Neurointerventions Flashcards

1
Q

why can we make changes so quickly following an injury?

A

because the CNS is not hardwired

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2
Q

what occurs during recovery of function?

A

neuroplasticity
resolution of prenumbra
subsequent spontaneous recovery

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3
Q

how long does subsequent spontaneous recovery go on for?

A

3-6 months

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4
Q

how does plasticity occur as a result of injury?

A

functional reorganization of the cortex maps

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5
Q

3 synaptic changes that follow after injury

A

reduction of swelling
axonal sprouting
receipt of neurotransmitter from adjacent sites
unmasking

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6
Q

what interventions promote neural reorganization?

A

functional task training:

CIMT, robot assistive therapy, repetitive task training, arm ability training, circuit training for UE and LE

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7
Q

functional reorganization is….

A

skill and motor learning dependent rather than use dependent

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8
Q

brunnstrom stags can be used as a measure of…

A

progress

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9
Q

in behaviorist or cognitive theory…

A

environment drives motor development

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10
Q

what model lead to brunnstrom and NDT?

A

hierarchial

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11
Q

what are the three tenents of neuronal group selection theory.

A

basic connections, trial and error, expansion

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12
Q

theories that show how the CNS and PNS control action?

A

open loop and closed loop

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13
Q

techniques used for NDT

A

handling
weightbearing over affected limb
utilize positions that allow use of affected limbs
avoidance of sensory input that affect muscle tone

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14
Q

evidence on bobath?

A

limited

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15
Q

what type of muscle patterns that occur which are spiral and diagonal in nature?

A

mass, PNF

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16
Q

type of approach PNF takes

A

multi sensory approach

17
Q

effectiveness of PNF

A

PNF

18
Q

is PNF better as an adjunct?

A

yes

19
Q

evidence on PNF

A

sparse and inconclusive

20
Q

evidence on brunnstrom

A

limited

21
Q

describe brunnstrom

A

reflexive/primitive/automatic -> volitional

22
Q

basic principles of rood

A

normalized tone is prereq to movement
flexion and extension patterns affect one another
movement is directed towards functional goals
repitition
necessary for motor learning

23
Q

limitations of rood approach

A

passive in nature
no evidence
short lasting

24
Q

low level brain injury pts benefit from…

A

rood approach

25
Q

4 variables affecting motor learning

A

stages of learning
sensory conditions
feedback
practice schedule

26
Q

what is an impt factor in reinforcing motor skill acquisition

A

feedback

27
Q

how is skill demonstrated?

A

after a time delay to measure retention

28
Q

who benefits from distributed practice?

A

apraxia