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Neuromuscular 1 > Module 3 > Flashcards

Module 3 Flashcards

1
Q

ID impairments, ID additional needs, measure recovery of function, create realistic goals, aid in appropriate discharge planning, assess the effectiveness of interventions

A

reasons for neurological examination

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2
Q

HOAC step 1

A

initial information

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3
Q

HOAC step 2

A

conducting neurologic PT examination - movement analysis

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4
Q

HOAC step 3

A

physical therapy diagnosis + treatment strategies align with goals of pt

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5
Q

HOAC step 4

A

evidence based treatment that create functional recovery or maintain functional competence
re-evaluate

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6
Q

HOAC step 5

A

community engagement or reintegration

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7
Q
  1. basic mental functions, complex, mentl functions and meta-cognitive functions
A

mental status exam

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8
Q

third part of exam

A

crainal nerve integrity exam

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9
Q
  1. light touch screen, S/D. proprioception
A

sensory exam

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10
Q
  1. muscle mass, ROM, tone, muscle capacity, endurance, motor control of movement/stability, observation of involuntary movements
A

motor exam

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11
Q
  1. FTN, HTS, Alt. Movements
A

coordination exam

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12
Q

7, static standing balance, dynamic standing balance, walking balance

A

balance screening

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13
Q
  1. changing and maintaining body positions, mobility, hand and arm use
A

functional skills examand movement analysis

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14
Q

discription of what the partient exerpeiences or believes is wrong, specific details about the problem, nature or extent of the disability, pts concerns

A

chief complaint

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15
Q

date of onset (duration), manner of onset, whether the problem has remained the same over time or has changed for the better or worse

A

history of present illness

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16
Q

previous injuries or illness, previous hospitalization, surgical procedures (dates, interventions, and outcomes)

A

past medical history

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17
Q

allergies, medications, tests specific to diagnosis, precautions

A

pertinent health information

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18
Q

use of assistive devices, driving status, need assistance for ADLs or IADLS, activities, work, social roles

A

prior level of function

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19
Q

live alone or with others, caregiver, steps, bathroom/bedroom set up, width of halls, size of rooms

A

home environment

20
Q

positiong/posture, verbal communication, non-verbal communication (facial expression, emotional response, eye contact), movement (gait, transfers)

A

observation

21
Q

cardiovascular.pulmonary system, integumentary system, MSK, neuromuscular, gastrointestinal, genitourinary/reproductive, hematologic/lymmphatic, psychological, endocrine

A

review of system

22
Q

Why should you assess mental status first?

A

determine extent of congitive impairment, identify disease processes, determine the client’s ability to participate in exam/treatment, development of strategies, referral

23
Q

Alertness, Arousal, Awareness, Attention, ___, Memory, Reasoning

A

Executive function

24
Q

Three components of Basic Functions

A

level of consciousness
awareness
alertness

25
Q

three components of complex functions

A

language, memory, sequencing

26
Q

three components of meta-cognition

A

executive functions
self awareness
mood/motivation

27
Q

Correct sequencing of tests

A

arousal, attention, cognition/executive function

28
Q

Arousal/Level of Consciousness

A

alert, lethargic, delirium obtunded, stupor, coma

29
Q

Orientation

A

Person, Place, Time

30
Q

Attention

A

Ability to follow commands, sustain motor activity, two things at once, ability to ressit distractions

31
Q

common tests used to assess attention

A

spell a word backwards, count backwards, digit repetition test, moss attention rating scale

32
Q

cognition

A

signs of agitation, difficulty word finding, difficulty past events or details of illness

33
Q

common outcome measures

A

mini-mental status examination (MMSE) and Montreal Cognitive Assessment (MoCA)

34
Q

Language and Communication: Observe

A

Quality, comprehension, ability to write, name objects and repeat words

35
Q

Language and Communication: receptive language

A

pt is asked to follow commands in order to demonstrate that they understand the meaning of what they have heard or read

36
Q

Language and Communication: expressive language

A

the pt is asked to perform a task that requires spontaneous speech or writing, or naming of objects, repeating phrases, not fluency and correctness of words

37
Q

examples of disorders of speech

A

aphasia, verbal apraxia, dysarthria

38
Q

Memory: Short term memory, immediate recall, delayed (5 mins) –> pt is asked to perform a three word recall

A

temporal lobe

39
Q

memory: subtract by 7’s

A

Frontal lobe –> working memory

40
Q

memory: pt is asked to problem solve, verbal similariities and interpret proverbs

A

frontal lobe - abstract reasoning

41
Q

Visual Spatial Function and Perception

A

the patient is asked to bisect a line, draw a face, clock or geometric figures

42
Q

examples of dficits that result in paeietal association areas

A

body image.body scheme
visual discrimination
Apraxia
Agnosia

43
Q

Other executive functions

A

problem solving, judgement, reasoning, insight, safety awareness

44
Q

Self-awareness

A

ability recognize ones own behavior, character, personality ,etc

45
Q

restorative approaches focus on skill-based training augmented by:

A

strategy training programs
cognitive exercise programs

46
Q

compensatory approaches focus on skill-based training augmented by

A

habit training
environmental adaption

Neuromuscular 1 (4 decks)

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