Neuro Flashcards

1
Q

Bobath

A

=NDT - pt learns to control movement through functional activities that promote normal movement patterns, with emphasis on normal movement and rotation patterns.

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2
Q

Kabat

A

based on the premise that stronger parts of the body are utilized to strengthen weaker parts - balance between antagonist and agonist muscle groups - mov patterns follow diagonals with a flexion, ext, and rotation component

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3
Q

Rood

A

based on the reflex stimulus model - sensory (past and present) drives sensory input. Use of sensory stim to inhibit responses (icing, brushing), or to elicit desired reflex motor response

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4
Q

Brunnstrom

A

defines synergy patterns and encourages the use of them throughout rehab

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5
Q

ulnar nerve palsy

A

wasting of the hypothenar eminence

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6
Q

radial nerve palsy

A

wrist drop and increased wrist flexion (radial N innervates extensors)

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7
Q

corticospinal tract

A

voluntary skilled movement; damage creates positive babinski sign, absent superficial abdominal and cremasteric reflexions, and loss of fine motor/skilled voluntary movement

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8
Q

reticulospinal tract

A

extramyramidal motor tract - facilitation or inhibit of voluntary reflex activity

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9
Q

rubrospinal tract

A

extrapyramidal responsible for gross postural tone, activity of flexor muscles, and inhibiting extensor muscles

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10
Q

tectospinal tract

A

extrapyramidal - responsible for contralateral postural muscle tone with auditory/visual stimulus

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11
Q

forebrain

A

telecephalon, diacephalon

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12
Q

telencephalon

A

cerbebrum, hippocampus, basal ganglia, amygdala

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13
Q

diencephalon

A

thalamus, hypothalamus, subthalamus, epithalamus

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14
Q

midbrain

A

tectum, tegmentum

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15
Q

tectum

A

superior and inferior colliculi

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16
Q

tegmentum

A

cerbebral aqueduct, periaqueductal gray, reticular formation, substantia nigra, red nucleous

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17
Q

hindbrain

A

metencephalon, myelencephalon

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18
Q

metencephalon

A

cerebellum, pons

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19
Q

myelencephalon

A

medulla oblongata

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20
Q

NTM sympathetic vs. parasympathetic transmits

A

symp = norepinephrine; para= acetylcholine

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21
Q

Damage to the parietal lob causes…

A

Agraphia, alexia, agnosia, impaired language comprehension

22
Q

Frontal lobe damage

A

Contralateral weakness, preservation, inattentive, Broca’s aphasia, emotional lability

23
Q

Damage to temporal region

A

Wernikes aphasia, antisocial, aggressive, difficulty with memory, inability to categorize objects

24
Q

Occipital damage

A

Homonymous hemianopisa, impaired color recognition, reading/writing impairment, cortical blindness if bilateral lobes are damaged

25
Q

Functions of the thalamus

A

Relay station for processing; thalamic pain syndrome = spontaneous pain on contralateral side of the body

26
Q

Hypothalamus functions

A

Regulating hormones; sleep, hunger, thirst & sexual behaviors

27
Q

Subthalamus functions

A

Regulating movements by skeletal muscles

28
Q

Epithalamus

A

Secretes melatonin

29
Q

Cerebellar dysfunction

A

Ataxia, hypermetria, nystagmus, poor coordination, postural reflex deficits

30
Q

What cranial N’s originate in the pons? In the medulla?

A
5,6,7,8 = pons
9,10,11 = medulla
31
Q

Dura mater, arachnoid, pia … in which order superficial to deep? - what does pia matter form

A

Dura>arachnoid>pia

Pia = forms the choroid plexus

32
Q

2 Functional tests for meningitis

A

Brudzinski’s sign = flexion of neck causes hips and pelvis to flex
Kernig’s sign = pain with hip flexion in combo with knee extension

33
Q

How much CSF is produced per day

A

500-700mL

34
Q

Where does the spinal cord end?

A

L1-2

35
Q

Big signs of hydrocephalus

A

Agitation, vomiting, headache, change in vision, incontinence, sun setting eyes (downward deviating)

36
Q

Fasciculus cuneatus and gracilis are which column?

A

DCML - proprioception, vibration, 2 point discrimination, graphesthesia
Cuneatus is for the head, where gracilis and trunk and BLE

37
Q

Anterior spinothalamic tract vs. lateral spinothalamic

A

Sensory for LT and pressure vs. lateral = pain & temperature

38
Q

Corticospinal tract

A

Voluntary movement

39
Q

Brown sequard

A

Contralateral pain & temperature with ipsilateral movement/proprioception

40
Q

Endometrium

A

Innermost covering of a peripheral N

41
Q

Epineurium

A

Outermost covering of a peripheral nerve

42
Q

Peroneurium

A

Middle layer of a peripheral nerve that maintains the blood nerve barrier

43
Q

Muscle spindles and Golgi body organs

A

Respond to change in stretch - muscle spindles responde to low threshold stretch

44
Q

Innervation of ocular muscles

A

SO4, LR6 & all the rest are 3

Trochlear = 4, abducens = 6

45
Q

Taste to the anterior part of the tongue? Vs. posterior

A

Facial VII = anterior; Glossopharyngeal IX = posterior

46
Q

abdominal reflex

A

T8-L1; stroke abdominals toward umbilicus

47
Q

Corenal blink reflex

A

CN V + VII; both eyes blink with contact

48
Q

Cremasteric reflex

A

L1-2; stroke medial thigh = elevation of testicle on ipsilateral side

49
Q

Gag reflex

A

IX + X; light touch to back of throat

50
Q

Plantar reflex

A

L5-S1; stroke lateral aspect of foot = flexion of toes; opposite of babinski (toe flaring)

51
Q

deep tendon grading - what’s normal? what’s always abnormal?

A

2+ = normal; 0 or 4+ always abnormal