ms 9 Flashcards

1
Q

Adaptive features in UMN Syndrome

A
  • MUSK adaptations
  • Hypertonia
  • Decline in endurance and physical fitness
  • Learned non-use
  • Poor neuroplasticity adaptation
  • Extension of central function – brain starts to shut down if not being used
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2
Q

UMN adaptive features

A
  • Shoulder Hitching,abd,
  • Elbow F
  • Forearm supination
  • Wrist F
  • Fingers F
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3
Q

Prevent shoulder pain

A
-	Improve motor control
o	Intramuscular stimulation
o	Facilitate Motor activity 
o	Practive
o	Goal directed, task orientated
o	Stretches
1.	Stretching alone will not reduce pain, but can maintain optimal biomechanical alignment which can help
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4
Q

splints

A
  • Splints do not help with contracture
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5
Q

Assessment and management of increased tone and abnormal posturing
Excitatory Tracts

A
  • Brain stem and vestib nucleus and run via reticulospinal and vestibulospinal tracts
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6
Q

Assessment and management of increased tone and abnormal posturing
Inhibitory Tracts

A
  • Arise in ventro-medial reticular formation
  • Run via dorsal reticulospinal
  • Damage to inhibitory pathways cause spinal reflex dysfunction
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7
Q

Dystonia

A

: Continuous muscle contractions in absence of voluntary contraction

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8
Q

Botox

A
  • Injected into muscle to turn muscle off to increase mobility of muscle, decrease spasms or reflexes, decrease pain
  • Expensive, repeated doses needed, long waitlists, can cause sensory loss or motor unit death
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9
Q

Baclofen Pump

A
  • For extreme features, to minimise contracture and development of deformity, reduce pain, improve quality of life, reduce pain
  • Places at T10-L1 level
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10
Q

Neuroplasticity

A
  • Need lots of training
  • Imagining movement
  • Observing movement can promote learning
  • FES
  • Sleep promotes learning
  • Pay attention
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11
Q

UL

A
  • Normal reaching is a Smooth, well timed movement performed using a straight line trajectory with initial ballistic phase the followed by second phase where velocity decreases
  • If target is beyond arm the trunk motion is integrated
    Phases of reach
  • Transport -> pre-shaping -> grasp -> release
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12
Q

ul muscles normally lacking

A
Muscles often lacking in UL
-	Serratus – protracts
-	External rotators 
o	Infraspinatus
o	Teres minor
-	Anterior delts – flexes shoulder, IR
-	Triceps
-	Supinator
-	Wrist extensors
-	Finger flexors
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