Physical Impairments - TBI

Question 1

physical impairments

Answer 1

CN dysfxn

seizures

tonal changes

heterotopic ossifications

bowel/bladder dysfxn

balance/coordination

motor control/planning

vestibular dysfxn

paresis/plegia

dysarthria/dysphagia

Question 2

CN dysfxn

Answer 2

decrease visual acuity

double vision

Question 3

seizures

Answer 3

grand mol or tonic-clonic

focal or complex partial

petit mal or absence

Question 4

grand mal or tonic clonic seizures

Answer 4

whole body

stiff or jerky movements

clenching of hands or jaw

develop foamy saliva

loss of bowel/bladder

Question 5

how long is a tonic clonic seizure

Answer 5

2-5 min

Question 6

focal or complex partial seizure

Answer 6

complains of a funny smell or taste

pick at clothing or pat/rub body

Question 7

how long is a focal or complex partial seizure

Answer 7

few minutes

Question 8

petit mal or absence

Answer 8

stare or blink or have eye flutter

brief lapse of consciousness

Question 9

how long is a petit mal or absence seizure

Answer 9

few seconds

Question 10

reasons that may trigger a seizure (1)

Answer 10

fever/flu

alcohol

emotional upset

fatigue

decreased blood sugar

Question 11

reasons that may trigger a seizure (2)

Answer 11

flashing lights and loud noises

decreased nutrition

menstruation or constipation

decreased oxygen supply

Question 12

tonal changes

Answer 12

spasticity

rigidity

flaccid

Question 13

spasticity

Answer 13

abnormal increase in velocity

dependent resistance to stretch and hyperactive tendon jerk

Question 14

rigidity

Answer 14

both direction resistance to movement

hypertonic

basal ganglia damage

Question 15

flaccid

Answer 15

loss of muscle tone

Question 16

heterotopic ossifications are also called

Answer 16

ectopic bone growth

Question 17

heterotopic ossifications

Answer 17

abnormal bone growth in &/or around joint space

Question 18

where do heterotopic ossifications occur

Answer 18

proximal joints

Question 19

clinical signs of heterotopic ossifications

Answer 19

pain

increased temp

decreased ROM

Question 20

what is needed w/ heterotopic ossifications

Answer 20

surgery

Question 21

bowel/bladder dysfxn

Answer 21

incontinence

bladder retention

constipation

Question 22

what are common w/ BB dysfxn

Answer 22

UTIs

Question 23

what does our body do –> balance/coordination

Answer 23

our bodies make continual adjustments to ensure upright position and balance

Question 24

after a brain injury the body will–> balance and coordination

Answer 24

react too quickly

not quickly enough

no rxn at all

Question 25

ataxia –> balance and coodination

Answer 25

inability to coordinate the speed and direction of movement

Question 26

when are deficits seen –> motor control/planning

Answer 26

during movement

Question 27

when is it seen –> motor control/planning

Answer 27

activate the wrong muscle

change the sequence of muscle activation

activate too many muscles w/ inappropriate force

Question 28

vestibular dysfxn is common in

Answer 28

pts w/ TBI

Question 29

common cause of vestibular dysfxn

Answer 29

blow to head

Question 30

vestibular dysfxn

Answer 30

otoconia fragments from the utricle fall onto or into the cupula of the posterior canal thus exciting the neurons

Question 31

result of vestibular dysfxn

Answer 31

dizziness

Question 32

paresis/plegia

Answer 32

weakness

decreased activation to the muscle

hemiparesis/plegia or tetraparesis/plegia

R v. L

Question 33

dysarthria

Answer 33

slurred speech

Question 34

dysphagia

Answer 34

difficulty swallowing

Question 35

when do dysarthria and dysphagia occur

Answer 35

secondary to muscle weakness, poor motor control or decreased sensation

Question 36

what is there a risk of w/ dysphagia

Answer 36

aspiration –> pneumonia