ms 5 Flashcards
1
Q
Overactivity
A
- Too much effort tone when do a task, produces abnormal movement pattern
- Weak synergist muscles
- Often in unaffected side cause use too much effort
- Training and normalisation of movement patterns should stop overactivity
2
Q
Sensory loss
A
- Sensory loss is non- dermatomal
- Side opposite to brain lesion, unless brain stem is affected
- Experience deficits in pain, proprioception, temperature and tactile
- Sensory inattention: sensory on unaffected side overrides affected side and hence
Can’t feel affected
3
Q
Visual
A
- Homonymous visual field loss
o Loss of visual field on half of each eye on side of hemiplegia - Quandrantanopia
- Loss of eye muscle control/conjugate gaze
- Visual inattention – RCVA
4
Q
Speech:
A
- Dysarthia – difficulty with articulation
- Dysphagia – difficulty with swallowing
5
Q
Abnormities of Language:
A
- Dysphasia: difficulty with the spoken word
- Dyslexia: difficulty with reading
- Dysgraphia: difficulty with writing (ABILITY TO PUT WORDS DOWN AND FORM WORDS NOT PENCIL GRIP)
- Dyscalculia: difficulty with calculations
6
Q
Hyperreflexia
A
- Spasticity: Velocity dependant stretch hyperreflexia
- Occurs 4-6weeks post stroke when no longer flaccid
- Spasticity is driven by 1a afferentss in muscle spindle
- Greater brain lesion = greater spasticity
7
Q
Flexor spasticity
A
- UL Flexor spasticity – same patterns when someone tries to activate muscles except for scap retraction instead of protraction, and sh add+IR insead of abd
o Scapula depression and retraction o Shoulder flexion, IR, add o Elbow flexion o Wrist and finger flexion o Forearm pronation
8
Q
- LL extensor spasticity
A
spasticity- same as effort tone for ex LL
o Hip extension, add, IR
o Knee extension
o Ankle PF and inversion
9
Q
Hypertonia
A
- Increased resistance to passive stretch
- Combo of spasticity and changes in muscle length and connective tissue
10
Q
Agnosias
A
–don’t know what to do with an object
