Neuromuscular Flashcards
What type of feedback is presented during the movement and typically involves information about quality or nature of movement
summary
concurrent
faded
bandwith
delayed
concurrent
What type of feedback is provided after3 seconds following a movement is performed to allow for self assessment
summary
concurrent
faded
bandwith
delayed
delayed feedback
What type of therapy is used when a patients performance deviates outside the boundaries of correct performance, meaning it is unsafe or is a bad habit
summary
concurrent
faded
bandwith
delayed
bandwith feedback
What type of feedback is provided after a set number of trials
summary
concurrent
faded
bandwith
delayed
summary
What type of feedback is provided after every trial and then less frequently. For example, after every trial, then after every 3rd, then every 6th, etc.
faded
What is cranial nerve II
Optic nerve
How do you test for cranial nerve II
Snellen visual acuity and confrontation
What is cranial nerve III
oculomotor
How do you test for cranial nerve III
H-test, saccadic/pursuit test, pupillary reactions
What is cranial nerve V
trigeminal nerve
How do you test for cranial nerve V
clench teeth, corneal reflex, pain and light touch for sensation, anterior tongue, muscles of mastication
What is cranial nerve VII
facial nerve
how do you test for cranial nerve VII
raise eyebrows, frown, smile big, sweet taste
What is cranial nerve IX
glossopharyngeal
How to test for cranial nerve IX
taste on posterior tongue, swallowing and phonation
What is cranial nerve X
vagus nerve
How to test for cranial nerve X
gag reflex say Ahh - uvula deviation test
What is cranial nerve XII
hypoglossal
How to test for cranial nerve CN XII
tongue movement and phonation
What are the five levels of the GMFCS
- Walks without limitations
- Walks with limitations
- Walks using hand-held mobility device
- Self mobility with limitations may use power-mobility
- Transported in manual wheelchair
What level of the GMFCS would you classify a child that runs, jumps, climbs steps without handrails, and has limited speed and coordination
level 1
What level of the GMFCS would you classify a child that climbs steps with use of handrail, AD with challenging environments, and wheeled mobility for long distances
level 2
What level of the GMFCS would you classify a child that may climb stairs with supervision, uses AD to ambulate in most settings and wheeled mobility for longer distances
level 3
What level of the GMFCS would you classify a child that uses power wheelchair in most settings or with an AD for short distances
level 4
What level of the GMFCS would you classify a child that is transported in a wheelchair at all times
level 5
What is lateral medullary syndrome
a neuro condition caused by a blockage that leads to an infarction of the lateral medulla oblongata. This is an issue for the four cranial nerves that are housed in the medulla oblongata
What is Wallenburg syndrome
another name for lateral medullary syndrome
Which four cranial nerves are housed in the medulla oblongata and can be affected in lateral medullary syndrome
glossopharyngeal, vagus, accessory, hypoglossal
What is myasthenia gravis
Autoimmune disorder that takes place at the neuromuscular junction.
75% of people with myasthenia gravis have abnormalities of the _____. These patients also present with a (decrease/increase) in strength after a period of rest.
thymus, increase
What are signs and symptoms of myasthenia gravis
Dysarthria, dysphagia, diplopia, fatigue, proximal muscles weakness, ptosis and facial weakness.
Fill this table out in regards to nerve tension testing
When using RAS or a metronome to reduce freezing of gait with your patient with parkinson’s disease, how do you know at what pace to set the metronome at
it should be 25% faster than the patients average gait
In pusher’s syndrome, will the patient lean towards the hemiparetic side or the uninvolved side
towards the weaker hemiparetic side
If your patient is experiencing pusher’s syndrome, what is likely the cause and prognosis
Damage to the posterolateral thalamus from stroke. Good prognosis, the brain can retrain itself
Your treating a patient post stroke with pusher’s syndrome. Your student asks if they would benefit from an assistive device or additional manual support during ambulation, what is your response?
Using a cane with this syndrome is dangerous because they will only use the cane to push themselves onto the weaker side. The student should stand on the involved side rather than the uninvolved side.
What does the glasgow coma scale measure
a person’s consciousness immediately post TBI
What is the scoring system of the GCS, glasgow coma scale
It can be scored 3-15, 3 is most disabled and 15 is least disabled.
mild TBI 13-15
moderate TBI 9-12
sever TBI less than 9
What are normal and abnormal values of ICP, intracranial pressure
normal is 5-15
abnormal is greater than 20
If you suspect your patient has increased ICP, you should avoid (flexion/extension) of the cervical spine as well as vibration, coughing, and the Trendelenburg position.
flexion
You suspect your patient is developing heterotopic ossification, what diagnostic imaging techniques would be utilized to confirm the diagnosis.
Bone scan if in early phases
Ultrasonography can detect HO two weeks earlier than xray
X-ray takes 4-6 weeks to visualize HO
Your patient complains of recent hearing changes. He tells you soft sounds are hard to hear, loud sounds are muffled, and high pitched sounds are inaudible. Your patient is most likely experiencing
A. sensorineural hearing loss
B. Conduction hearing loss
sensorineural hearing loss
Your patient complains of recent hearing changes. He tells you soft sounds are hard to hear regardless of the pitch, but loud sounds are muffled. Your patient is most likely experiencing
A. sensorineural hearing loss
B. Conduction hearing loss
Conduction hearing loss
What are some common causes of sensorineural hearing loss
Ototoxicity
TBI
Meniere’s disease
Normal aging
What are some common causes of conduction hearing loss
accumulation of wax
otitis media/middle ear infection
otosclerosis/abnormal bone growth in middle ear
Cholesteatoma/abnormal tissue in middle ear
which cranial nerve has the protentional of being damaged in sensorineural hearing loss
vestibulocochlear
What is weber’s test and what do the results indicate?
a tuning fork is struck and placed on top of the head and the pt is asked to report which ear the sound is heard louder in
the test is negative if heard equally
the test is positive for conductive hearing loss if the sound is louder on the affected side
the test is positive for sensorineural if the hearing loss is heard louder in the unaffected side
What is Rinne’s test and what do the results indicate?
it assesses for unilateral bone conductive hearing loss by placing a tuning fork on the mastoid bone after it is struck until the sound is no longer heard. When the sound isn’t heard, the tuning fork is placed next to the auditory canal and asked to report when the second sound goes away.
If the pt cannot hear the tuning fork after it is moved to the canal from the meatus, it is positive for conductive hearing loss
Sensorineural hearing loss is positive if the pt stops hearing the sound next to the canal but the tuning fork is still vibrating.
The brandt-daroff is a canalithiasis interventions in treating BPPV. How is the procedure performed?
Patient is seated on a bed with head rotated 45 degrees one direction. Then the patient quickly side lies to the side opposite of cervical rotation for 1 minute. This is repeated to the other side as well and can be done 5-10 times, 2-3 times a day
The liberatory semont maneuver is a cupulolithiasis intervention when treating BPPV. How is this procedure performed?
Patient is seated on a bed with head rotated 45 degrees one direction. Then the patient quickly side lies to the side opposite of cervical rotation for 1 minute. The patient keeps the head in the same position, but rolls over onto the opposite shoulder. This can be done 5-10 times, 2-3 times a day
Your pt presents with unilateral vestibular hypofunction. What does your vestibular rehab plan look like
habituation exercises and testing VOR
True or False:
A pt with bilateral vestibular hypofunction is not expected to have vertigo or nystagmus
true
