Lab Final Flashcards
how is eye movement occulomobility affected with Parkinson’s
unaffected
how is eye movement occulomobility affected with DPN
unaffected
how is eye movement occulomobility affected with nerve root compression of right L4
unaffected
how is eye movement occulomobility affected with brown sequard
unaffected
how is eye movement occulomobility affected with friedreich’s ataxia
unaffected
how is eye movement occulomobility affected with cerebellar lesion
impaired: nystagmus
how is eye movement occulomobility affected with carpal tunnel
unaffected
how is eye movement occulomobility affected with Bell’s palsy
unaffected
how are the CN 1-12 affected with PD
unaffected
how are the CN 1-12 affected with DPN
mostly unaffected, may be diminished
how are the CN 1-12 affected with nerve root compression on right L4
unaffected
how are the CN 1-12 affected with brown sequard
unaffected
how are the CN 1-12 affected with freidreich’s ataxia
unaffected
how are the CN 1-12 affected with cerebellar lesion
unaffected
how are the CN 1-12 affected with carpal tunnel
unaffected
how are the CN 1-12 affected with bell’s palsy
affects cranial nerve 7
how are DTRs affected with PD
increased
how are DTRs affected with DPN
diminished at achilles
how are DTRs affected with nerve root compression on the right L4
patella and achilles are diminished ipsilaterally
biceps, brachioradialis and triceps are in tact
how are DTRs affected with brown sequard
increased ipsilaterally
how are DTRs affected with freidrich’s ataxia
absent at patella and achilles
how are DTRs affected with cerebellar lesion
hyperreflexive on ipsilateral side
how are DTRs affected with carpal tunnel
unaffected
how are DTRs affected with bell’s palsy
unaffected
is babinski reflex present with PD
present
is babinski reflex present with DPN
negative
is babinski reflex present with nerve root compression on right L4
negative
is babinski reflex present with brown sequard
present
is babinski reflex present with freidrich’s ataxia
present
is babinski reflex present with cerebellar lesion
present ipsilaterally
is babinski reflex present with carpal tunnel
negative
is babinski reflex present with bells palsy
unaffected
is clonus present with PD
present
is clonus present with DPN
no
is clonus present with nerve root compression of right L4
no
is clonus present with brown sequard
yes ipsilaterally
is clonus present with freidrich’s ataxia
yes
is clonus present with cerebellar leseion
yes
is clonus present with carpal tunnel
no
is clonus present with bell’s palsy
no
how does UE light touch sensation present with PD
unaffected
how does UE light touch sensation present with DPN
stocking glove distribution (C7 and C8)
how does UE light touch sensation present with nerve root compression right L4
unaffected
how does UE light touch sensation present with brown sequard
impaired ipsilaterally
how does UE light touch sensation present with freidrich’s ataxia
unaffected
how does UE light touch sensation present with cerebellar lesion
unaffeected
how does UE light touch sensation present with carpal tunnel
may have tingling at median nerve distribution
2 point discrimination difficulty (2.6 and below wont feel), stereognosis is difficult
how does UE light touch sensation present with bell’s palsy
unaffected
how does LE light touch sensation present with PD
unaffected
how does LE light touch sensation present with DPN
stocking glove- L5, S1, S2 impaired
how does LE light touch sensation present with nerve root compression at right L4
impaired over L4 dermatome
how does LE light touch sensation present with brown sequard
impaired ipsilaterally
how does LE light touch sensation present with freidrich’s ataxia
possibly impaired if peripheral neuropathy present
how does LE light touch sensation present with cerebellar lesion
unaffected
how does LE light touch sensation present with carpal tunnel
unaffected
how does LE light touch sensation present with bell’s palsy
unaffected
how does UE and LE sharp/ dull sensation present with PD
unaffected
how does UE and LE sharp/ dull sensation present with DPN
stocking glove neuropathy
how does UE and LE sharp/ dull sensation present with nerve root compression right L4
UE is unaffected
LE is impaired over L4 dermatome
how does UE and LE sharp/ dull sensation present with brown sequard
impaired contralaterally
how does UE and LE sharp/ dull sensation present with freidrich’s ataxia
unaffected at UE
LE impaired
how does UE and LE sharp/ dull sensation present with cerebellar lesion
unaffected
how does UE and LE sharp/ dull sensation present with carpal tunnel
impaired at median nerve distribution of UE
how does UE and LE sharp/ dull sensation present with bell’s palsy
unaffected
how does vibration processing present with PD
unaffected
how does vibration present with DPN
possibly diminished
how does vibration with nerve root compression at right L4
UE is unaffected
LE is affected
how does vibration with brown sequard
impaired ipsilaterally
how does vibration with freidrich’s ataxia
impaired at feet
how does vibration with cerebellar lesion
unaffected
how does vibration with carpal tunnel
only impaired at median nerve distribution
how does vibration with Bell’s palsy
unaffected
how is joint proprioception affected with PD
unaffected
how is joint proprioception affected with DPN
unable to tell if flexion/extension is occuring
how is joint proprioception affected with nerve root compression on right L4
unaffected
how is joint proprioception affected with brown sequard
impaired ipsilaterally
how is joint proprioception affected with freidrich’s ataxia
impaired
how is joint proprioception affected with cerebellar lesion
impaired ipsilaterally
how is joint proprioception affected with carpal tunnel
2nd and 3rd PIP and DIP may be positive test
how is joint proprioception affected with bell’s palsy
unaffected
how is joint position (kinesthesia) affected with PD
unaffected
how is joint position (kinesthesia) affected with DPN
impaired at toes ankles and hands
how is joint position (kinesthesia) affected with nerve root compression at right L4
unaffected
how is joint position (kinesthesia) affected with brown sequard
impaired ipsilaterally
how is joint position (kinesthesia) affected with freidrich’s ataxia
impaired
how is joint position (kinesthesia) affected with cerebellar lesion
impaired ipsilaterally
how is joint position (kinesthesia) affected with carpal tunnel
middle finger may be affected and positive at 2nd and 3rd DIP and PIP
how is joint position (kinesthesia) affected with bell’s palsy
unaffected
how is smooth accuracy (finger to nose) affected with PD
unaffected
how is smooth accuracy (finger to nose) affected with DPN
normal
how is smooth accuracy (finger to nose) affected with nerve root compression at right L4
unaffected
how is smooth accuracy (finger to nose) affected with brown sequard
impaired ipsilaterally
how is smooth accuracy (finger to nose) affected with freidrich’s ataxia
uncoordinated
how is smooth accuracy (finger to nose) affected with cerebellar lesion
uncoordinated (dysmetria)
how is smooth accuracy (finger to nose) affected with carpal tunnel
unaffected
how is smooth accuracy (finger to nose) affected with bell’s palsy
unaffected
how is smooth accuracy (heel to shin) affected with PD
unaffected
how is smooth accuracy (heel to shin) affected with DPN
impaired
how is smooth accuracy (heel to shin) affected with nerve root compression right L4
impaired
how is smooth accuracy (heel to shin) affected with brown sequard
impaired ipsilaterally
how is smooth accuracy (heel to shin) affected with freidrich’s ataxia
impaired (better with eyes open)
how is smooth accuracy (heel to shin) affected with cerebellar lesion
uncoordinated ipsilaterally- moves side to side
how is smooth accuracy (heel to shin) affected with carpal tunnel
unaffected
how is smooth accuracy (heel to shin) affected with bell’s palsy
unaffected
how is rapid alternating movement (supination and pronation and toe tapping) affected with PD
impaired and not in sync eyes open and closed
how is rapid alternating movement (supination and pronation and toe tapping) affected with DPN
impaired
how is rapid alternating movement (supination and pronation and toe tapping) affected with nerve root compression at right L4
toe tapping would be affected and supination/pronation would be unaffecteed
how is rapid alternating movement (supination and pronation and toe tapping) affected with brown sequard
impaired ipsilaterally
how is rapid alternating movement (supination and pronation and toe tapping) affected with freidrich’s ataxia
supination/pronation would be slower and toe tapping would be impaired
how is rapid alternating movement (supination and pronation and toe tapping) affected with cerebellar lesion
uncoordinated ipsilaterally - dysdiadochokinesia and overshooting
how is rapid alternating movement (supination and pronation and toe tapping) affected with carpal tunnel
unaffected
how is rapid alternating movement (supination and pronation and toe tapping) affected with bell’s palsy
unaffected
how is static balance affected with PD
affected with eyes open and closed
how is static balance affected with DPN
impaired
how is static balance affected with nerve root compression at right L4
impaired
how is static balance affected with brown sequard
impaired
how is static balance affected with freidrich’s ataxia
impaired and worse with eyes closed
how is static balance affected with cerebellar lesion
impaired with eyes open and closed
how is static balance affected with carpal tunnel
unaffected
how is static balance affected with Bell’s palsy
unaffected
how is dynamic balance affected with PD
impaired- shuffling
how is dynamic balance affected with DPN
impaired
how is dynamic balance affected with nerve root compression at right L4
impaired
how is dynamic balance affected with brown sequard
impaired
how is dynamic balance affected with freidrich’s ataxia
impaired
how is dynamic balance affected with cerebellar lesion
impaired
how is dynamic balance affected with carpal tunneel
unaffected
how is dynamic balance affected with bell’s palsy
unaffecteed
how is gait assessment affected with PD
impaired- shuffling, falling forward
how is gait assessment affected with DPN
impaired
how is gait assessment affected with nerve root compression at right L4
impaired
how is gait assessment affected with brown sequard
impaired
how is gait assessment affected with freidrich’s ataxia
general clumsiness
how is gait assessment affected with cerebellar lesion
uncoordinated
how is gait assessment affected with carpal tunnel
unimpaired
how is gait assessment affected with bell’s palsy
unaffected
how is VOR affected with PD
impaired- delayed/ slow to follow
how is VOR affected with DPN
unaffected
how is VOR affected with nerve root compression at right L4
unaffected
how is VOR affected with brown sequard
unaffected
how is VOR affected with freidrich’s ataxia
impaired
how is VOR affected with cerebellar lesion
impaired- inability to maintain gaze and poor coordination of eye movements
how is VOR affected with carpal tunnel
unaffected
how is VOR affected with bell’s palsy
unaffected
