Neuromuscular Part Eight

Question 1

describe lift PNF

Answer 1

upper trunk extension with rotation R or L

lead arm moves in D2F

assist arm beneath wrist

Question 2

there is difficulty with _____ for bulbar palsy

Answer 2

coughing

Question 3

sensory changes with ALS?

Answer 3

generally no (only 20% have sensory deficit)

Question 4

what nerve is Bell’s palsy associated with

Answer 4

facial nerve (CN VII)

Question 5

Guillian-Barre usually occurs after…

Answer 5

recovery from an infectious disease (respiratory or GI)

Question 6

what is constraint-induced movement therapy

Answer 6

less-affected UE is restrained by the use of a protective hand mitt

Question 7

what muscles are affected with bulbar palsy

Answer 7

face

tongue

larynx

pharynx

Question 8

what drug is used for ALS

Answer 8

Riluzole

Question 9

what cranial nerves are involved with bulbar palsy

Answer 9

glossopharyngeal

vagus

Question 10

blocked practice

Answer 10

practice of a single motor skill repeatedly (repetitive practice)

Question 11

LMN AND UMN signs with ALS

Answer 11

LMN: atrophy, muscle fasciculations

UMN: spasticity, hyperreflexia

Question 12

symmetrical or asymetrical paralysis with postpolio syndrome

Answer 12

asymmetrical

Question 13

random practice

Answer 13

practice of a group or class of motor skills in random order

Question 14

what is augmented feedback

Answer 14

externally presented feedback

Question 15

can respiratory function be affected with Guillan-Barre

Answer 15

you betcha

Question 16

what would be increased with pseudobulbar palsy

Answer 16

increased jaw jerk

snout reflex

Question 17

symptoms of postpolio syndrome

Answer 17

weakness/atrophy

fatigue

pain

Question 18

massed practice

Answer 18

practice time > rest time

Question 19

congitive affected with ALS?

Answer 19

no

Question 20

for Guillan-Barre, are distal or proximal muscles affected more

Answer 20

distal

Question 21

lifespan for those diagnosed with ALS

Answer 21

2-5 years

Question 22

bell’s palsy results in…

Answer 22

unilateral facial paralysis

Question 23

serial practice

Answer 23

practice of a group/class of motor skills in serial or predictable order

Question 24

are LMNs or UMNs affected with ALS

Answer 24

both

Question 25

describe chop PNF

Answer 25

upper trunk flexion with rotation R or L

lead arm moves in D1E

assist arm holds top of wrist

Question 26

what is lost with bell’s palsy

Answer 26

muscles of facial expression on one side

loss of control of salivation

Question 27

for Guillan-Barre, is sensory or motor loss worse

Answer 27

motor loss is worse

Question 28

what is Guillain-Barre syndrome

Answer 28

polyneuritis with progressive muscular weakess

Question 29

progression of weakness for Guillan-Barre

Answer 29

LEs to UEs (ascending)

Question 30

bowel and bladder affected with ALS?

Answer 30

generally no

Question 31

for Guillan-Barre, is weakness symmetrical or asymetrical

Answer 31

symmetrical

Question 32

sensation effected with bell’s palsy?

Answer 32

no - sensation is normal

Question 33

distributed practice

Answer 33

rest time > practice time