Neuro Flashcards
Spontaneous nystagmus
caused by imbalance of vestibular signals
constant drift in one direction countered by quick movement in opposite direction
typically due to acute lesion & lasts 24 hrs
Peripheral nystagmus
Peripheral lesion
Inhibited with gaze fixation
Central nystagmus
Central lesion
Not inhibited with gaze fixation
Positional nystagmus
induced with change in head position
only lasts a few seconds
Gaze-evoked nystagmus
occurs when eyes shift
typically indicative of CNS pathology
BESTest
Assesses 6 systems: biomechanical, stability limits, postural responses, anticipatory, sensory orientation, dynamic balance during gait
Berg
Assesses fall risk
Static, transitional, dynamic in sitting and standing
<45 = increased risk for fall
CTSIB
Assesses contributions of 3 sensory systems
DGI
Balance with varying gait tasks
<19 indicates increased risk for fall
Four square test
Multidirectional stepping
>15 seconds = fall risk
Fregly-Graybiel Ataxia Test Battery
Static + walking
Pass/fail
Fugl-Meyer Sensorimotor Assessment of Balance Performance
Specifically for patients with hemiplegia
Fullerton Advanced Balance Scale
More advanced balance to avoid ceiling effect
<26 increased risk of falls
FGA
Modification of DGI
Includes more challenging tasks i.e. backward walking
<23 indicates fall risk
SPPB
Assesses LE performance and fall risk
5xSTS, 4-m walk, balance (tandem, mod tandem, side by side)
<10 = one or more mobility limitations and is predictive of all cause mortality