Impairments and anatomy lecture Flashcards
Medical diagnosis. what it means?
Relates directly to the damaged structure or pathological process
Medical diagnosis. how is it used?
ICD-10 Coding:
Codes for diagnoses
Must correlate with billing codes or payment compromised
Physical Therapy Diagnosis
It is hypothesis driven. How it is composed is what is the thing we are treating
What is the point of impairments?
Confirm diagnosis
Monitor treatment progress or disease progression
Form hypotheses of functional limitation
Why do we need a Functional Limitation
Forms PT diagnosis
Creates measurable goals
Upper motor neuron tracts
deliver signals to spinal interneurons and lower motor neurons
Lower motor neurons
transmit signals directly to skeletal muscles, eliciting the contraction of muscle fibers
What is Reflex Testing?
Differentiates Upper vs Lower Motor neuron involvement
Descending Motor tracts vs. spinal level response
Phasic stretch reflex
Quick stretch Activates muscle spindles Type Ia signaling Alpha motor neuron stimulated Appropriate response by muscl
Relationship between reflexive and voluntary movements
Voluntary movement is influenced by reflexes
Appropriate levels of the CNS interact to produce context-dependent movement.
Babinski reflex
occurs after the sole of the foot has been firmly stroked. The big toe then moves upward or toward the top surface of the foot. The other toes fan out
Lateral Corticospinal Tract
motor tract. Axons pass through internal capsule
and crosses in medulla.
Babinski Response
Can stimulate activation of step without higher level input
Modulate motor activity
DRG, Interneurons & LMN synapse are intact
No inhibition from UMN