Neuromuscular Part Twelve Flashcards
MOI anterior cord injury
flexion injuries of c-spine
during weight bearing activities for Down Syndrome, what motions should be avoided
elbow hyperextension
knee hyperextension
gender affected by DMD
males
after a SCI, muscles must demonstrate what grade in order to indicate intact innervation
3+/5
what deformity is present with Charcot-Marie-Tooth-Disease
stork deformity
equionovarus
when cells of the spinal cord are traumatized, what ions accumulate in injured cells and what does that do
calcium ions accumulate
disrupts functioning and causes demyelination and destruction of the cell membrane and axonal cytoskeleton
down syndrome affects the chromosomes how
extra chromosome 21
kids with DMD will have difficulty with what functional task and why
climbing stairs
due to weak glutes and quads
for babies with Down Syndrome, there will be difficulty with what functional task
eating
after surgical closure of myelomeningocele and hydrocephalus is present, what is required and why
shunting of CSF to decrease intracranial pressure
what is myelomeningocele
a defect in the vertebrae resulting in protrusion of the spinal cord and meninges
difficulty standing up with DMD?
yes - Gower’s sign
Down Syndrome AKA
Trisomy 21
as DMD progresses, the child will develop _____ after age 11
kyphoscoliosis
what is Legg-Calve-Perthes disease
idiopathic aseptic necrosis of the femoral capital epiphysis
tight muscles with myelomeningocele
hip flexor
adductor
how is head control with myelomeningocele
real not good
age of boys affected by DMD
3-7
for lower thoracic lesion with myelomeningocele, what type of walker can be used
swivel and rollator walker
what type of orthoses can be used for myelomeningocele
standing frames
parapodia
age of boys affected by legg calve perthes
5-10
effects of central cord syndrome
UE sensation/motor function
LE is fine
gait pattern with DMD
waddling
toe walking
MOI wedge compression/burst fracture
flexion/vertical compression
myelomeningocele AKA
spina bifida
spinal shock usually resolves within…
24 hours of the injury
what artery can be affected with anterior cord injury
anterior spinal artery
Legg Calve Perthes unilateral or bilateral
unilateral
foot deformity present with myelomeningocele
club foot/talipes equinovarus
for down syndrome, what exercises should be avoided and why
avoid forceful neck flexion and rotation
bc atlantoaxial ligamentous laxity and potential for subluxation/SCI
for upper lumbar lesion with myelomeningocele, what type of orthoses are appropriate
RGO
direction of muscle weakness for DMD
proximal to distal
what is spinal shock
temporary phenomenon that occurs after trauma to spinal cord in which the cord stops functioning below the LOI
type of gait present with ataxic (cerebellar) CP?
wide-base
type of orthosis used for legg calve perthes
a special hip abduction orthosis
Brown-Sequard syndrome results in…
ipsilateral weakness, motor paralysis, loss of all corticol, decreased reflexes, clonus, spasticity
contralateral loss of superficial
orthotic devices for Charcot-Marie-Tooth-Disease should aim to correct what deformity
equinovarus
treatment for legg calve perthes
prolonged bed rest
mobile traction and slings
casting
ataxic CP results in what part of the brain involvement
cerebellar involvement
effects of anterior cord syndrome
loss of motor function
loss of pain
loss of temperature
what reflexes return after spinal shock is done
anal
bulbocavernosus
overall tone with myelomeningocele
low
patient problems with Charcot-Marie-Tooth-Disease
foot drop
for DMD, should exercise be performed at a maximal level? why or why not
not a maximal level
because heavy exercise may injure muscle tissue
what is Charcot-Marie-Tooth-Disease
a hereditary disorder of the peroneal and distal leg muscles
what is Gower’s sign and what disease is it associated with
DMD
child uses UE to walk up legs
for upper thoracic lesion with myelomeningocele, what is appropriate for movement
adapted wheelchairs
after surgical closure of myelomeningocele, what may become a problem
hydrocephalus
central cord injury MOI
hyperextension with minor trauma to c-spine
nontraumatic SCIs are most likely to occur with individuals…
with narrowing spinal canals
