Neuromuscular and Nervous Systems Flashcards
what is preserved for posterior cord syndrome
motor function
what separates the occipital lobe into superior and inferior halves
calcarine sulcus
sensory nerves originate in the ______ while motor nerves originate in ______
sensory: dorsal root ganglia
motor: anterior horn of spinal cord
reflex grade of 4+ indicates
very brisk/hyperactive
the reflex that supports gaze stabilization through eye mnovement that counters movement of the head
VOR
what is lost below the LOI for spinal cord
motor function
pain
temperature
In incomplete lesion usually caused by step one, which produces hemisection of the spinal cord
Brown-Sequard
what type of patient would use the Berg balance scale
one at risk for falling
Treatment focus for Down Syndrome
Maximizing fitness stability
Maximizing respiratory function
Education for caregivers
what strategy is elicited by a greater force, challenge, or perturbation through the pelvis and hips
hip
part of the brain responsible for emotional and social processing, involved with fear and pleasure responses, arousal, processing of memory, and formation of emotional memories
amygdyla
part of the brain that coordinates movement and assists with maintaining balance
cerebellum
Is lordosis excessive for DMD
Yes
Spina bifida type:
Non-fusion of the spinous processes of a vertebrae, but spinal cord and meninges are intact (no associated disability)
Spina bifida occulta
what separates frontal and parietal lobes
central sulcus
cells that cover the nerve fibers within the peripheral nervous system and form the myelin sheath
Schwann cells
Spina bifida type:
Presents with a cyst-like protrusion through the non-fused vertebrae (results in impairment)
Spina bifida cystica
a form of chorea that includes jerks of larger amplitudes
ballism
is motor afferent or efferent
efferent
what reflex allows for head/eye movement coordination
Vestibulaoocular Reflex (VOR)
sensation: ability to identify exact location of light touch on the body using a verbal response or gesturing
localization
brachioradialis tendon reflex
C5-C6
Focus for treatment for Prader-Willi
Postural control
Exercise and fitness
Gross and fine motor skills
sensation: squeeze the forearm or calf muscle
deep pain
Sex affected by Duschennes
Males
sensation: perceive the weight of different objects in the hand
barognosis
a syndrome of sustained muscle contractions that frequently causes twisting, abnormal postures, and repetitive movements
dystonia
purpose of Dix-Hallpike test
to determine if patient has BPPV or central lesion
sensation: identify a number drawn on the skin without visual input
graphesthesia
what makes CSF
choroid plexus
is anterior cord syndrome a complete or incomplete lesion
incomplete
Cranial nerve order
OOOTTAFVGVAH
sensation: identify an object without sight
stereognosis
brief, irregular contractions that are rapid
chorea
part of brain that acts as a relay station for majority of info that goes to cerebral cortex
thalamus
part of brain that secretes malatonin, circadian rhythm, and internal clock
epithalamus
what two things does the subarachnoid space contain
CSF
circulatory system for cerebral cortex
what separates the dura mater from subarachnoid space
subdural layer
space between the skull and dura mater
epidural space
slow, twisting, and writhing movements that are large in amplitude
athestosis
MOI for anterior cord
flexion
reflex grade of 1+ indicates
diminished/depressed response
reflex grade of 3+ indicates
brisk/exaggerated response
Herniation of the meninges and CSF into a sac that protrudes through the vertebral defect
Spinal cord remains in canal
Meningocele
The inability to formulate an initial motor plan in sequenced tasks with the proprioceptive input necessary for movement is impaired
Ideational apraxia
part of the brain responsible for voluntary movement, regulation of autonomic movement, posture, muscle tone, and control of motor responses
basal ganglia
Genetic condition diagnosed by physical attributes and patterns of behavior rather than genetic testing
Prader-Willi
involuntary, rhythmic, oscillatory movements
termor
part of the brain that acts as a large relay area for info passing from cerebrum, cerebellum, and spinal cord.. also a reflex center for visual, auditory, and tactile responses
midbrain
what meningeal layer forms the choroid plexus
pia mater
A severe form of spina bifida cystica characterized by herniation of meninges, CSF, and spinal cord extending through the defect in the vertebrae
Cyst may or may not be covered by skin
Myelomeningocele
Two types of spina bifida cystica
Meningocele
Myelomeningocele
parts of the brain that control vital functions
pons and medulla oblongata
reflex that attempts to stabilize the body and control movement
Vestibulospinal Reflex (VSR)
what is damaged in anterior cord syndrome
anterior part of spinal cord
anterior spinal artery
part of brain that is important for regulating movements produced by skeletal muscles
subthalamus
reflex grade of 0 indicates
no response
achilles tendon reflex
S1-S2
sensation: perceive touch through light pressure or use of a cotton ball
light touch
ATNR stimulus and response
Head turned to one side
Arm and leg on face side extended
Back of head side flexed
is sensory afferent or efferent
afferent
A condition where a person plan some movement or task but cannot volitionally perform it
Ideomotor apraxia
patellar tendon reflex
L3-L4
biceps tendon reflex
C5-C6
triceps tendon reflex
C6-C7
What chromosome is affected with Down Syndrome
an extra 21
what direction do muscle groups contract in ankle strategies
distal to proximal
sudden, brief, repetitive coordinated movements that occur at irregular intervals
tics
gold standard for meningitis
lumbar puncture
an extension of the cell body that receives signals from other neurons
dendrite
sensation: identify direction and extent of movement of a joint or body part
kinesthesia
the Fugl-Meyer test is used for patients with…
hemiplegia
MOI for central cord
hyperextension
STNR stimulus and response
Head flexed/extended
Head flexed: arms flexed, legs extended
Head extended: arms extended, legs flexed
part of brain that receives and integrates info from the ANS and assists in regulating hormones, controls hunger, thirst, sexual behavior, and sleeping
hypothalamus
reflex grade of 2+ indicates
active normal response
sensation: perceive noxious stimulus using a pen cap, paper clip, or pin
superficial pain
A caudal equina injury occurs below what level
L1
part of brain responsible for forming and storing new memories of one’s personal history and other declarative memory
hippocampus
what is the first strategy to be elicited by a small range and slow velocity perturbation when the feet are on the ground
ankle
fissure that divides left and right hemisphere
medial longitudinal
a projection of a nerve away from the cell body that conducts impulses
axons
what direction to muscle groups contract in hip strategy
proximal to distal