motor reflex fx Flashcards

1
Q

clonus

A

is a series of involuntary, rhythmic, muscular contractions and relaxations

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2
Q

Hoffman’s sign

A

lightly tapping on nerve to produce pins and needles over distribution of nerve

tests peripheral nerve damage

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3
Q

myotactic reflex

A

is a muscle contraction in response to stretching within the muscle

When a muscle spindle is stretched an impulse is immediately sent to the spinal cord and a response to contract the muscle is received. Since the impulse only has to go to the spinal cord and back, not all the way to the brain, it is a very quick impulse

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4
Q

hemiparesis

A

weakness of entire side of body

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5
Q

hemiplegia

A

paralysis of one side of body

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6
Q

bradykinesia

A

slow movement of body

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7
Q

paraparesis

A

weakness of voluntary movement, or partial loss of voluntary movement or by impaired movement in both legs

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8
Q

paraplegia

A

impairment of motor or sensory of lower limbs

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9
Q

chorea prominent in

A

huntingtons

also drugs, C Jacobs, kuru, wilsons

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10
Q

athetosis

A

a symptom characterized by slow, involuntary, convoluted, writhing movements of the fingers, hands, toes, and feet and in some cases, arms, legs, neck and tongue

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11
Q

dystonia

A

is a neurological movement disorder, in which sustained muscle contractions cause twisting and repetitive movements or abnormal postures.[1] The movements may resemble a tremor. Dystonia is often initiated or worsened by voluntary movements

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12
Q

hemiballism

A

rare movement disorder that presents with unilateral flinging movements of the limbs

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13
Q

internal capsule

A

primary locus through which the upper motor neuron (corticospinal and corticobulbar) pathways descend.

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14
Q

with damage to descending motor pathways..

A

deep tendon reflexes increase

superficial reflexes decrease

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15
Q

superficial reflexes include (4)

A

abdominal
cremaster
plantar
anal wink

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16
Q

reflexes with lesions in cerebellum and basal ganglia

A

no change

may be sluggish

17
Q

to grade a reflex as 4 you must try

A

reinforcement

18
Q

reflex w/ lesion at muscle

A

no change unless end stage

19
Q

reflex w/ lesion at NMJ

A

normal–>decreased

20
Q

reflex w/ lesion at peripheral nerve

A

decreased

21
Q

reflex w/ lesion at root

A

decreased

22
Q

reflex w/ lesion at spinal cord & brain

A

usually increased unless the gray matter (anterior horn cells, lower motor neurons) is damaged right at reflex level

23
Q

where do upper motor neurons (corticobulbar & corticospinal) decussate

A

cervicomedullary junction

24
Q

where do UMN descend spinal cord

A

lateral funiculus

25
Q

proximal fx (vs distal fx) have

A

bilateral control

26
Q

damage to sensory nerve fibers and reflexes

A

decrease reflexes by damaging afferent limb

27
Q

muscle disease location

A

mostly proximal

28
Q

muscle disease reflexes affected

A

only late

29
Q

basal ganglia affects

A

muscle tone, postures, patterned movement