NPT I - Practical 1 Flashcards

1
Q

What is dysmetria?

A

Overshoot/undershoot a target

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2
Q

What is diadokokinesis?

A

Rapid alternating movements

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3
Q

Ashworth Grade 0

A

No increase in muscle tone

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4
Q

Ashworth Grade 1

A

Slight increase in muscle tone, manifested by catch and release or by minimal assistance at end ROM when part is moved

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5
Q

Ashworth Grade 2

A

Slight increase in muscle tone, manifested by a catch, followed by minimal resistance throughout the remainder (< 50%) of the ROM

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6
Q

Ashworth Grade 3

A

More marked increase in muscle tone through most (> 50%) of the ROM, but the affected part is easily moved

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7
Q

Ashworth Grade 4

A

Considerable increase in muscle tone, passive movement is difficult

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8
Q

Brunnstrom stage 1

A

Flaccid limb

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9
Q

Ashworth Grade 5

A

Affected part is rigid in position

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10
Q

Brunnstrom stage 2

A

Minimum voluntary movement; associative reactions

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11
Q

Brunnstrom stage 3

A

Voluntary movement synergies; peak of spasticity

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12
Q

Brunnstrom stage 4

A

Out of synergy (HBB, elevate arm to horizontal)

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13
Q

Brunnstrom stage 5

A

Able to do more difficult movements (abduct arm, reach overhead)

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14
Q

Brunnstrom stage 6

A

Isolated joint movement; nearly normal coordination

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15
Q

Brunnstrom stage 7

A

Normal motor function

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16
Q

Ashworth scale grade 0

A

No increase in muscle tone

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17
Q

Ashworth scale grade 1

A

Slight increase in muscle tone; catch and release followed by minimal resistance at end range

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18
Q

Ashworth scale grade 2

A

Catch and release; minimal resistance throughout ROM

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19
Q

Ashworth scale grade 3

A

More marked increase in muscle tone; affected joint still moves easily

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20
Q

Ashworth scale grade 4

A

Considerable increase in tone; difficult PROM

21
Q

Ashworth scale grade 5

22
Q

Corticospinal tract: 1) What tract is it; 2) Where does it cross?

A
  1. Motor

2. Brainstem

23
Q

Spinothalamic: 1) What tract is it; 2) Where does it cross?

A
  1. Pain, temperature

2. Anterior horn

24
Q

Dorsal columns: 1) What tract is it; 2) Where does it cross?

A
  1. Proprioception

2. Brainstem

25
Spinocerebellar: 1) What tract is it; 2) Where does it cross?
1. Subconscious proprioception | 2. Does not cross
26
Anterior Cord Syndrome
Loss of motor Loss of pain/temperature Intact proprioception
27
Central Cord Syndrome
Loss of UE function Intact LE
28
Hemi-Cord (Brown-Sequard)
Loss of ipsilateral motor/proprioception | Loss of contralateral pain/temperature
29
Posterior Cord Syndrome
Loss of proprioception
30
ASIA A
Complete SCI, no sacral function
31
ASIA B
Incomplete SCI Intact sensory No motor except S4-S5
32
ASIA C
Incomplete SCI More than 1/2 of muscles < 3/5 strength
33
ASIA D
Incomplete SCI More than 1/2 of muscles > 3/5 strength
34
ASIA E
No SCI, normal patient
35
Autonomic dysreflexia: inal level
T6 and above
36
MCA typical presentation
Contralateral spastic paralysis, hemianesthesia, homonymous hemianopsia
37
L-sided MCA causes what aphasia?
Global
38
R-sided MCA causes what issue?
Anosagnosia - denial of illness; heminglect
39
Upper MCA causes what aphasia?
Broca's (bad words)
40
Lower MCA causes what aphasia?
Wernicke's (fluent)
41
L-sided ACA presentation?
Abulia (unable to execute motor function)
42
ICA presentation?
Transient monocular blindness; MCA syndrome
43
Proximal PCA presentation?
Thalamic pain syndrome Hemiballismus Contralateral hemiplegia
44
Peripheral PCA presentation?
Transient global aphasia, alexia, cortical blindness
45
Vertebral artery stroke presentation?
Wallenburg's - vertigo, dysphagia, ipsilateral deficits
46
Basilar artery stroke presentation?
Locked-in syndrome
47
Dysmetria
Over/undershooting
48
Dysdiadochokinesia
Unable to alternate quickly (pronation/supination or dorsiflexion/plantar flexion)