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Physiotherapy - Neuro 2 > Neuromuscular Disorders (Lecture) > Flashcards

Neuromuscular Disorders (Lecture) Flashcards

1
Q

What are the primary sites of pathology for ALS, MD, GBS, PPS, and MS?

A

GBS: Peripheral nervous system demyelination

ALS and PPS: Anterior horn cell and motor neuron

MS: CNS demyelination

MD: muscle

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2
Q

What are the 4 basic clinical syndromes?

A

Generalized Peripheral Neuropathy: Longest peripheral nerve fibers involved.

Focal Peripheral Neuropathy: Localized disorders of single nerves anywhere from spinal root to smallest branch of the nerve.

Mononeuropathy Multiplex: individual peripheral nerves or their branches are involved at several sites giving rise to multi-focal signs and symptoms.

Mononeuropathy Multiplex and Polyneuropathy may co-exist: often motor and sensory S&S exist.

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3
Q

What are the S&S, cause, stages, and treatment (general) of GBS?

A

slides 11-13

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4
Q

what are the PT assessment guodelines for GBS wrt impairments, activity limitations, and participation restriction?

A
  • slides 14-17
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5
Q

descrbe PT intevention in the acute phase of GBS

A

slide 18-20

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6
Q

descrbe PT intevention in the plateau phase of GBS

A

slide 21

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7
Q

descrbe PT intevention in the recovery phase of GBS

A

slide 22-23

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8
Q

describe the overall Pt summary for GBS patients

A

Intervention goals:

  • Resolve respiratory problems
  • Minimize pain
  • Prevent secondary effects of immobilization
  • Promote recovery of muscle strength and function

For peripheral neuropathy: Inadequate evidence to evaluate the effect of exercise on functional ability but some evidence points to the benefit of strengthening exercises.

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9
Q

what is post-polio syndrome?

A

progressive clinical syndrome consisting of new weakness, fatigue and pain in those individuals who have recovered from past paralytic polio

  • poliomyelitis (polio), a contagious viral illness that in its most severe form causes paralysis, difficulty breathing and sometimes death
  • infection leads to inflammation of nerve cells in the ventral horns of the spinal cord – damages motor neurons (anterior horn cells)
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10
Q

how do you make a post-polio diagnosis?

A
  • slide 28
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11
Q

what is the etiology of post polio syndrome?

A
  • slide 29
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12
Q

hwta happens to motor units after a polio onset?

A

slide 30-32

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13
Q

what are risk factors of post-polio syndrome?

A

slide 33

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14
Q

what things need to be managed with post-polio syndrome patients?

A

identification and treatment of other medical and neurological disorders which can mimic the symptoms of PPS

weakness

fatigue

pain

other problems (pulmonary dysfunction, dysphagia, and psychosocial difficulties

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15
Q

how to manage weakness for post-polio syndrome patients - and treatment guidelines

A

slide 35-39

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16
Q

what are the key muscle groups to assess for post polio syndrome?

A
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17
Q

how to assess, manage, and treat fatigue for post-polio syndrome patients

A

slide 40-44

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18
Q

describe the management/treatment of pain symptom for post-polio patients

A

slide 45-48

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19
Q

what is the prognosis for people with post-polio syndrome?

A

slide 50

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20
Q

what is MS? what causes it and how does it progress?

A

slides 51 and 52

21
Q

what are the outcome predictors for MS?

A

slide 53

22
Q

how do you reach an ms diagnosis?

A

slide 54

23
Q

what is the medical management of ms?

A

slides 55-57

24
Q

what are the most common symptoms of ms?

A

slide 58

25
Q

evidence-infomred practice for MS

A

slide 60

26
Q

what are the goals of rehab for Ms patients?

A

slide 61

27
Q

for Ms, describe how the type of PT intervention depends on the stage od the disease

A

slide 62

28
Q

explain good and bad responses to therapy for MS patients

A
29
Q

what assessment scales are most commonly used for MS?

A

slide 64-68

30
Q

describe management of fatigue for patients with MS. primary vs secondary fatigue

A

slides 69 - 72

31
Q

describe management of muscle weakness for patients with MS - and exercise perscription

A

slides 73-74

32
Q

describe PT management of spasticity for MS patients

A

slide 75

33
Q

describe functional mobility management for MS patients

A

slides 76 - 78

34
Q

describe PT management for MS patients for lack of balance and coordination

A

slide 79

35
Q

describe PT management of deconditioning for MS patients

A

slides 80 and 81

36
Q

describe PT management of sensory dysfunction for MS patients

A

slide 82

37
Q

describe PT management of psychosocial issues for MS patients

A
  • Employment
  • Family coping
  • Social life
    overall: AN EFFECTIVE INTERVENTION CAN HELP GAIN OR SUSTAIN FUNCTION AND MAINTAIN ACTIVITY LEVEL
38
Q

what is ALS? what structures does it involve?

A

slides 87-88

39
Q

how to reach a clinical diagnosis of ALS

A

slide 89

40
Q

onset and symptoms of ALS?

A

slide 90

41
Q

ALS treatment and immediate care after diagnosis

A

slide 91, 92

42
Q

PT goals for patient with ALS

A

slide 94

43
Q

describe typical PT assessment for ALS patients - also measures used to track evolution of symptoms

A

slides 95-97, 105

44
Q

describe the phases and stages of ALS (general)

A

slide 98

45
Q

describe exercise and rehab guidelines for ALS patients in phase 1

A

slides 99-101

46
Q

describe exercise and rehab guidelines for ALS patients in phase 2

A

slides 102-103

47
Q

describe exercise and rehab guidelines for ALS patients in phase 3

A

slide 104, 106

48
Q

in summary, what are the parameters for a submaximal strengthening exercise program for persons with a neuromuscular disease such as Amyotrophic Lateral Sclerosis, Multiple Sclerosis, Post-Polio Syndrome or Guillain-Barre Syndrome?

A

slides 104-110

49
Q

describe upper vs lower motor neuron symptoms

A

Physiotherapy - Neuro 2 (8 decks)

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