Motor Contraints Flashcards

1
Q

Ataxia is usually dt an issue with the

A

cerebellum

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2
Q

ataxia is an issue controlling

A

DOF

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3
Q

what should direct our tx

A

the motor control impairments themselves (not their dx)

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4
Q

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

A

cerebral cortex

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5
Q

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

A

cerebral cortex

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6
Q

parkinsons is a ___kinesia disorder

A

hypo

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7
Q

huntingtons is a ___ kinesia disorder

A

hyper

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8
Q

parkinsons and huntingtons are issues with what part of brain

A

BG

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9
Q

MS is usually an issue with what part of brain

A

cerebellum

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10
Q

Hughling Jacksons classifications of disorders

A

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

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11
Q

primary vs secondary impairment

A

primary is direct impact from the insult or injury

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

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12
Q

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

A

primary

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13
Q

hemiplegia would be an ex of damage to the

A

cortex

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14
Q

movement disorders are usually dt damage to the

A

BG

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15
Q

loss of selective mvmt is damage to the

A

cortex itself

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16
Q

what is selective mvmt

A

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

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17
Q

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

A

synergystic mvmt (everything moves together always)

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18
Q

pyramid sx is the ___ sx

A

voluntary

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19
Q

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

A

coordination

BG

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20
Q

6 components of the motor control framework

A
Initial cond
Prep
Initiation
Execution
Terminate
Outcome
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21
Q

the motor planning part of the framework

A

preparation

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22
Q

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

A

execution

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23
Q

the ability to generate tension is __

A

strength (depends on number and type of fibers recruited)

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24
Q

strength vs tone

A

strength is active resistance

tone is passive resistance

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25
Q

absence of tone (2 terms for)

A

hypotonia

flaccid

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26
Q

highest rating of hypertonicity is

A

rigidity

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27
Q

flaccidity almost always occurs when

A

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

28
Q

2 examples of somatosensory abnormality

A

issues with
disc touch
proprioception

29
Q

2 ex of visual/perception abnormality

A

neglect

homogenous hemanoinopsia

30
Q

most common vessel with stroke is

A

MCA

31
Q

what is INR

A

ability to clot

the lower it is the increased chance of clot

32
Q

spacticity is related to a ____ issue

A

cortical

33
Q

spaciticity is or isn’t velocity dep

A

spacticity is velocity dependent

34
Q

hyperactive DTR is an ex of

A

spacticity

35
Q

clasp knife is an ex of

A

spacticity

36
Q

associated movement is a sx of

A

spacticity

37
Q

velocity dependent increase in tone or reflex is

A

spacticity

38
Q

do synergistic mvmts adapt

A

NO - they are not variable

unwanted stereotypical mvmt

39
Q

flexor synergist pattern for UE

A
scap elevation
abd/ER
elbow flexion
sup
finger flexion

ext is opp of all

40
Q

flexor synergistic pattern for LE

A
hip flex
abd/ER
knee flexion
DF and inversion
ext toes
41
Q

sustained (stuck) twisted contraction

A

dystonia (lady walking down hallway)

42
Q

proximal limbs violently moving uncontrollably

A

ballismus

43
Q

6 stages of recovery (brunnstrom)

A
flaccid paralysis
minimal synergy
voluntary synergy
some mvmt out of synergy
no synergy
normal
FMVONN
44
Q

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

A

dysmetria

45
Q

dysmetria is a prob with __

A

coordination

46
Q

can’t do rythmic rapid alternating movements

A

dysdiadochokinesia

47
Q

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

A

decomposition

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

48
Q

rigidity and bradykinesia are associated with what patholgy

A

parkinsons

49
Q

bradykinesia is usually dt an issue in the

A

BG

50
Q

intention tremor vs resting tremor

A

intention occurs during movement

resting occurs during rest only (like in PD)

51
Q

2 types of rigidity

A

lead pipe

cog wheel

52
Q

spacticity occurs on ___ side(s) of a joint

A

1 side

53
Q

rigidity occurs on ___ side(s) of a joint

A

rigidity is both sides

54
Q

rigidity is velocity

A

independent

55
Q

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

A

athelosis

56
Q

Hypometria and hypermetria are problems with _____

A

innappropriate force generation (scaling)

hyper and hypmetria are active so abnormal muscle tone isn’t a factor with hyper/hypometria

57
Q

muscle tone is the _____ (define)

A

PASSIVE resistance to stretch

58
Q

flacididy is a ____ phenomenon

A

passive

59
Q

dysmetria is a prob with the

A

cerebellum

60
Q

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

A

right

61
Q

List the spectrum of tone

A

flaciddity–>hypotonia–>normal–>spastic–>rigid

62
Q

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

A

execution

63
Q

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

A

Procedural learning
complex tasks
Random practice
Dual tasking

64
Q

is hypo/hypermetria any issue with tone

A

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

65
Q

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

A

R. I. 2

Rigidity, independent, 2 sides