to cerebellum damage

Answer 24

ataxia, intention tremor

Question 25

decompositon of voluntary movement: decrease speed, cordination

affects eyes, speech, limbs, trunk

Answer 25

Ataxia

Question 26

which disorder is seen with metabolic/toxic encephalopathies of Hepatic/renal origin

Answer 26

Asterixis

Question 27

which disorder has “negative” myoclonus

Answer 27

Asterixis

Question 28

involuntary jerks of muscle groups disorder associated with epilepsy, degenerative disorder of cortical tissue OR subcortical/peripheral/ spinal cord causing hemifacial spasm?

Answer 28

Myoclonus

Question 29

restless legs; when is it worse? what is it due to?

Answer 29

uncomfortable urge to move legs; WORSE at rest. associated with sleep disorder and iron deficiency

Question 30

movement disorder due to psychiatric probs/making things up in head

Answer 30

psychogenic

Question 31

basal ganglia dysfunction. tremor in distal limbs (head neck lips tongue). worse with stress/fatigue/ and gets better with rest

Answer 31

postural tremor

Question 32

abnormal posturing could be generalize/segmental/task specific

tx

Answer 32

dystonia

ie writers dystonia, cervical dystonica,

tx: L DOPA and botox (best tx)