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
2
Q
UMN adaptive features
A
- Shoulder Hitching,abd,
- Elbow F
- Forearm supination
- Wrist F
- Fingers F
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
4
Q
splints
A
- Splints do not help with contracture
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
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
7
Q
Dystonia
A
: Continuous muscle contractions in absence of voluntary contraction
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
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
10
Q
Neuroplasticity
A
- Need lots of training
- Imagining movement
- Observing movement can promote learning
- FES
- Sleep promotes learning
- Pay attention
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
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