Neuromuscular Part Ten Flashcards
heart changes with GB?
tachycardia
what does chopping facilitate
rolling to prone position
how long can it potentially take for someone with a TBI to return to maximal function
1 year or more
direction of muscle weakness progression (just extremities) for GB
lower extremities –> upper extremities
thalamic pain is the result of
the posterior cerebral artery
how would thalamic pain be described
continous, intense pain
postpolio syndrome: symmetrical or asymmetrical weakness
asymmetrical
Guillan-Barre: UMN/LMN?
LMN
type of posture with Parkinsons
flexed
for Parkinsons, in order to overcome bradykinesia, what should be performed
PNFs with rhythmic initiaiton
postpolio syndrome is another form of
muscular dystrophy
besides musculoskeletal, what other muscles are affected with ALS
respiration
spleen referred pain
LUQ
shoulder
respiratory failure a thing with GB?
yes
sensory changes with ALS?
most times no
for ALS, where can muscle weakness begin
the hands
any bladder/bowel problems with MS
yes
symptoms of CRPS
hypersensitivity to LIGHT TOUCH
coldness
sweating
what else is common with ALS in terms of speaking
dysarthria and dysphagia
high arousal may occur during…
during agitated stage following TBI
how is muscle weakness described in general with ALS
a progression
ALS: UMN or LMN?
both
when should exercise be concluded with postpolio syndrome
stop with pain or weakness
what PNF pattern is chopping
D1 extension
heart attack referred pain
medial left arm
jaw pain
gallbladder attack referred pain
right subscap
what is fibromyalgia
widespread pain accompanied by tenderness of muscles and adjacent soft tissues
what is arousal
the overall level of alertness or reaction to stimuli
loss of control with salivation is associated with what disease
Bell’s Palsy
what may the patient have difficulty with with Bell’s Palsy
wrinkling the forehead
closing the eye tightly
smiling
liver referred pain
RUQ
D2 flexion LE
starts with: ER, ADD, ext.
goes to: IR, ABD, flexion
artificial tears can be used for what disease and why
Bell’s Palsy
to protect cornea
low arousal is associated with
coma
difference between CRPS 1 and 2
1: tissue injury without nerve damage
2: nerve injury
what does Bell’s Palsy result in
paralysis of the muscles of facial expression
kidney problems referred pain
thoracic/flank
how is the face described with Parkinsons
“mask-like”
where does thalamic pain occur
the contralateral hemiplegic side
if the patient demonstrates memory loss, what should be used
memory log
what nerve is affected with Bell’s Palsy
facial (7)
recovery time for GB?
about a year (with mild weakness persisting)
direction of muscle weakness (proximal v. distal) for GB
distal –> proximal
what kind of sensory loss is there with Guillan-Barre
stocking/glove
paresthesia (tingling/burning)
what parts of the world are most affected by MS
the colder climates
what should be held consistent during therapy when working with a TBI patient
therapist and schedule
consistent
visual changes with MS
dipolopia
on the Glasgow Coma Scale, what score indicates a severe brain injury
a score less than 8
postpolio syndrome classic symptoms
myalgia
joint pain
variable asymmetrical muscle atrophy with decreased strength
excessive fatigue and decreased endurance
are there sensory changes with MS
yes
D1 flexion LE
starts with: IR, ABD, ext
goes to: ER, ADD, flexion
