Neuromuscular Part Six Flashcards
who is robotic-assisted walking used for
complete SCIs
training schedule for treadmill training using body weight support
4-5 days/week
20-30 minutes
8-12 weeks
what disease is Lhermitte’s sign common with
MS
for parkinsons, anticholinergic drugs are used for
control of tremor
type of gait with MS
ataxic
someone on parkinsons on levodopa, what would be expected
fluctuations in symptoms
what is bradyphrenia
slowing of thought process
what is festinating gait
involuntary increase in speed of walking, often with forward acceleration, but may occur with backward progression
what is common with position changes for parkinsons
orthostatic hypotension
what should be examined during gait for parkinsons
freezing of gait
what is neuromodulation
use of electrical stimulation to replace of improve function of a paralyzed or paretic limb
for MS, how are tone and DTRs
spasticity
hyperreflexia
the biggest subgroup of MS
relapsing-remitting (85%)
stages of Parkinson’s as per the Hoehn and Yahr classification
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
for MS, communication difficulties?
yes - dysarthria
sensory symptoms with MS
paresthesias
hyperpathia
dyesthesias
trigeminal neuralgia
classic symptoms of Parkinsons
rigidity
bradykinesia
resting tremor
impaired postural reflexes
what is scotoma
blind spot
SCIs T12-L3: what assistance for ambulation
independent household
wheelchair community
is there cognitive impairment with Parkinson’s
yes - intellectual impairment/dementia in advanced stages..
bradyphrenia, depression
side effects of Sinemet (levodopa/carbidopa)
nausea
vomitting
ortho hypotension
cardiac arrhythmias
involuntary movements
psychoses
abnormal behaviors
what is Sinemet
levodopa/carbidopa
what is functional electrical stimulation used for
exercise
walking
functional use of UEs
what do interferon drugs do for MS
slow progression of disease and decrease symptoms
for parkinsons, amantadine does what
enhances dopamine release
any cognitive involvement with MS
mild-to-moderate impairment is common
what is multiple sclerosis
chronic, progressive demyleninating disease of the CNA affecting mostly young adults
visual changes with parkinsons
yes - blurring, cogwheeling eye pursuit
are there communication deficits with parkinsons
dysarthria
hypophonia
what drugs are good for MS
interferon
what would be elevated for someone with MS
gamma globulin
indications for treadmill training using body weight support for SCI
incomplete injuries (ASIA B, C, D)
is there changes with chest mobility for parkinsons
yes - decreased thoracic expansion
for Parkinson’s, what is deficient within the substantia nigra
dopamine
urinary problems with MS can be treated with what group of drugs
anticholinergic drugs
deep brain stimulation in thalamus or subthalamic nucleus is good for what disease
parkinsons
for Parkinson’s, what neurons are degenerated
dopaminergic substantia nigra
what is Lhermitte’s sign
electric-shock sensation throughout the body produced by flexing the neck
visual deficits with MS?
diplopia or blurred vision
what gait pattern is common with parkinsons
festinating
what is hypophonia and what disease is it common with
decreased volume of speech
parkinsons
gait pattern for SCI T12-L3
swing-through
or
four point with crutches
for MS, the demyleninating lesions impair neutral transmission, leading to nerves doing what
fatiguing quickly
top complaint with MS
fatigue
