Neuromuscular dysfunction with endocrine and or cardiovascular disorders Flashcards

1
Q

What are some examples of neuromuscular disorders that could make O2 transport hard

A
  • cerebral lesions: CVA, CP, TBI
  • spinal cord: polio, SCI
  • demyelinating disease: GBS, ALS, MS
  • neuromuscular junction: myasthenia gravis
  • failure of contracile mechanisms of muscles: myopathy
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2
Q

What can NM disorders reduce in reguards to CV and O2 transport

A
  • respiratory mm strength/endurance (MG/SCI)
  • inspiratory/expiratory presssure (keep airway open/cough issues)
  • lung volumes and capacity
  • flow rates
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3
Q

How can neuromuscular disorders contribute to respirtory issues

A
  • can cause hypoventilation
  • hypoventilation can lead to airway closure
  • airway closure can lead to hypoexmia
  • hypoexmia can lead to hypercapnia
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4
Q

How can NM disease along with cardio/respirtory issues implicate physical therapy

A
  • optimize alevor ventilation
  • airway protection
  • patient/family education
  • exercise prescription
  • movement economy
  • montior patient
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5
Q

Implications of NM disease with endocrine disease

A
  • disorders of thyriod, pancrea, adrenal glands, and posterior pituitary gland
  • additional weakness due to endocrine dysfunction
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6
Q

NM signs of thyroid dysfunction: hypothyroidism

A
  • weakness
  • lethary, impaired memory and cognition
  • poor concentration
  • paresthesia, muscle cramps
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7
Q

NM signs of thyroid dysfunction: hyperthyroidism

A
  • confusion, seizures
  • weakness
  • tremor, chorea, athetosis (muscles are constantly functioning)
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8
Q

Neuromuscular signs wtih adrenal gland hyperfunction

A
  • weakness
  • emotional lability
  • depression
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9
Q

neuromuscular signs with adrenal hypofunction

A
  • fatigue
  • weakness
  • depression
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10
Q

neuromuscular signs with parathyroid hyperfunction

A
  • weakness
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11
Q

neuromuscular signs with parathyroid hypofunction

A
  • fatigue
  • weakness
  • chorea
  • athetosis
  • headache
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12
Q

PT implications for neuromuscular and endocrine dysfunction

A
  • effectiveness of pharmacological interventions will impact PT tx
  • exercise perscription
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13
Q

Neuromuscular disease and obesity

A
  • alveolar hypoventilation
  • increase mass of chest wall and abdomen
  • increase energy to displace mass during respiration
  • impaired disphragmatic excursion
  • systemic and pulmonary HTN
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14
Q

neuromuscular disease and anorexia

A
  • O2 transport deficits because of general debility and metabolis catabolism
  • may see cardiac effects
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