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544 > motor neuron degeneratin > Flashcards

motor neuron degeneratin Flashcards

1
Q

motor neuron disease

A

inherited or acquired

upper, lower or mixed

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2
Q

LMN diseases

A

poliomyelitis
amyotrophic lateral sclerosis
gullian barre
HIv AIDS

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3
Q

myasthenia gravis

A

immune response attacks NM junciton
can be treated
will affect strength and respirate mm

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4
Q

motor unit diseases

A

myasthenia gravis , duchenne

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5
Q

duchnen muscular

A

x linked recessive, survival >20 yrs

myotonic dystrophic

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6
Q

Guillain barre

A

rare rapid autoimmune disorder attacking myelin sheath of PNS

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7
Q

cause of Gillian barre

A

unknown but often preceded by infectious illness

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8
Q

first symptoms of Guillain barre

A

weakness / tingling extremities leading to paralysis of body

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9
Q

T/F guillian barre might need ventilator

A

yes

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10
Q

cure for Guillain barre

A

no but high dose immunoglobulin therapies can lessen severity

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11
Q

Gillian barre prognosis

A

varied
better outcome <40
many experience chronic pain /fatigue
might take weeks to years to recover

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12
Q

poliomyelitis

A

caused by viral infection
destruction of anterior horn (LMN)
leads to mm weakness

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13
Q

is poliomyelitis U or LMN

A

LMN

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14
Q

do ppl recover from polio

A

many recover

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15
Q

cure for polio?

A

no cure but prevented through vaccination

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16
Q

post polio syndrome

A

25-40% of individual who suffered an acute attack of poliomyelitis

symptoms appear 15-30yrs after original disease

slow progression

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17
Q

ALS cause

A

unknowns

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18
Q

ALS presentation

A

progressive, fatal disrupts signals to all mm

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19
Q

ALS u or L MN

A

both

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20
Q

UMN / LMN signs ALS

A

first seen in arms hands, legs and swallowing
equal bilateral mm weakness
progress
spasticity , brisk reflexes

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21
Q

is sensation bladder or ocular mm spared in ALS

A

yes

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22
Q

prognosis of ALS

A

relentless progression of signs / symptoms

average survival 2-5yrs, 5-10 if ventilated

23
Q

incidences ALS

A

40-60 yr old, more men

24
Q

ALS stages

25
Q

whats PT do for ALS 1

A

educate, pain , gnerela conditions

26
Q

whats PT do for ALS 2

A

maintain strength, respect fatigue
PROM
movement
orthotics

27
Q

whats PT do for ALS3

A

w/c
prevent complications
education
maximize indp

28
Q

whats PT do for ALS 4

A

education for independence

29
Q

whats PT do for ALS5

A

decrease emphasis on strength

emphasis on caregiver education (ROM, position, respiration)

30
Q

whats PT do for ALS 6

A

comfort, psych support

31
Q

parkinsons presentation

A

progressive CNS motor / non motor UMN

32
Q

cardinal signs of parkinsons

A

righty
bradykinesia
tremor

33
Q

is there postural instability in parkinsons

A

later stages yes

34
Q

prognosis of parkinsons

A

progressive w long subclinical period

variable rate of progression

35
Q

PT management parkinsons

A 
meds
CV fitness
postur
external cues
internal cues
momentum
36
Q

MS

A

autoimmune disease of CNS

37
Q

cause MS

38
Q

where is damage in MS

A

targeted to myeline sheath causing inflammation / interruption of nerve impulses

39
Q

T/F MS is progressive and irreversible

40
Q

types of MS

A

progressive relapsing
seconding progressive
primary progressive
relapsing remitting

41
Q

incidence of MS

A

high in Canada

1/340

42
Q

UMN sign diseases

A

Parkinsons and MS

43
Q

LMN sign diseases

A

Guillain barre

Polio

44
Q

mixed UMN/LMN

45
Q

how to intervene with degenerative dieseas

A

be sensitive to health prognosis

be aware of progression

46
Q

PT management of later chronic deteriorating neurological conditions is similar to __

A

early stage manger of acute recovering Neuro conditoin

47
Q

PT management of early stage chronic deteriorating neuro condition is

A

later stage management of acute recovering neuro condition

48
Q

LMN lesion face

A

paralysis of ipsilateral upper and lower face

can’t raise eye brow or smile on affected side

49
Q

UMN lesion face

A

paralysis of contralateral lower face

can’t smile on affected side but can raise eye brow

50
Q

Bells Palsy

51
Q

stroke

52
Q

complete peripheral nerve lesion recovery treatment

A

recovery not possible

treatment : range, circulation , mouth care eye care

53
Q

incomplete peripheral nerve lesion recovery treatment

A

possible

same as complete but add mm retraining
goal symmetry

54
Q

upper motor neuro lesion recovery treatment

A

recovery can not be predicted

incorporate treatment from complete / incomplete peripheral nerve lesions

544 (19 decks)

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