Neuromuscular: Study Set 2 Flashcards
What is the Modified Ashworth Scale used for
grading spasticity/resistance to passive stretch
What is the numeric scale for the MAS/modified ashworth
0, 1, 1+, 2, 3, 4
What is a 0 on the MAS
No increase in muscle tone
What is a 1 on the MAS
slight increase in muscle town manifested by a catch or release at the end range of motion
What is a 1+ on the MAS
slight increase in muscle town manifested by a catch followed by minimal resistance throughout less than half of the ROM
What is a 2 on the MAS
affected parts easily move but have a noticeable resistance throughout entire ROM
What is a 3 on the MAS
passive movement is difficult due to considerable increase in tone
What is a 4 on the MAS
affected part is rigid in flexion/extension
True or False
The MAS is dependent on velocity
true
Does the use of the MAS usually result from an UMN or LMN
upper motor neuron
What is the Glasgow Coma Scale
It is a scale that determines arousal and cerebral cortex function after a TBI.
What is the numeric scale and its significance of the GCS/glasgow coma scale
The patient’s score will be a 3 at worst and 15 at best
13-15 = mild injury
9-12 = moderate injury
8 or less = severe injury
What are the three categories that are scored on the glasgow coma scale
4 eye opening
6 motor response
5 verbal response
What nerves originate from the rami of the brachial plexus
dorsal scapular
long thoracic
What nerve innervates the rhomboids and levator scapulae
dorsal scpaular
what nerve innervates the serratus anterior
long thoracic
What nerves originate from the trunks of the brachial plexus
nerve to subclavius
suprascapular nerve
What nerve innervates the subclavius
nerve to sublavius
what nerve innervates the infraspinatus and supraspinatus
suprascapular nerve
what nerves originate from the lateral cord of the brachial plexus
lateral pectoral
musculocutaneous
lateral root of the medial nerve
what nerve innervates the clavicular head of the pec major
lateral pectoral nerve
what nerve innervates the coracobrachialis, biceps brachii, and brachialis muscles
musculocutaneous nerve
what nerve innervates the flexor muscles in the forearm and some in the hand, with the exception of flexor carpi ulnaris
lateral and medial root of median nerve
what nerves originate from the medial cord of the brachial plexus
medial pectoral
ulnar nerve
medial root of the median nerve
what nerve innervates the pec major and minor
medial pectoral
what nerve innervates flexor carpi ulnaris, flexor digitorum profundus, and most small hand muscles
ulnar nerve
what nerve innervates flexor muscles in the forearm and some in the hand with the exceptions of flexor carpi ulnaris
medial and lateral root of median nerve
what nerves originate from the posterior cord of the brachial plexus
upper subscapular
lower subscapular
thoracodorsal
axillary
radial
what nerve innervates the subscapularis
upper subscapular
what nerve innervates the latissimus dorsi
thoracodorsal
what nerve innervates the subscapularis and teres major
lower subscap
what nerve innervates the deltoid and teres minor
axillary nerve
what nerve innervates the brachioradialis, triceps, supinator, wrist extensors, and anconeus
radial nerve
What innervates the psoas major and minor and the quadratus lumborum
lumbar plexus
What innervates the piriformis, superiof/inferior gemelli, obturator internus, and quadratus femoria
sacral plexus
what nerve innervates the glute max
inferior gluteal nerve
what nerve innervates the glute med, glute min, and TFL
superior gluteal nerve
what nerve innervates the quad muscles, iliacus, sartorius, and pectinues
femoral nerve
what nerve innervates the adductors, obturator externus, and gracilis
obturator nerve
what nerve innervates the soleus, popliteus, plantaris, tibialis posterior, gastroc, flexor hallucis longus and flexor digitorum longus
tibial nerve
what nerve innervates the semitendinosus, semimembranosus, and long head of biceps femoris
sciatic nerve tibial divisial
what nerve innervates the short head of biceps femoris
sciatic nerve peroneal division
what nerve innervates the tibialis anterior, extensor hallucis/digitorum longus, peroneus tertius, extensor digitorum brevis
deep peroneal nerve
what nerve innervates the peroneus longus and brevis
superficial peroneal nerve
what nerve innervates the abductor hallucis, lumbrical I, flexor digitorum/hallucis brevis
medial plantar nerve
what nerve innervates the abductor digiti minimi, flexor digiti minimi, doral interossei, quadratus plantae, plantar interossei, lumbricals
lateral plantar nerve
What is adam’s closed loop theory in regards to motor control
it states that sensory feedback is an ongoing process for the nervous system to compare current movement with stored information on memory of past movement with high emphasis on practice
What is schmidt’s schema theory in regards to motor control
This is an open loop theory that promotes clinical value of feedback and importance of variation with practice
what are the three stages of motor learning
- cognitive
- associative stage
- autonomous stage
Which stage of motor learning is the initial stage in which the pt will acquire information as to how to attain the goal.
- cognitive
- associative stage
- autonomous stage
cognitive
Which stage of motor learning (cognitive, associative, or autonomous) can be described as
-large amount of errors
-inconsistent attempts
-repetition allows for improvement
- high degree of cognitive work; listening/observing/processing feedback
cognitive
Which stage of motor learning is the intermediate stage in which a pt is able to more independently distinguish correct versus incorrect performance by linking feedback with the movement performed.
- cognitive
- associative stage
- autonomous stage
associative stage
Which stage of motor learning (cognitive, associative, or autonomous) can be described as
-decreased errors with new skills
-decreased need for concentration
-skill refinement
-increased coordination with practice
associative
Which stage of motor learning is the final stage in which a pt improves the efficiency of the activity without a great need for cognitive control.
- cognitive
- associative stage
- autonomous stage
autonomous
Which stage of motor learning (cognitive, associative, or autonomous) can be described as
-automatic response
-mainly error free
-distraction does not impact activity
-external feedback should be limited if any, and internal feedback should be dominant
autonomous
True or False
Overtime, a PT should decrease extrinsic feedback in order to ultimately enhance learning.
True
Which of the following types of feedback represents all feedback that comes to the person through sensory systems as a result of the movement including visual, vestibular, proprioceptive, and somatosensory inputs
- Intrinsic/inherent
- extrinsic/augmented
- intrinsic/inherent
Which of the following types of feedback represents the information that can be provided while a task or movement is in progress or subsequent to the movement, which is typically in the form of verbal or manual feedback.
- Intrinsic/inherent
- extrinsic/augmented
extrinsic or augmented
What is massed practice
The activity lasts longer than the rest breaks in between sets/another activity.
What is distributed practice
the amount of rest time between trials is equal to or greater than the amount of practice time for each trial.
What is constant practice
practice of a given task under a uniform condition
What is variable practice
practice of a given tasks under differing conditions
What is blocked practice
consistent practice of a single task
What is random practice
varying practice amongst different tasks
What is whole training
practicing an entire task
What is part training
practice of an individual component or selected components
What does the reflexive hierarchy in regards to motor control.
This is an open loop system characterized by a single transfer of information without any feedback loop. The nervous system is seen as awaiting stimuli in order to react.
True or False
An open loop motor control theory is characterized by multiple feedback loops in which the nervous system is seen as an active participant and can initiate movement
False, this describes a closed loop
What does habituation mean
the decrease in response that will occur as a result of consistent exposure to non-painful stimuli.
Which style of learning involves a single repeated stimulus
- Non-associative
- Associative
- Procedural
- Declarative
non associative
Which style of learning involves gaining understanding of the relationship between two stimuli, casual relationship or stimulus and consequence
- Non-associative
- Associative
- Procedural
- Declarative
associative
What type of learning is habituation and sensitization
- Non-associative
- Associative
- Procedural
- Declarative
non- associative
What type of learning is classical conditioning and operant conditioning
- Non-associative
- Associative
- Procedural
- Declarative
associative
Which style of learning involves learning tasks that can be performed without attention or concentration to the task or developing a habit through repetitive task
- Non-associative
- Associative
- Procedural
- Declarative
procedural
Which style of learning involves attention, awareness, and reflection in order to attain knowledge that can be consciously recalled
- Non-associative
- Associative
- Procedural
- Declarative
declarative
What type of learning is mental practice
- Non-associative
- Associative
- Procedural
- Declarative
declarative
What type of learning is done by forming movement habits via repetition
1. Non-associative
2. Associative
3. Procedural
4. Declarative
Procedural
True or False
performance is an absolute measure of learning
false, there are too many variables that can affect performance