Neurological Screening Flashcards

1
Q

What is the purpose of dermatome testing?

A

to determine if sensory loss fits a dermatomal or peripheral nerve pattern

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2
Q

Area of skin that a single spinal nerve root innervates; Relays sensory information back to the brain from a specific area of skin

A

Dermatome

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3
Q

Group of muscles that a single spinal nerve root innervates

A

Myotome

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4
Q

When testing a myotome, how many seconds does the patient have to hold the position?

A

5 seconds

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5
Q

Resistance of muscle to passive elongation or stretch; Resistance increases with increasing amplitude and velocity of passive stretch

A

Spacticity
cue - “relax, let me move you”
velocity dependent

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6
Q

What diagnoses do you most often see spasticity?

A

CP, TBI, MS, SCI, Stroke

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7
Q

What would a 0 on the modified ash worth scale indicate?

A

No increase in muscle tone

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8
Q

What would a 1 on the modified ash worth scale indicate?

A

Slight increase in muscle tone, manifested by a catch and release or by minimal resistance at the end of the range of motion when the affected part(s) is moved in flexion or extension

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9
Q

What would a 1+ on the modified ash worth scale indicate?

A

Slight increase in muscle tone, manifested by a catch, followed by minimal resistance throughout the remainder (less than half) of the ROM

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10
Q

What would a 2 on the modified ash worth scale indicate?

A

More marked increase in muscle tone through most of the ROM, but affected part(s) easily moved

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11
Q

What would a 3 on the modified ash worth scale indicate?

A

Considerable increase in muscle tone, passive movement difficult

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12
Q

What would a 4 on the modified ash worth scale indicate?

A

Affected part(s) rigid in flexion or extension

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13
Q

How should you test for spasticity?

A

Passive motion and speed up as you go

  • If testing a muscle that primarily flexes a joint, place the joint in a maximally flexed position and move to a position of maximal extension over one second (count “one thousand one”)
  • Compare right/left and upper/lower
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