Practical 1 Flashcards
DTR grade 0
normal
DTR grade 1+
brisk
DTR grade 2+
very brisk
DTR grade 3+
exhaustabile clonus
DTR grade -1
moderately low
DTR grade -2
low response
DTR grade -3
just elicitable
DTR grade -4
absent
Modified ashworth 0
no increase in tone
Modified ashworth 1
slight increase
catch/release at end ROM
Modified ashworth 1+
slight increase in tone
catch/release and resistance through rest ROM (1/2 ROM)
(catch occurs earlier in ROM)
Modified ashworth 2
marked increase in tone through ROM, but affected part moved easily
(catches in beginning but able to move after)
Modified ashworth 3
considerable increase in tone
passive movement difficult
(catches in beginning, then difficult to move throughout)
Modified ashworth 4
affected part in rigid flex/ext
(can’t move out of rigid pos)
Glascow mTBI range
13-15
Glascow mod TBI range
9-12
Glascow severe TBI range
3-8
Glascow - 4 eye opening responses
4 - spontaneously open
3 - verbal
2 - pain
1 - no eye opening
Glascow verbal response 5
oriented
Glascow verbal response 4
confused conversation, but able to answer questions
Glascow verbal response 3
inappropriate responses, words discernible
Glascow verbal response 2
incomprehensible sounds or speech
Glascow verbal response 1
no verbal response
Glascow motor response 6
obeys commands for movement
Glascow motor response 5
purposeful movement to painful stimulus
(moves pain creator away)
Glascow motor response 4
withdraws from pain
Glascow motor response 3
abnorm flexion (spastic), decorticate posture
Glascow motor response 2
extensor (rigid) response, decerebrate posture
Glascow motor response 1
no motor response
Pain assess what tract/pathway? Along with what other sensations?
Anterolateral pathway (spinithalamic)
Pain, temp, crude touch
What does vibration assess? What other sensations?
Dorsal column
Fine touch, proprioception, discriminative touch
What fibers are assessed in each tract?
Anterolateral - delta and C (small myelinated)
Dorsal - beta (lg myelinated)
CN 7
Facial M&S
- eyebrows, frontalis mus
- eyes, orbicularis oculi
- cheeks, orbicularis oris
- show teeth and smile, buccinator assymetries
-anterior 2/3 of tongue
CN 5
Trigeminal, S&M
Light touch, opthalamic, maxillary, mandibular
- jaw reflex
- open jaw strength
- palpate masseter
