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TherapyEd > Neuromuscular Part Eleven > Flashcards

Neuromuscular Part Eleven Flashcards

1
Q

two gait patterns for spastic CP

A

scissoring

toe walking

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2
Q

when is APGAR tested

A

1, 5, 10, 15 minutes after birth

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3
Q

four main syndromes of CP

A

spastic

athetoid

ataxic

mixed (most often spasticity and athetosis)

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4
Q

onset and integration of moro reflex

A

onset: 28 weeks gestation
integration: 5-6 months

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5
Q

how should pressure on tendons in order to inhibit tone be applied

A

firm, constant pressure

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6
Q

what is plantar grasp stimulus and response

A

stimulus: maintain pressure under toes
response: maintain flexion of toes

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7
Q

what is tested on APGAR

A

heart rate

respiration

muscle tone

color

reflex irritability

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8
Q

Erb’s Palsy affects what nerve roots

A

C5-C6

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9
Q

ATNR stimulus and response

A

stimulus: rotation to the side of the head
response: flexion of the skull limbs, extension of the jaw limbs

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10
Q

what is the cognitive stage of motor learning

A

develop an overall understanding of the skill through trial and error practice

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11
Q

athetosis in CP results from involvement with what part of the brain

A

basal ganglia involvement

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12
Q

what does Klumpke’s Paralysis result in weakness of

A

hand and wrist flexors

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13
Q

onset and integration of crossed extension reflex

A

onset: 28 weeks gestation
integration: 1-2 months

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14
Q

Klumpke’s Paralysis affects what nerve roots

A

C8-T1

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15
Q

most common syndrome of CP

A

spastic

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16
Q

appropriate parameters for low-frequency vibration

A

5-50 Hz

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17
Q

what appearance of the hand is common with Klumpke’s Paralysis

A

claw hand

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18
Q

when does Klumpke’s Paralysis occur

A

when C8-T1 are stretched during the birthing process

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19
Q

plantar and palmar grasp onset and integration

A

onset: palmar at birth, plantar 28 weeks gestation
integrated: palmar 4-6 months, plantar 9 months

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20
Q

what is feedforward

A

sending of afferent signals in advance of movement to ready the system

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21
Q

normal score on APGAR

A

7 or higher

22
Q

what is the autonomous stage of motor learning

A

after considerable practice the motor performance becomes automatic

23
Q

what is palmar grasp stimulus and response

A

stimulus: maintain pressure to palm of hand
response: maintain flexion of fingers

24
Q

protective extension reaction stimulus and response

A

stimulus: displace COG outside BOS
response: arms or legs extend and ABD to support and to protect the body against falling

25
Q

an individual with strong flexor spasticity would have what reflex absent

A

Landau

26
Q

for spastic CP, how are DTRs in affected limbs

A

increased

27
Q

landau reflex onset and integration

A

onset: 3 months
integration: 2 years

28
Q

what demonstration is there after premature birth with CP

A

spastic paraplegia

29
Q

optical and labryrinthine righting reflex stimulus and response

A

stimulus: alter body position by tipping body in all directions (for labryinthine, vision is occluded)
response: head orients to vertical position and mouth horizontal

30
Q

facilitation techniques examples

A

repetitive brushing

quick icing for muscles

quick stretch/tapping

high frequency vibration

31
Q

prolonged influence of ATNR can result in

A

scoliosis

hip subluxation (if there is marked hypertonia)

32
Q

onset of optical and labyrinthine righting reflex

A

onset: birth-2 months
integrated: persits

33
Q

for CP, where could hemorrhage be present that initially caused it

A

below the lining of the ventricles

34
Q

what Hz should high-frequency vibration be applied at

A

50-300 Hz

35
Q

when does Erb’s Palsy occur

A

when C5-C6 nerve roots are stretched during birthing process

36
Q

a score of ___ or less on APGAR requires immediate care

A

4 or less

37
Q

inhibition technique examples

A

prolonged icing

neutral warmth

prolonged stretch

low-frequency vibration

pressure on tendons

38
Q

what LE PNF helps rolling in any direction

A

D1 flexion

39
Q

what does fast spinning do

A

facilitate postural tone and promotes head righting

40
Q

what is the associate stage of motor learning

A

refinement of the motor strategy is achieved through continued practice; concentrate on how to do the movement rather than on what to do

41
Q

moro reflex stimulus and response

A

stimulus: sudden change in position of the head in relation to the trunk (drop patient backward from sitting)
response: extension and abduction of UE with hand opening… arms move across the chest

42
Q

arm deformity with Erb’s Palsy

A

shoulder ADD, IR

“waiter’s tip” deformity

43
Q

for athetoid CP, what reflexes may be persistent

A

ATNR

STNR

tonic labyrinthine

44
Q

what is neutral warmth

A

relaxation by wrapping patient in towels or blankets to decrease postural tone

45
Q

positive supporting reaction stimulus and response

A

stimulus: contact to the ball of the foot in an upright standing position
response: rigid extension of LE with PF and IV, toes clawing and IR

46
Q

Landau reflex stimulus and response

A

stimulus: lift the child under the thorax in a prone position
response: first the head and then the back and legs will exten

47
Q

onset of ATNR and when is it integrated

A

onset: birth
integrated: 4-6 months

48
Q

tonic labryinthine reflex stimulus and rsponse

A

stimulus: prone or supine position
response:

prone - increased flexor tone

supine - increased extensor tone

49
Q

stimulus and response in crossed extension reflex

A

stimulus: noxious stimuli to ball of foot or extremity in fixed extension

response: a. LE flexes, then adducts, then extends
b. in patients with hemiplegia, lifting the uninvolved leg off the ground during ambulation results in increased extensor tone in the involved leg

50
Q

three stages of motor learning in order from most basic to most advanced

A

cognitive

associative

autonomous

51
Q

STNR stimulus and response

A

stimulus: flexion or extension of head
response:

with head flexion - flexion of arms and extension of legs

with head extension - extension of arms and flexion of legs

TherapyEd (81 decks)

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