Motor Function

Question 1

Presence of persistent Fasciculations indicates what?

Answer 1

Neurogenic injury

Question 2

Is spasticity velocity dependent or not

Answer 2

Velocity dependent

Question 3

Clasp Knife Response

Answer 3

Marked Resistance suddenly gives way

Question 4

Modified Ashworth

Answer 4

0 - No increase in muscle tone
1 - Slight increase in muscle tone, minimal resistance at end range
1+ - Slight increase in tone, min resistance less than half ROM
2: More marked increase in tone, through most of ROM, affected park easily moved
3: Considerable increase in muscle tone, passive movement difficult
4: Affected part rigid in flexion or extension

Question 5

Increased resistance to PROM interdependent of velocity

Answer 5

Rigidity

Question 6

Damage to basal ganglia/nigrostiatal most likely causes what?

Answer 6

Rigidity

Question 7

2 Type of rigidity

Answer 7

Lead pipe and cog wheel

Question 8

Decrebrate Posturing seen in what patients?

Answer 8

Damage with BS lesions between superior colliculus and vb nucleus

Question 9

Decorticate rigidity seen in what patients?

Answer 9

Comatose pts with lesions above superior colliculus

Question 10

What are reflexes like in Parkinsins disorder?

Answer 10

Decreased

Question 11

What are reflexes like in cb disorders?

Answer 11

Decreased

Question 12

Reflexes in Stroke and SCI?

Answer 12

Increased

Question 13

Reflex Scoring Scle for Primitive/Spinal reflexes

Answer 13

0: absent
1+: Tone Change but no visible movement of extremities
2+: Visible movement of extremities
3+: Exaggerated, full movement of extremities
4+: Obligatory and sustained movement, lasting > 30 seconds

Question 14

Abdominal Reflexes test what levels?

Answer 14

T6 - L1

Question 15

Abdominal Reflexes Testing….

Answer 15

Lateral to medial scratching of skin towards umbilicus in each of 4 quadrants produces deviation of umbilicus toward stimulus in neurologically intact

Question 16

Loss of abdominal reflexes is a sign of?

Answer 16

Corticospinal lesions

Question 17

Cremasteric Reflex tests what?

Answer 17

L1-L2

Question 18

How to rest cremasteric reflex?

Answer 18

Stroking of skin of proximal and medial thich produces elevation of testicle in neuro intact

Question 19

What type of the brain most often causes an intention tremor?

Answer 19

Cerebellar

Question 20

Dyssynergia

Answer 20

Impaired ability to associate muscles together for complex movement

Question 21

Dysmetria

Answer 21

Impaired ability to judge the distance or range of movemnt

Question 22

Dysdiadochokinesia

Answer 22

Impaired ability to perform RAM

Question 23

What column does a romberg tests test?

Answer 23

Posterior column ataxia (Sensory)