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Neuro management 2 > PD > Flashcards

PD Flashcards

1
Q

Motor BG functions

A

Initiation (reaction time)
Selection and recruitment (movement time)
Sequence (recruitment order)

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2
Q

Rigidity

A

resistance to passive movment

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3
Q

hypokinetic

A

movement doesn’t occur when it should

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4
Q

hyperkinetic

A

movement occurs when it should not

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5
Q

unknown process; may be indirect effects of BG on reticulospinal tracts

A

Rigitity

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6
Q

impaired initiation of movement

A

akinesia

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7
Q

decreased amplitude and velocity of movment

A

bradykinesia

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8
Q

hypokinetic disorders are usually accompanied by tone changes

A

rigitity

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9
Q

excessive involuntary movment

A

dyskinesias

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10
Q

tremor

A

rhythmic, involuntary, oscillatory movements

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11
Q

athetosis

A

slow, writing movemnt of extremities

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12
Q

chorea

A

jerky, random limb and orofacial movements

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13
Q

ballism

A

violent, large amplitude proximal limb movement

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14
Q

dystonia

A

sustained postures and slow con-contractions

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15
Q

tic

A

brief, repetitive, involuntary movements

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16
Q

most common non motor BG function

A

cognitive

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17
Q

bradyphrenia

A

speed of mental processing

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18
Q

common cognitive problems

A

bradyphrenia, executive function, discrimination, memory, motivation and reward, dementia

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19
Q

neurobehavioral symptoms

A

compulsion, obsessive and addictive behaviors
hyperactive behavior- agitation, isolation, euphoria, or anxiety
hypokinetic behavior -apathy

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20
Q

Non-motor BG functions

A

cognitive deficits, neurobehavioral symptoms, sleep disorders, loss of ANS control (constipation, blood flow (hypotension) swallowing and speech volume, ED)
Fatigue
Loss of sense of smell
Depression

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21
Q

Average age of PD diagnosis

A

60

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22
Q

onset of huntington disease

A

30-40

23
Q

symptoms of huntington disease

A

hallucinations, irritability, demential, restlessness/figeting, chorea (facial grimace, jeaking movments along with slow uncontrolled onse, unsteady gait)

24
Q

flinging movment of UE’s

A

ballismus

25
Q

T/F rigitiy is velocity related

A

F

26
Q

freezing of gait

A

akinesia

27
Q

difficulty with initiation of gait

A

akinesia

28
Q

characerized by slow movements

A

bradykinesia

29
Q

characterized by small amplitude of movment

A

hypokinesia

30
Q

Micrographia

A

handwriting will start normal and become smaller and smaller

31
Q

Sinement

A

L-dopa and carbidopa combined

32
Q

during sit to stand pts with PD have difficulty

A

wiht flexion momentum

33
Q

360 turn

A

pt may take up to 20 steps to turn

34
Q

T/F you shouldnt see strength deficits early on

A

T

35
Q

positive pull test

A

if pt takes 2 or more steps back

36
Q

push and release test 0

A

recovers independently with 1 step of normal length and width

37
Q

push and release test 1

A

2-3 steps backward, but recovers

38
Q

push and release test 2

A

4 or more steps, but recovers

39
Q

push and release test 3

A

steps but needs to be assisted to prevent fall

40
Q

push and release test 4

A

falls without attempting a step or unable to stand without assistance.

41
Q

Huntington’s disease causes uncontrolled movements called

A

chorea

42
Q

most common type of dystonia

A

cervical dystonia

43
Q

Rating scale for cervical dystonia

A

Toronto Western Spasmodic Torticollis Rating Scale (TWSTRS)

44
Q

Treatment for cervical dystonia typically includes

A

botox injections

45
Q

sustained involuntary muscle contraction

A

dystonia

46
Q

Primary impairments of PD

A

Rigidity, akinesia, bradykinesia, hypokinesia, postural instability, tremor

47
Q

Secondary impairments of PD

A

kyphotic stooped posture, impaired aerobic capacity, contractures

48
Q

Off phase

A

L-dopa levels are low and movement are hypokinetic

49
Q

On phase

A

L-dopa generally at peak dose, movements are more normal

50
Q

Should train activites that maintain general strength, ROM, fitness as task-specific training when patients are

A

on

51
Q

People with PD can move more easily with

A

external cues

52
Q

They use _____ strategies to compensate for BG insufficiency at appropriate stage

A

cognitive (frontal lobe)

53
Q

Hypokinesia

A

Think BIG

54
Q

“feet glued to the floor”

A

akinesia - start hesitation

Neuro management 2 (9 decks)

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