Neuro 164-196 Flashcards
Akinesia is common with what Disease
Parkinson’s
Pathology of Alzheimer’s
Neurons normally involved with Ach transmission deteriorate within the cerebral cortex
Pathology of Huntington’s
Degeneration and atrophy of the basal ganglia and cerebral cortex within the brain
Describe the cognitive stage of motor learning
Person acquires info regarding the goal of the activity and begin to problem solve as to how to attain the goal
Grade of 2 on modified ashworth represents
More marked increase in muscle tone through most of the ROM, but affected parts easily moved
What Disease involves muscles at the neuromuscular junction
Myasthenia gravis
Dysarthria is caused by
UMN lesion
Dysphagia
Inability to properly swallow
What is asthenia
Generalized weakness
What is ataxia
Inability to perform coordinated movements
Clonus is indicative of…
UMN lesion
Grade of 4 on modified Ashworth represents
Affected parts rigid in flexion or extension
Are upper or lower motor neuron lesions involved with ALS
both upper and lower
Goals of PT for Huntington’s
Maximize endurance Strength Balance Postural control Functional mobility
What is the associative stage of motor learning
Intermediate stage where a person is able to more independently distinguish correct versus incorrect performance
Most common symptoms of gullain barre
Motor weakness (distal to proximal)
Sensory impairment
Possible respiratory paralysis
For ALS, what direction does muscle loss occur
Distal to proximal
Should you immediately call 911 if someone is having a seizure
No only if it lasts more than 5 min
Cardinal signs of myasthenia gravis
Extreme fatigue
Skeletal muscle weakness that can fluctuate within minutes or over an extended period
What is Guillain-Barré syndrome
Temporary inflammation and demyelination of peripheral nerves’ myelin sheaths, potentially resulting in axonal degeneration
Type of strategy used to lower the center of gravity during standing or ambulation in order to better control the center of gravity
Suspensory
Myasthenia gravis is also involved with an enlarged…
Thymus
What muscles are generally affected first for myasthenia gravis
Ocular
Whole training
Practice of an entire task
Grade of 0 on modified ashworth represents
No increase in tone
The Fugl-Meyer test is for patients with…
Hemiplegia
Initial symptoms of diabetic neuropathy
Weakness and sensory disturbances symmetrically
In gullain barre, muscle weakness progression direction
Distal to proximal
Agnosia
Inability to interpret info
Distributed practice
Rest time is equal or greater than practice
What is Bell’s Palsy
Temporary unilateral facial paralysis secondary to trauma with demyelination and/or atonal degeneration of the facial nerve
Grade of 3 on modified Ashworth represents
Considerable increase in muscle tone, passive movement difficult
Massed practice
Practice time greater than amount of rest
What Disease commonly presents with chorea
Huntington’s
Cognitive impairment with Huntington’s?
Yup
Dysarthria
Slurred and impaired speech
PT management of Alzheimer’s
Maximizing patient’s remaining function and providing family and caregiver education
Focus of ALS treatment
Quality of life
Caregiver training
Agraphia
Inability to write
What two things develop in the brain with Alzheimer’s
Amyloid plaques
Neurofibrillary tangles
Three stages of motor learning
Cognitive
Associative
Autonomous
What is the autonomous stage of learning
Person improves efficiency of the activity without a great need for cognitive control
The modified ashworth scale grades what
Spasticity
Athetosis is common with what Disease
CP
Huntington’s is also known as
Huntington’s Chorea
What nerve should be stimulated for Bell’s palsy
Facial
Grade of 1+ on the modified ashworth represents
Slight increase in tone, a catch followed by minimal resistance throughout remainder (less than half) of the ROM
Most common ALS complaints
Fatigue
Oral motor impairment
Motor paralysis
Respiratory paralysis (eventually)
What is hemiballism
Involuntary and violent movement of large body part
Examples of suspensory strategy
Knee flexion, crouching, squatting
Is Bell’s Palsy symmetrical or asymmetrical
Asymmetrical
What type of rigidity is seen with Parkinson’s
Cogwheel
Type of trait genetically transmitted in huntingtons
Autosomal dominant
Blocked practice
Consistent practice of a single task
Best environment for cognitive stage of motor learning
Controlled
Grade of 1 on modified ashworth represents
Slight increase in tone, catch and release or by minimal resistance at the end of the ROM when the affected parts are in flexion or extension