Motor Contraints

Question 1

Ataxia is usually dt an issue with the

Answer 1

cerebellum

Question 2

ataxia is an issue controlling

Answer 2

DOF

Question 3

what should direct our tx

Answer 3

the motor control impairments themselves (not their dx)

Question 4

tonic issues (hyper or hypo) are usually what kind of injury

Answer 4

cerebral cortex

Question 5

weakness or sensory impairments are usually due to what kind of injur

Answer 5

cerebral cortex

Question 6

parkinsons is a ___kinesia disorder

Answer 6

hypo

Question 7

huntingtons is a ___ kinesia disorder

Answer 7

hyper

Question 8

parkinsons and huntingtons are issues with what part of brain

Answer 8

BG

Question 9

MS is usually an issue with what part of brain

Answer 9

cerebellum

Question 10

Hughling Jacksons classifications of disorders

Answer 10

pos or neg
Pos - too much response (like increased DTR)
Neg - too little response (like hemiplegia)

Question 11

primary vs secondary impairment

Answer 11

primary is direct impact from the insult or injury

secondary is a result of the insult (usually effects other sxs)

Question 12

Motor impairments (e.g., spasticity, weakness)
Speech/language
Cognitive
Perceptual
Behavioral
Visual
(are these primary or secondary impairment)

Answer 12

primary

Question 13

hemiplegia would be an ex of damage to the

Answer 13

cortex

Question 14

movement disorders are usually dt damage to the

Answer 14

BG

Question 15

loss of selective mvmt is damage to the

Answer 15

cortex itself

Question 16

what is selective mvmt

Answer 16

fractionation - meaning you can fluidly reach to pick up a pen and your motions can be individualized and precice

Question 17

loss of fractionation of mvmt or loss of selective mvmt would result in

Answer 17

synergystic mvmt (everything moves together always)

Question 18

pyramid sx is the ___ sx

Answer 18

voluntary

Question 19

extra pyramid sx is the sx of ___ and involves what structure

Answer 19

coordination

BG

Question 20

6 components of the motor control framework

Answer 20

Initial cond
Prep
Initiation
Execution
Terminate
Outcome

Question 21

the motor planning part of the framework

Answer 21

preparation

Question 22

amplitude, direction, speed are all parts of what component of the framework

Answer 22

execution

Question 23

the ability to generate tension is __

Answer 23

strength (depends on number and type of fibers recruited)

Question 24

strength vs tone

Answer 24

strength is active resistance

tone is passive resistance

Question 25

absence of tone (2 terms for)

Answer 25

hypotonia | flaccid

Question 26

highest rating of hypertonicity is

Answer 26

rigidity

Question 27

flaccidity almost always occurs when

Answer 27

immediately after a stroke (often it returns to normal though)

Question 28

2 examples of somatosensory abnormality

Answer 28

issues with disc touch proprioception

Question 29

2 ex of visual/perception abnormality

Answer 29

neglect | homogenous hemanoinopsia

Question 30

most common vessel with stroke is

Answer 30

MCA

Question 31

what is INR

Answer 31

ability to clot | the lower it is the increased chance of clot

Question 32

spacticity is related to a ____ issue

Answer 32

cortical

Question 33

spaciticity is or isn't velocity dep

Answer 33

spacticity is velocity dependent

Question 34

hyperactive DTR is an ex of

Answer 34

spacticity

Question 35

clasp knife is an ex of

Answer 35

spacticity

Question 36

associated movement is a sx of

Answer 36

spacticity

Question 37

velocity dependent increase in tone or reflex is

Answer 37

spacticity

Question 38

do synergistic mvmts adapt

Answer 38

NO - they are not variable | unwanted stereotypical mvmt

Question 39

flexor synergist pattern for UE

Answer 39

``` scap elevation abd/ER elbow flexion sup finger flexion ``` ext is opp of all

Question 40

flexor synergistic pattern for LE

Answer 40

``` hip flex abd/ER knee flexion DF and inversion ext toes ```

Question 41

sustained (stuck) twisted contraction

Answer 41

dystonia (lady walking down hallway)

Question 42

proximal limbs violently moving uncontrollably

Answer 42

ballismus

Question 43

6 stages of recovery (brunnstrom)

Answer 43

``` flaccid paralysis minimal synergy voluntary synergy some mvmt out of synergy no synergy normal FMVONN ```

Question 44

errors in range and direction of movement (woman who cant put cap on pen)

Answer 44

dysmetria

Question 45

dysmetria is a prob with __

Answer 45

coordination

Question 46

can't do rythmic rapid alternating movements

Answer 46

dysdiadochokinesia

Question 47

when pts limit their DOF bc they cannot control multiple joints moving at one time (only move one at a time)

Answer 47

decomposition | ex: getting up from a chair and they bend their knees first, then bend their trunk (not fluid or together)

Question 48

rigidity and bradykinesia are associated with what patholgy

Answer 48

parkinsons

Question 49

bradykinesia is usually dt an issue in the

Answer 49

BG

Question 50

intention tremor vs resting tremor

Answer 50

intention occurs during movement | resting occurs during rest only (like in PD)

Question 51

2 types of rigidity

Answer 51

lead pipe | cog wheel

Question 52

spacticity occurs on ___ side(s) of a joint

Answer 52

1 side

Question 53

rigidity occurs on ___ side(s) of a joint

Answer 53

rigidity is both sides

Question 54

rigidity is velocity

Answer 54

independent

Question 55

slow, twisting, involuntary writhing that is often seen in CP (in the UE)

Answer 55

athelosis

Question 56

Hypometria and hypermetria are problems with _____

Answer 56

innappropriate force generation (scaling) | hyper and hypmetria are active so abnormal muscle tone isn’t a factor with hyper/hypometria

Question 57

muscle tone is the _____ (define)

Answer 57

PASSIVE resistance to stretch

Question 58

flacididy is a ____ phenomenon

Answer 58

passive

Question 59

dysmetria is a prob with the

Answer 59

cerebellum

Question 60

If I had Left homonomous hemienopsia I could only see on the ____ sides of vision

Answer 60

right

Question 61

List the spectrum of tone

Answer 61

flaciddity-->hypotonia-->normal-->spastic-->rigid

Question 62

which step in the progression of movement is hardest for pts with PD (initiation, preparation, execution, termination)

Answer 62

execution

Question 63

with PD they have the most difficulty with what types of motor learning strategies

Answer 63

Procedural learning complex tasks Random practice Dual tasking

Question 64

is hypo/hypermetria any issue with tone

Answer 64

no Hypometria and hypermetria are problems with innapropriate force generation and a problem with scaling (muscle tone is the amt of resistance at PASSIVE stretch – hyper and hypmetria are ACTIVE so abnormal muscle tone isn’t a factor with hyper/hypometria) Scaling = amt of mvmt or force

Question 65

rigidity occurs on ___ side(s) of the joint and is velocity ____

Answer 65

R. I. 2 | Rigidity, independent, 2 sides