Module 1: Neurological Bases Flashcards

1
Q

Disorders of the Brain and Impact on Cog:
developmental: specific?
-
-syndrome
.. conditions such as ?

Acquired Neurological: examples include

Progressive (also ?)
examples include

A

specific language impairment. ASD, ADHD, genetic and congenital conditions - down syndrome, fragile X

TBI, CVA, brain tumor, infectious diseases (meningitis and epilepsy)

also degenerative - cerebral palsy, PD, ALS

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2
Q

Etiologies can occur at any?
some disorders may impact ?
examples:

levels of severity can correlate to the level of ?

as SLPs we are responsible for the? that can manifest from?

A

level of CNS, including neural level

multiple levels of the CNS
-Alzheimers, CVA, autism

damage to the CNS/PNS

mngmt of comm and cog disorders that manifest from breakdown to CNS/PNS

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3
Q

ADHD, Intellectual disabilities, Specific learning disorder, autism =… rather than

A

abnormal development/ damage

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4
Q

Examples for progressive/degenerative:
multiple sclerosis: … disorder affecting ? which can result in ?

myasthenia Gravis: .. affects the receptors in the membrane of the ? Cranial nerves involvement affects:

parkinsons - deterioration of ?

Alzheimers: breakdown of ? causes… to tangle. Microglia and astrocytes are damaged by ? which affects ? results in deterioration of ? and enlarged ?

A

demyelinating disorder/ CNS/ numbness, tremor, weakness, spasms, loss of balance, vision changes, hearing loss

acetylcholine/ post synaptic neurones/. facial muscles, choking, and dropped jaw

basal ganglia and substantia nigra

tau proteins/ microtubules / amyloid beta plaques/ dendrite branching and synapses/ hippocampus and enlarged ventricles with progression into cortex

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5
Q

Examples of acquired disorders:
CVA: BLEEDING INTO ? CELL DEATH CAUSES DAMAGE TO ?
can result in ?

hydrocephalus: excessive accumulation of ? which causes increased ? causes ?

diffuse axonal shear injury: axons are ? during trauma / can result in ? and many types of ?

A

cranium or blockage of blood flow / cortical structures/ aphasia when occurs on left hemisphere

CSF in brain/ pressure on brain/ cognitive problems in addition to headache, nausea, vomiting, and more

sheared/ diffuse damage/ impairments

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6
Q

ICD-10 classifications:
contentiously?
primarily:
-.. model not based on ?
single disorder may fall within ?
used for

A

changing or evolving (on 10th revision)
primarily anatomical model
multidisciplinary /SLP
multiple categories
billing

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7
Q

Cells of the Nervous System:
main cells that compromise most of the CNS are called
-glia: these cells also in the ? to support ad protect ?

Neurons have fibers called axons that comprise most of the ?
bundles of axons in the PNS called
bundles of axons in the CNS called

A

neurons
CNS/ neurons

PNS
nerves
tracts

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8
Q

Neurons compose the ? matter
grey matter: composed of tightly packed ?
makes up the ?

White matter:
composed of …. axons which sends electrical impulses down the neuron
-bundles of axons travel together and carry information from one part of the brain to the other

A

GRAY AND WHITE MATTER

cell bodies and dendrite and glial cells
cortex

myelinated axons/ are tracts

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9
Q

Neuron Communication: the synapse
Synapse: are where
contains vesicles filled with

synapse: action of neurotransmitter vesicles releasing neurotransmitters into the ? which are received by the ?

communication between cells occur through the release of naurotransmitters caused by ?

A

synapse occurs
-neurotransmitters

synaptic cleft/ post-synaptic dendrite

an action potential that travels down axon

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10
Q

brain slices:
transverse: divides brain into

coronal section: slicing brain ? splits brain into

sagittal section: slicing brain into
can be ? or

midsagittal: slicing brain at ?

A

dorsal and ventral

perpendicular to the ground and to the sagittal plane ; splits brain into rostral and caudal

left and right

midline into parallel left and right halves

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11
Q

Topography of the cerebrum:
gyrus: … between ?

sulcus: … on brain cortex

fissue: a deep ? deeper than ?

A

rounded areas between sulci and fissuers

grooves

cleft bordering the gyri / sulci

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12
Q

Frontal lobe: controls…
regulation of ? including:

parietal lobe: ..orientation, …, …, …. interpretation of ?

temporal lobe: … comprehension .. elaboration, and ?

A

personality, mood, executive devisions/ cognitive functions - reaosning, self monitoring, planning, attention, decision making

spatial orientation, recognition, emotion, prosody/ sensation

language comprehension, thought elaboration, olfaction and memory

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13
Q

other important cortical structures:

premotor cortex: …, …. coordination and planning of

anterior cingulate cortex: ….

dosrsolateral pre-frontal cortex:

venterolateral pre-frontal cortex:

A

attention, shifting coordination and planning of movement

affect, selective attention, empathy and social interactions

motivation, exec funct. , monitoring attention

judgment, emotion supressions, dual tasking and conflict resolution

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14
Q

Important subcortical structures:
anterior cingulate cortex:

thalamus: .. integration

hypothalamus: …

hippocampus: … processing
fibers from hippocampus travel in the ? which is important for

amygdala:

A

empathy, emotions, impulse control and making decisions

sensory integration

hunger, thirst, body temperature , regulated pituitary

memory processing
fornix/ memory consolidation

agression, fear

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15
Q

Comm. within the brain:
three types of fibers provide constant interactivity for information integration:

projection fibers: relay ? between

comissural fibers: between ?
corpus callosum: transfer info from ?
anterior comissure: joins

association fibers:
bidirectional channels for comm. among areas ?

superior longitudinal fasiculus : connection for ?
inferior longitudinal fasiculus: connection for
cingulum: limbic pathway connecting:

A

sensory and motor info / cortex, subcortex, brainstem, spinal cord, PNS

hemisphere comm
-one cerebral hemisphere to the other
joins right and left

within each hemisphere
frontal lobe to occipital and temporal
frontal lobe to occipital
cingulate to hippocampus

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16
Q

CSF produced in?

three main functions of CSF:
to keep brain tissue:
to deliver nutrients to the brain and remove
to flow between the ? to compensate for changes in ?

A

choroid plexus

buoyant - shock absorber
waste from metabolic activities
cranium and spine/ intracranial blood volume

16
Q

CSF produced in?

three main functions of CSF:
to keep brain tissue:
to deliver nutrients to the brain and remove
to flow between the ? to compensate for changes in ?

A

choroid plexus

buoyant - shock absorber
waste from metabolic activities
cranium and spine/ intracranial blood volume

17
Q

What is cognition:
mental processes used to?
3 overlapping nonhierarchical domains:

A

obtain, recall, understand/learn and use knowledge

attention, memory , executive functions

18
Q

Role of SLP in cognition:
overlap with ?

areas we do not work with:

A

Neuropsychology, OT, and other professionals

depression or emotional management, behavior management, psychotherapy

19
Q

What are cognitive communicative disorders:
communication disorders that are associated with cognitive impairments such as:
they can be.. or.. or?

in general the effect of injury and prognosis will depend on a number of factors:
for focal lesions
for multi-focal lesions
for diffuse lesions:

A

CVA, brain tumor, TBI, DAT, RHD, infectious diseases

language based, speech based, or both

size+location +depth of brain damage
unilateral vs bilateral damage, staged vs staggered in time
density+ neural element involved in injury

20
Q

Communication: gradual degradation of language for ? vs a sudden loss of language for ?

affected comm. functions:


..issues
..issues
..language

cognitive:
memory domain:
-
nonlinguistic semantic deficits: diff with ?

-
pragmatics:
awareness of

attention domain:

A

progressive disorders/ acquired disorders
anomia, aphasia, apraxia, dysarhtria, mutism

grammar
discourse
voicing issues
prosody issues
figurative language

semantics, naming, topic maitenance
-abstract thinking, semantic relationships, ambiguities, metaphors

discourse, planning, though org., sequencing, logical problem solving, reasoning
-impulsivity, inhibition, insight, awkwardness
-social cues, inferences, abstract language
deficits

visual-spatial neglect, memory/learning, recognition

21
Q

neurology of attention:
attention is : the human mind’s ability to ? within certain ?

A

select among competing stimuli
capacity limitations

22
Q

Neurology of memory:
memory is the process of ?

memory is critical to ? and language? higher? and effective ?

A

storage of info, consolidations and later retrieval

conceptual knowledge dev., acquisition, reasoning abilities, decision making

23
Q

Neurology of exec functions:
play a critical role in ? and assist in .. as the situation demands

PFC: functions include ?
integration of information from connections to other ? leads to development of ?

A

goal directed and purposeful behavior / planning, org., initiating, and adapting effectively

self-awareness, planning, problem solving, organizing
cognitive domains/ goal-oriented behavior

24
Q

All neurons are developed by the end of?

at birth lots of ? then throughout toddlerhood and early childood these connections?

synaptic pruning: process by which extra brain cells and neural connections are ? while others are ?

begins at ? and moves to ?
what is last areas to be pruned

A

2nd trimester

neural connections/ break away so brain can become specialized

eliminated/ strengthened to increase efficiency of remaining connections

back of brain/ front
prefrontal cortex

25
Q

Environmental input and brain development:
brain needs certain input at ?
studies show activity dependent changes in the brain, particularly?
environmental input affects
-
-

-
impoverished environments can impair ?
cases of ?

A

particular times in order to develop certain abilities

size and number of neural connections

dendritic sprouting
synapses/connectivity

were smarter and better problem solvers
heavier brains - more white matter/synapses

young rats brain
-abuse and neglect

26
Q

Relocating functions:
brain can re-allot cortical real estate to needed?
this ability evident since birth through the process of ?
synaptic pruning allows us to break synapses for ? to then form more connections for ?
the brain is constantly ?

if no input to an area an adjacent function will ?
-neurons aren’t only for ?
they take whatever input they are ?
visual cortex in blind people processes input from their ?

recent findings show that neural circuitry may reorganize itself by forming new ?

A

skills
synaptic pruning and synaptogenesis
irrelevant processes to then form more processes through synaptogenesis
remodeling itself throughout life

move in and take over the neurons in the area
-processing vision, or only for processing language
-given and keep working
-fingers when they read braille

synapses that compensate for injury

27
Q

Neuroplasticity: The brains ability to to change as a response to ?
this is the cornerstone for ?
many speech therapy treatments are based on the idea that the brain can form ? and restore ?

A

stimuli
therapy and rehabilitation

new connections/ restore lost functions

28
Q

Neuroplasticity is the essence of ALL

important for clients to understand these ?
RICC

A

rehabilitation

principles
repetition, intensity, consistency, context

29
Q

Principles of neuroplasticity:
1. use it or lose it
-neurons that do not activate on regular basis begin to

  1. use it and ?
    -training particular activity leads to
  2. specificity of learning
    the type input dictates the parts of
  3. repetition is
    -neuroplasticity requires lots of
  4. intensity ?
    -how much over how much time is ? make it more difficult to
A

degrade

improve it
-improvement

brain being activated

good
-repetition

matters
-essential component for the brain/encourage brain to work more

30
Q
  1. timing ?
    -neuroplasticity changes occur at ?
    greater plasticity in the earlier stages but plasticity still occurs at the ?
  2. salience ?
    skills training must be important for

age ?
-neuroplasticity is faster and easier for ? however still occurs for ?

transference /generalization is ?
one type of training can enhance

interference is ?
one type of experience or a learned error can interefere with

A

matters
-deferent critical periods
-later stages

matters
client

matters
-younger brains / in aging

possible
-similar skills

possible
-learning new behaviors

31
Q

Importance of using WHO-ICF

departure from impairment based models that explores the interactions of

helps us break away from seeing the client through the lense of ? and focus on ?

holistic approach that focuses on clients overall ?

encourages clinicians to seek ?

A

life-changing variables and health

impairment and focusing on functional therapeutic outcomes

wellbeing and quality of life by looking at impairment through client’s life context

interdisciplinary approaches to enhance rehabilitative process