Misc Neuro Flashcards
Ashworth Level 0
No increase in tone
Ashworth Level 1
Slight increase at end of ROM
Ashworth Level 1+
Slight increase through less than half ROM
Ashworth Level 2
More marked increase through most of ROM
Ashworth Level 3
Considerable increase in tone, passive movement difficult
Ashworth Level 4
Affected part rigid in flexion or extension
ACA Stroke
ACA supplies anterior 2/3 of medial cortex
Occlusions produce:
Contralateral sensory loss & hemiparesis (leg>arm)
MCA Stroke
MCA supplies lateral cerebral cortex, BG, large amount of internal capsule
Occlusions produce:
Contralateral sensory loss (arm>leg)
Contralateral hemiparesis (arm>leg)
Motor speech dysfunction (Broca’s)
Perceptual dysfunction (parietal sensory associating cortex)
Homonymous hemianopsia (optic radiation, internal capsule)
Loss of conjugate gaze to opposite side (frontal eye fields)
Sensory ataxia (parietal lobe)
VBA sroke
Brainstem signs and posterior cerebral artery signs.
-Locked-in syndrome- (Basilar a occlusion at pons)
Patient unable to move or speak but has full cognitive function
Brunnstrom Stage 1
Initial flaccidity, no voluntary movement
Brunnstrom Stage 2
Emergence of spasticity, hyperreflexia, synergies
Brunnstrom Stage 3
Voluntary movements possible but only in synergies, strong spasticity
Brunnstrom Stage 4
Voluntary control in isolated joint movements emerging, corresponding decline of spasticity and synergies.
Brunnstrom Stage 5
Increasing voluntary control out-of-synergy; coordination deficits present
Brunnstrom Stage 6
Control and coordination near normal
Reflex grade zero
No response (abnormal finding)
Reflex grade 1+
Diminished (may or may not be normal)
Reflex grade 2+
Normal
Reflex grade 3+
Exaggerated (may or may not be normal)
Reflex grade 4+
Hyperactive (abnormal finding)
Positive babinski
Extension and spreading of the toes (flexion is normal)
Biceps tendon reflex nerve root
C5 (and C6)
Bradiorachialis tendon reflex nerve root
C6 (and C5)
Triceps tendon reflex nerve root
C7 (and C6)
