master neuro class Flashcards
titubation symptom - located where
cerebellum lesion
involuntary head nod
modified ashworth scale - 0
no increase in tone
modified ashworth scale - 1
slight increasse in mm tone manifested by a catch and release or minamal resistance at the end of the ROM when the affected part(s) is moved into flexion or extension
modified ashworth scale - 1+
slight increase in mm tone, manifested by a catch followed by minimal resistance throughout the remainder (less than half) of the ROM
no release
modified ashworth scale - 2
more marked increase in mm tone through most of the ROM, but affected part(s) easily moved
modified ashworth scale - 3
considerable increase in mm tone, PROM difficult
modified ashworth scale - 4
affected parts rigid in flexion or extension
how are the reflexes in a basal ganglia impairment/lesion
normal
how are the reflexes in a cerebellum impairment/lesion
normal or decreased
how is sensation in a basal ganglia impairment/lesion
normal
how is sensation in a cerebellum impairment/lesion
normal
gloscow coma scale: spontaneous eye opening score
4
gloscow coma scale: to sound eye opening score
3
gloscow coma scale: to pain eye opening score
2
gloscow coma scale: never eye opening score
1
gloscow coma scale: motor response - obeys command score
6
gloscow coma scale: motor response - localizes pain score
5
gloscow coma scale: motor response - normal flexion score
4
gloscow coma scale: motor response - abnormal flexion score
3
gloscow coma scale: motor response - extension score
2
gloscow coma scale: motor response - none score
1
gloscow coma scale: verbal response - oriented score
5
gloscow coma scale: verbal response - confused conversation score
4
gloscow coma scale: verbal response - inapproprate words score
3
gloscow coma scale: verbal response - incomprehensible sounds score
2
gloscow coma scale: verbal response - none score
1
gloscow coma scale:
mild
mod
severe
mild: 13-15
mod: 9-12
severe: <9
how can you differentiate bells palsy vs CVA
bells palsy affects entire half of face
CVA affects bottom half of face
explain GBS
G: glove and stocking
B: bilateral
S: symmetrical
abnormal sensation
low reflex
LMN
LE>UE
distal to proximal
what unique signs/symtoms does MS have
lhermittes: painful c/s flex (hair is messy)
Uthoff: heat intolerance (u hot)
charcoits triad: “SIN” scanning speech, intention tremor, nystagmus
optic neuritis: CN 5
marcus gunn pupil
what direction of mm weakness do DMD patients experience
proximal to distal
which way does someone with pushers sydnrome push
pushes to weaker side
what lesion in the brain causes pushers syndrome
thalamus syndrome
what lesion causes unilateral neglect
R parietal lobe
propsopagnosia
visual agnosia, difficulty naming familiar people
caused from occipital lobe - PCA lesion
anosognosia
denial of disease
lack of awareness or denial of paretic extremity
a- NO- sognsia
what lesion causes anosognosia
R parietal
somatoagnosia
impaired body schema, lack of awarenss of body structure and the relationship of body parts to oneself or to others
in order words, difficulty following instructions that require distinguishing body parts an may be unable to imitate movements of the therapist
AICA
lateral portion
- pons
- ataxia
- lateral STT: pain and temp on opp side
- CN 5,7,8 (CN 6 is medial)
CE MI PONS MEDU
PICA
lateral portion
- medulla
- ataxia
- lateral STT: pain and temp on opp side
- CN 9,10,11 (12 is medial)
what level of injury can patients use tenodesis
c6
ramp width
36 in
ramp landings
30in
door width
32 in
BBS fall risk cut off
less than 45/56
tinneti balance and gait assessment cut off
<19 high fall risk
19-23 mod
>= 24 low fall risk
DGI cut off
<= 19/24
FGI cut off
<=22/30
TUG cut offs
healthy adults - 9 sec or less
frail elderly/disability - 11-20 sec
impaired functional mobility/high risk: >30
