peripheral nerves Flashcards

1
Q

basic definitionof peripheral nerves

A

anything outside of nervous systme (like sciatic nerve)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

epineurium

A

outermost covering

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

epineurium is a continuation of

A

duramater and ahs vessels for nutrients

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

which covering varies in size

A

epineurium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

perineurium is a continuation of

A

arachnoid mater

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what is function of perineurium

A

mechanical strength,biochemical strength and preserve iionic environment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

endoneurium continuation/extension of

A

pia mater

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

function of endoneurium

A

protects motor nerve fibers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what is the innermost layer of peripheral nerve

A

endoneurium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what is the interstitial tissue around nerve fascicles

A

perineurium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

whats fascicle

A

small bunder/cluster of nerves

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what is a lamellar sheath that encompasses each fascicle

A

perineurium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

function of epineurium

A

cushions nerve during movement and maintians oxygen supply

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

epineurium maintinas oxygen supply via the

A

epineural blood supply

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

tensile force is like

A

distraction , makes it longer and narrow

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

strain is due to

A

stress

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

internal is

A

stress

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

external is

A

strain

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
Q

what degrees get sciatic root has greater tensile

A

35-70

26
Q

over what degree get no further deformation of roots, it relaxes but now get meninegeal and dural pulling

A

over 70 degrees

27
Q

put you fingers on () and () when you go past 70 degrees and feel () and ()

A

L5, S2, feel s2 put pressure on ginger and back flatten out

28
Q

tourniquet compression

A

equal distribution of pressure around the nerve ex: ivf

29
Q

ballon technique (compression)

A

one sided compressive force ex: IVDs

30
Q

two types of comperssion

A

tourniquet and balloon

31
Q

what force can the body not handle

A

shear

32
Q

body can withstand

A

torniquet

33
Q

when you get a touniquet compression you also get

A

edge effect (is a shear force)

34
Q

what part of peripheranl nerve gets shear/edge

A

epineurium, peri, endo

35
Q

what keeps area open for discs?

A

osteophytes

36
Q

what can put tensile probelms on ligaments

A

poor diet, too much sugar relaxes ligements so get loose and bone hypermobile now

37
Q

piriformis syndrom is a () compression

A

ballooning by compressing sciatic

38
Q

levels of sciatic nerve

A

L4-s3 ventral rami

39
Q

well leg raise how do it and findings

A

pull healthy leg and hurts other side, show tumor, osteophyte, disc problem

40
Q

what force is most detrimental to the nerve

A

edge effect/ shear force

41
Q

peripheral neuropathy

A

involves peripheral nerve, covers multiple dermatomes areas from a plexus (like ulna)

42
Q

radiculopathy

A

involves one spinal nerve root

43
Q

things to consider to differentiate from rediculopathy and neuropathy

A
  1. dermatomal vs peripheral sensory patterns (peripheral from plexus)
  2. deep tendon reflexes (DTRS)
  3. specific muscle testings
44
Q

sciatic nerve covers

A

posterior thigh and all of lower extermity