peripheral nerves Flashcards

1
Q

basic definitionof peripheral nerves

A

anything outside of nervous systme (like sciatic nerve)

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2
Q

epineurium

A

outermost covering

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3
Q

epineurium is a continuation of

A

duramater and ahs vessels for nutrients

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4
Q

which covering varies in size

A

epineurium

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5
Q

perineurium is a continuation of

A

arachnoid mater

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6
Q

what is function of perineurium

A

mechanical strength,biochemical strength and preserve iionic environment

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7
Q

endoneurium continuation/extension of

A

pia mater

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8
Q

function of endoneurium

A

protects motor nerve fibers

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9
Q

what is the innermost layer of peripheral nerve

A

endoneurium

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10
Q

what is the interstitial tissue around nerve fascicles

A

perineurium

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11
Q

whats fascicle

A

small bunder/cluster of nerves

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12
Q

what is a lamellar sheath that encompasses each fascicle

A

perineurium

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13
Q

function of epineurium

A

cushions nerve during movement and maintians oxygen supply

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14
Q

epineurium maintinas oxygen supply via the

A

epineural blood supply

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15
Q

tensile force is like

A

distraction , makes it longer and narrow

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16
Q

strain is due to

A

stress

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17
Q

internal is

A

stress

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18
Q

external is

19
Q

what is the elastic limit of peripheral tensile forces

A

20% elongation

20
Q

end of plastic limit for peripheral nerves tensile is

A

30% elongation

21
Q

injury increases the () of a nerve

A

stiffness of a nerve

22
Q

on a graph the () the slope the () the material

A

steaper, stiffer (closer to y axis)

23
Q

straight leg raise test

A

sciatic nerve and how strong hanstrimg and lumbar mobility

24
Q

at () - () degrees you get slack in sciatic /aborization / just moving it

A

0-35 degrees

25
what degrees get sciatic root has greater tensile
35-70
26
over what degree get no further deformation of roots, it relaxes but now get meninegeal and dural pulling
over 70 degrees
27
put you fingers on () and () when you go past 70 degrees and feel () and ()
L5, S2, feel s2 put pressure on ginger and back flatten out
28
tourniquet compression
equal distribution of pressure around the nerve ex: ivf
29
ballon technique (compression)
one sided compressive force ex: IVDs
30
two types of comperssion
tourniquet and balloon
31
what force can the body not handle
shear
32
body can withstand
torniquet
33
when you get a touniquet compression you also get
edge effect (is a shear force)
34
what part of peripheranl nerve gets shear/edge
epineurium, peri, endo
35
what keeps area open for discs?
osteophytes
36
what can put tensile probelms on ligaments
poor diet, too much sugar relaxes ligements so get loose and bone hypermobile now
37
piriformis syndrom is a () compression
ballooning by compressing sciatic
38
levels of sciatic nerve
L4-s3 ventral rami
39
well leg raise how do it and findings
pull healthy leg and hurts other side, show tumor, osteophyte, disc problem
40
what force is most detrimental to the nerve
edge effect/ shear force
41
peripheral neuropathy
involves peripheral nerve, covers multiple dermatomes areas from a plexus (like ulna)
42
radiculopathy
involves one spinal nerve root
43
things to consider to differentiate from rediculopathy and neuropathy
1. dermatomal vs peripheral sensory patterns (peripheral from plexus) 2. deep tendon reflexes (DTRS) 3. specific muscle testings
44
sciatic nerve covers
posterior thigh and all of lower extermity