pathology 1.4 nervous system

Question 1

Chronic

Answer 1

Long term, low intensity
disease or condition which develops slowly and lasts for a prolonged period
1 = peridontal
2 = mental

Question 2

Acute

Answer 2

short term, severe
Disease or condition that appears suddenly and is of short duration (few days to a few weeks);
50%+ respiratory in nature and viral in origin
30% are injuries

Question 3

Degeneration

Answer 3

Progressive pathological changes

Normal aging process

Question 4

Infectious disorder

Answer 4

Requires a pathogen

Question 5

Nervous system injury

Answer 5

Requires MD order prior to massage

Question 6

Spinal cord injury

Answer 6

Requires a MD order prior to massage

Question 7

Questions to ask when someone has a neurological disorder

Answer 7

When diagnosed?
How does this interfere in your daily life?
What medications are you taking?
What symptoms do you have? Pain? Burning? Numbness? Weakness?

Question 8

If someone comes to you with symptoms of a NS disorder, not diagnosed, you should

Answer 8

Recommend they see an MD for further diagnosis

Question 9

Alzheimer’s disease

Answer 9

Degenerative disorder of the brain involving shrinkage and death of brain tissue

S&S - may begin with memory changes, lead to impaired functioning & inability to care for self

Indicated for massage but with concerns

Question 10

Amyotrophic lateral sclerosis (ALS)

Answer 10

Progressive degeneration of MOTOR NEURONS and subsequent atrophy of skeletal muscles

S&S - weakness, fatigue, muscle spasms, eventual loss of functioning

Massage indicated but need to respect state of the condition, could cause spasms

Question 11

Peripheral neuropathy

Answer 11

Damage to the peripheral nerves causing numbness, tingling and pain.

Could be caused by diabetics

Indicated with caution due to numbness

Question 12

Tremor

Answer 12

S&S - Rhythmic, involuntary muscle movements, fine or gross.

May be due to neurological disorder or multiple other causes

***NEED DIAGNOSIS BEFORE PROCEEDING WITH MASSAGE

Question 13

Encephalitis

Answer 13

Inflammation of the brain, usually viral

S&S - fever, headache, confusion, can cause permanent damage and death

Acute - no massage

Fully recovered - no contraindication

Question 14

Polio

Answer 14

Viral infection, first of the intestines, then 1% will have virus target and destroy cells in the spinal cord, to resurface later. Puts excessive demand on motor neurons, wear out and problems resurface later.

Will not run into today

Question 15

Post polio syndrome

Answer 15

post polio syndrome - progressive muscle weakness with atrophy of muscles

S&S - cycles of fatigue, achiness and weakness, may eventually lead to paralysis.

Massage indicated

Question 16

Nervous system injuries require before massage?

Answer 16

MD note

Question 17

Cerebral palsy

Answer 17

CNS injury occurring prenatally, at birth or in early infancy. Usually MOTOR impairment

S&S - hypertonic or hypertonic muscles, sometimes contractures, suppressed or extreme reflexes, poor coordination.q

MD note required before massage

Question 18

Complex regional pain syndrome

Previously

Reflex sympathetic dystrophy

Answer 18

Chronic pain condition in which initial trauma causes pain that is more severe and longer lasting than is reasonable to expect

S&S - heat, sweating, severe pain, eventual color changes & tissue changes

NEED MD NOTE BEFORE MASSAGE

Question 19

Spinal cord injury

Answer 19

Damage to some or all the fibers of the spinal cord.

S&S - determined by what parts of the cord are damaged and at what level:

Paraplegic - lower half of body affected
Quadriplegic - body affected from neck down

Question 20

Stroke

Or

Cerebovascular accident (CVA)

Answer 20

Damage/death to brain tissue by blockage of blood flow (clot) or an arterial bleed.

S&S - paralysis, weakness or numbness one one side of the body (hemiplegia), confusion, difficulty speaking/swallowing

Need MD NOTE before massage

Probably on a blood thinner, never do deep work

Question 21

TIA

Transient ischemic attack

Answer 21

Mini stroke

Question 22

Seizure disorders

Answer 22

Neuralgic damage to the brain, increased electrical activity

S&S -

Stay with them if they are on your table, make sure they do not fall off

No contraindication to massage