Lecture 1 Flashcards

1
Q

Restorative

A

Acute Injury with a positive prognosis
Neuroplastcity is possible
Goal is to improve physical impairment

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2
Q

Compensatory

A

Chronic Injuries
Progressive disorders
Improvement in acute injuries has plateaued
Promote function by compensating for physical impairment and maintaining abilities

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3
Q

Physical Impairments seen with neurological conditions

A

Sensory changes
Visual disturbances
Muscle weakness
Impaired muscle tone
Edema
Changes in motor control
Decreased AROM
Subluxation
Decreased coordination
Decreased balance
Pain

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4
Q

Edema

A

Excess fluid trapped in the body’s tissues
Often occurs when there is no muscle contraction to pump fluid to heart
Can result in stiffness, limited AROM, and contractures
Can occur in arms, legs, hands and feet

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5
Q

Edema Management

A

Movement
Compression
Positioning
Contrast Baths
Retrograde Massage

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6
Q

Positioning

A

Elevation of limbs as tolerated if possible above the heart

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7
Q

Contrast Baths

A

Rapid change in temperature quickly opens and closes capillaries that cause fluid to go back to the heart

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8
Q

Retrograde Massage

A

Massaging tissues where fluid is being pushed causing Edema to go back to the heart
Starts at distal joints

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9
Q

Compression Garments

A

Used to decrease Edema and tissue volume
Typically used after retrograde massage

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10
Q

Muscle Tone

A

Tension in a relaxed muscle
Resistance felt by examiner during passive stretching of a joint when muscle is at rest

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11
Q

Types of Tone

A

Normal
Low
High

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12
Q

Normal Tone

A

Right amount of tension in muscle at rest
Able to tell muscles to start and stop when you want with appropriate force

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13
Q

Low tone (flaccid)

A

Not enough tension in muscles at rest
Muscle is weak/floppy

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14
Q

High tone

A

Too much tension in muscles at rest
Muscles are tight and stiff making it difficult to move

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15
Q

Interventions for muscle tone

A

Weight bearing
Splinting and slings
Bilateral activities
ROM activities
Medication and clinics

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16
Q

Weight bearing (muscle tone)

A

Person places some or all of their body weight through certain part of their body
Facilitate Tone (flaccid) inhibit tone (spastic)
Can be done by using body positioning
Don’t complete in patient experiences pain or significant Edema

17
Q

Splinting

A

Helps maintain join position

18
Q

Slings

A

Helps with low tone (specifically with painful subluxed shoulder)
If sling is used it has to be paired with strengthening activities

19
Q

Bilateral activities

A

Uses 2 hands to complete a task

20
Q

ROM activities

A

How far you move joints in different directions

21
Q

Medication and Clinics

A

Baclofen/Botox
Spasticity clinics

22
Q

Motor Control

A

Process of initiating, directing, and grading purposeful voluntary movements
Occurs through motor learning

23
Q

Motor Learning

A

Acquisition and modification of movements
Occurs with the interaction of person task and environment

24
Q

Interventions for Neurological Dysfunction to promote Motor Control

A

Constraint Induced Movement Therapy
Functional Muscle Stimulation
Mirror Therapy
Supplementary Treatment programs and strengthening

25
Q

Temperature (sensation)

A

Hold and cold

26
Q

Pain sensation

A

Sharp and dull

27
Q

Light touch

A

Responding to anything that brushes the skin

28
Q

Pressure

A

How hard something is squeezing

29
Q

Localization

A

Distinguishes where something is in touching

30
Q

Proprioception

A

Ability to identify body position and movement

31
Q

Stereognosis

A

Discriminate different objects by size, texture, shape

32
Q

Homonymous Hemianopia

A

Cannot see one side of the visual world