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NPTE > Neuromuscular > Flashcards

Neuromuscular Flashcards

1
Q

What is Brown-Sequard Syndrome

A

Pain and Temperature loss on contralateral side of spinal cord injury

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2
Q

What’s lost with Brown -Sequard syndrome on Right sided Hemisection?

A

T12 motor function and sensation Right side
+
Pain and temperature on left side

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3
Q

What functions are preserved with Brown-Sequard Syndrome and right sided Hemisection of spinal cord at T12?

A

Pain and temperature on right side
+
Sensation and motor function
+
Proprioception and vibration

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4
Q

Position of Conus Medullaris/End of spinal Cord

A

L1

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5
Q

Symptoms of spinal Cord Injury above Conus Medullaris

A

Act like upper motor neuron injury
Spastic/hyperreflexive bladder
-> empties whit adequate filling pressure

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6
Q

Symptoms of spinal Cord Injury below Conus Medullaris

A

Act like lower motor neuron injury
Flaccid/areflectic bladder

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7
Q

Treatment/Management of flaccid/hyporeflective bladder

A

Catheterization
Valsalva maneuver

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8
Q

Treatment/Management of spastic/hyperreflective bladder

A

Initial catheterization
Suprapubic tapping

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9
Q

Symptoms/Bowel function with SCI above Conus Medullaris

A

Spastic/hyperreflexive bowel
Defecation when rectum fills

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10
Q

Symptoms/Bowel function with SCI below Conus Medullaris

A

Flaccid/reflexive bowel

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11
Q

Treatment Bowel function with SCI above Conus Medullaris

A

Digital stimulation to initiate reflex

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12
Q

Treatment Bowel function with SCI below Conus Medullaris

A

Manual evacuation
Gentle valsalva maneuver
Bowel program training/Timetable

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13
Q

Diaphragm Innervation

A

C3/4/5 KEEP THE DIAPHRAGM ALIVE

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14
Q

Pulmonary symptoms with SCI

A

Decreased diaphragm & intercostals

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15
Q

What’s the pulmonary paradox In cervical or high thoracic SCI?

A

-> decr. Activity external intercostals
-> upper ribcage moves inwards in Inspiration
-> decr chest wall compliance
+ Incr abdominal compliance

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16
Q

Integumentary prevention in SCI Patients

A

Pressure relief every 15min
-sideways +forward >45°
- tilt in space >65°

17
Q

ROM considerations in SCI

A

-Hamstrings straight leg raise to 100°
-Intrinsic plus position
!!! Avoid overstretching Hamstrings and Quadratus lumborum

18
Q

What’s the “intrinsic plus” position of the wrist?

A

20° Ext + 90° flexion MCP + IP slight flex
-> maintains tenodesis grasp control
(Grasp with wrist extension)

19
Q

What to do when P exhibits any kind of symptoms when in upright positioning Table?

A

BRING BACK TO SUPINE!
OR TRENDELENBURG POSITION
Let symptoms completely subside before continuing at lesser degree

20
Q

C1-C4 SCI functions

A

Respiratory considerations
Dependent for ADL’s
Wheelchair motorized with sip/puff controls/head/chin/tongue

21
Q

C5 SCI functions

A

Joystick wheelchair with electronic recline
Car with modifications
Dependent for transfer
Manual WC with safety set up

22
Q

C6 SCI functions

A

Mostly independent
Manual wheelchair with modifications
Transfer with slideboard
Car with adaptive equipment

23
Q

C7 SCI functions

A

Independent ADL’s
Manual WC
Manual pressure relief

24
Q

C8 SCI functions

A

Full wrist/elbow control and most fingers
More independent

25
Q

T1-T12 SCI functions

A

Independent or modified independent

26
Q

L1-L3 SCI functions

A

Hip flex and knee ext possible
Ambulation with Orthoses (HKAFO/ KAFO) possibly AFO

27
Q

l4-S1 SCI functions

A

Full ambulation
Possibly AFO or assistive device

28
Q

SCI interventions

A

Rolling through flexion of head/neck
-> rocking/momentum use
Sit (squat) -pivot Transfer (C6 and below)
Head-hip opposition head le + hip ri

29
Q

How to adjust axle to facilitate a wheelie in WC?

A

Anteriorly
To decr base of support

30
Q

C3,C4, C5 keep the …… alive

A

Diaphragm

31
Q

L2, L3, L4 keep

A

The poop of the floor

32
Q

ULTT 1 & 2

A

Median Nerve
Gestreckter arm/ABD/supine/elbow EXT/DExt
1.) 90°ABD
2.) 45°ABD

33
Q

ULTT Radial

A

Gestreckter arm/ internal rotation/PFlex

34
Q

ULTT ulnar

A

Finger tip to ear
90°ABD +ER/ Elbow flex/wrist finger EXT

NPTE (2 decks)

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