Lecture 7 - The acute neurological patient

Question 1

Guidelines for neuro intervention: what is the intervention for weakness

Answer 1

elicit muscle activity
strength training
graded mobilization
E-stim

Question 2

Guidelines for neuro intervention: Intervention for loss of coordination

Answer 2

coordination training - task related training

Question 3

Guidelines for neuro intervention: Intervention for Spasticity

Answer 3

eliminate inappropriate muscle force
train muscle activity
prevent contracture

Question 4

Guidelines for neuro intervention: interventions for MSK impairments

Answer 4

passive posititioning 
loading bone and cartilage 
e-stim
frequent position changes 
active stretching

Question 5

Guidelines for neuro intervention: activity: Intervention for bed mobility, SOOB, reaching, holding/manipulating objects, standing up, walking, stairs

Answer 5

graded mobilization

increase amount and intensity

Question 6

what are the health conditions you will see on the acute neuro ward

10

Answer 6

PD
MS
MND
GBS
Spinal Surgery
Spinal Fracture
Spinal cord injury 
Brain hemorrhage 
cerebral tumours
hydrocephalus

Question 7

How do you manage a patient who has been admitted with GBS

Answer 7

Monitor vital capacity and respiratory rate

Question 8

What are some contraindications/precautions to managing GBS

Answer 8

plasmapheresis: patient will be exhausted
neuropathic pain: excruciating pain to a light touch
low BP

Question 9

What are the 3 types of decompression surgery

Answer 9

discectomy
laminectomy
laminoplasty

Question 10

After an anterior cervical spine surgery, what should the physio look for?

Answer 10

signs of dysphagia - pocketing food, drooling, cough/sneeze

signs of dysarthria - horse, quiet, slurred