Neuromuscular Part Six Flashcards

1
Q

who is robotic-assisted walking used for

A

complete SCIs

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2
Q

training schedule for treadmill training using body weight support

A

4-5 days/week

20-30 minutes

8-12 weeks

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3
Q

what disease is Lhermitte’s sign common with

A

MS

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4
Q

for parkinsons, anticholinergic drugs are used for

A

control of tremor

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5
Q

type of gait with MS

A

ataxic

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6
Q

someone on parkinsons on levodopa, what would be expected

A

fluctuations in symptoms

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7
Q

what is bradyphrenia

A

slowing of thought process

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8
Q

what is festinating gait

A

involuntary increase in speed of walking, often with forward acceleration, but may occur with backward progression

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9
Q

what is common with position changes for parkinsons

A

orthostatic hypotension

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10
Q

what should be examined during gait for parkinsons

A

freezing of gait

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11
Q

what is neuromodulation

A

use of electrical stimulation to replace of improve function of a paralyzed or paretic limb

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12
Q

for MS, how are tone and DTRs

A

spasticity

hyperreflexia

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13
Q

the biggest subgroup of MS

A

relapsing-remitting (85%)

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14
Q

stages of Parkinson’s as per the Hoehn and Yahr classification

A

I. minimal or absent disability, unilateral symptoms

II. minimal bilateral or midline involvement, no balance involvement

III. impaired balance, some restrictions in activity

IV. all symptoms present and severe.. stands and walks only with assistance

V. confinement to bed or wheelchair

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15
Q

for MS, communication difficulties?

A

yes - dysarthria

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16
Q

sensory symptoms with MS

A

paresthesias

hyperpathia

dyesthesias

trigeminal neuralgia

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17
Q

classic symptoms of Parkinsons

A

rigidity

bradykinesia

resting tremor

impaired postural reflexes

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18
Q

what is scotoma

A

blind spot

19
Q

SCIs T12-L3: what assistance for ambulation

A

independent household

wheelchair community

20
Q

is there cognitive impairment with Parkinson’s

A

yes - intellectual impairment/dementia in advanced stages..

bradyphrenia, depression

21
Q

side effects of Sinemet (levodopa/carbidopa)

A

nausea

vomitting

ortho hypotension

cardiac arrhythmias

involuntary movements

psychoses

abnormal behaviors

22
Q

what is Sinemet

A

levodopa/carbidopa

23
Q

what is functional electrical stimulation used for

A

exercise

walking

functional use of UEs

24
Q

what do interferon drugs do for MS

A

slow progression of disease and decrease symptoms

25
Q

for parkinsons, amantadine does what

A

enhances dopamine release

26
Q

any cognitive involvement with MS

A

mild-to-moderate impairment is common

27
Q

what is multiple sclerosis

A

chronic, progressive demyleninating disease of the CNA affecting mostly young adults

28
Q

visual changes with parkinsons

A

yes - blurring, cogwheeling eye pursuit

29
Q

are there communication deficits with parkinsons

A

dysarthria

hypophonia

30
Q

what drugs are good for MS

A

interferon

31
Q

what would be elevated for someone with MS

A

gamma globulin

32
Q

indications for treadmill training using body weight support for SCI

A

incomplete injuries (ASIA B, C, D)

33
Q

is there changes with chest mobility for parkinsons

A

yes - decreased thoracic expansion

34
Q

for Parkinson’s, what is deficient within the substantia nigra

A

dopamine

35
Q

urinary problems with MS can be treated with what group of drugs

A

anticholinergic drugs

36
Q

deep brain stimulation in thalamus or subthalamic nucleus is good for what disease

A

parkinsons

37
Q

for Parkinson’s, what neurons are degenerated

A

dopaminergic substantia nigra

38
Q

what is Lhermitte’s sign

A

electric-shock sensation throughout the body produced by flexing the neck

39
Q

visual deficits with MS?

A

diplopia or blurred vision

40
Q

what gait pattern is common with parkinsons

A

festinating

41
Q

what is hypophonia and what disease is it common with

A

decreased volume of speech

parkinsons

42
Q

gait pattern for SCI T12-L3

A

swing-through

or

four point with crutches

43
Q

for MS, the demyleninating lesions impair neutral transmission, leading to nerves doing what

A

fatiguing quickly

44
Q

top complaint with MS

A

fatigue