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Neuromuscular > Practical > Flashcards

Practical Flashcards

1
Q

MinA

A

-Pt doing 75% of the work
-work from the side
-no touching guarding until needed

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2
Q

ModA

A

-Pt doing 50% of the work
-work from front
-guard
-might use AD

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3
Q

MaxA

A

-Pt doing 75% of the work
-work from front
-If from side, utilize legs
-might use AD

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4
Q

Receptive Aphasia

A

Wernicke’s Aphasia
-no fluency
-cannot understand

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5
Q

Expressive Aphasia

A

Broca’s Aphasia
-fluent and understand
-cannot get the words out
-lots of leaning forward and irritation

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6
Q

Decreased Memory

A

-short commands
-remind often
-don’t explain to much

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7
Q

Anosognosia

A

-Pt unaware of neurological deficits

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8
Q

Neglect

A

-make Pt engage with neglect side
-use tactile cues and stand on side of neglect
-make distractions and noise on neglect side

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9
Q

Perseveration

A

-repetition of same movement, speech, or pattern

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10
Q

Labile

A

-quickly changing emotions
-sad, mad, crying, aggression

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11
Q

Logorrhea

A

-incoherent talkativeness

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12
Q

Sequencing Problems

A

-inability to know the order things need to be done
-can use sequencing as treatment or give Pt instructions one at a time

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13
Q

Lethargic

A

-sluggishness and fatigue

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14
Q

LE Impairments

A

-Hemiplegia
-Spasticity
-Proprioception
-Decreased Coordination
-Weakness
-Movements in Synergy
-Limited ROM
-Decreased CV Endurance

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15
Q

UE Impairments

A

-Hemiplegia
-Spasticity
-Proprioception
-Decreased Coordination
-Weakness
-Movements in Synergy
-Pushing Syndrome
-Limited ROM

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16
Q

Trunk Impairments

A

-Midline orientation
-Decreased trunk control
-Decreased ROM

17
Q

Cognitive/Visual Impairments

A

-Neglect
-Homonymous Hemianopsia
-Anosognosia
-Decreased Memory
-Perseveration
-Lethargic
-Sequencing issues
-Decreased Attention
-Labile: inappropriate emotions
-Loggorhea: wordiness/ word vom

18
Q

LE Exercises

A

-PNF Diagonals
-PNF Slow reversals, alternating isometrics
-Timing for emphasis/Repeated contractions
-Half Bridging
-Bridging (timing for emphasis w/repeated contractions
-Raimiste’s
-Lower Trunk Rotation
-Scooting in Bed
-Rolling in Bed
-Supine to Sit
-Scooting Transfers
-Pivot Transfers
-Sit to Stand
-Kneeling (resisted walking)
-Turning
-Stance/Swing Training
-Resisted Walking or Stance (Activities for reinforcement)
-Backwards Walking
-Gait Training (poles, obstacles)
-Step Training (moving surfaces, static)
-Kicking Ball
-Ladder Training
-Braiding

19
Q

UE Exercises

A

-PNF Diagonals
-PNF Slow reversals, alternating isometrics
-Weight Bearing (Bilat, Asym, Lifts, hand movements)
-Reaching (Isometrics, eccentric, concentric)
-Scap Mobilization
-Inhibiting of Hand

20
Q

Trunk Exercises

A

-PNF Slow reversals, alternating isometrics, rhythmic stabilization
-Reaching emphasizing trunk movements
-Mobilizations
-Weight Shifts
-Pusher lateral mobilization
-Prone on arm, Quadruped, Kneeling

21
Q

Balance Exercises

A

-Perturbations
-Shifting Weight
-Obstacles
-Sitting Balance

22
Q

Motor Learning Parameters

A

-BOS
-Visual cues (distraction)
-Challenges
-Ask if they can do it/Cues/Questions/Feedback
-Minimal touching or tactile cues
-Mirror/Tape

EX:
-Gait Obstacles
-Moving Obstacles on Counter
-Functional Activites (washing hands, cooking, eating)
-Moving Items with hands and Feet

23
Q

D1 UE

A

-putting a seatbelt on

Flexion: reaching for seatbelt
-Shoulder: add, ER
-Scap: UR, pro, elevated
-Forearm: sup
-Wrist: flex, rad dev
-Fingers: flx, add

Extension: buckling it
-Shoulder: abd, IR
-Scap: DR, retract, depressed
-Forearm: pronation
-Wrist: ext, ulnar dev
-Fingers: ext, abd

24
Q

D2 UE

A

-Sword and waiter

Flexion: waiter holding a tray
-Shoulder: flx, abd, ER
-Scap: elevat, UR, retracted
-Forearm: sup
-Wrist: ext, rad dev
-Fingers: ext, abd

Extension: reaching for sword
-Shoulder: ext, add, IR
-Scap: depress, DR, protracted
-Forearm: pronation
-Wrist: flex, ular dev
-Fingers: flx, add

25
Q

D1 LE

A

-hacky sack and ballet

Flexion: hackey sack
-Hip: flx, ER, add
-Knee: flx
-Ankle: DF, inv
-Toes: extension

Extension: Ballet
-Hip: ext, ITR, abd
-Knee: ext
-Ankle: PF, ev
-Toes: flx

26
Q

D2 LE

A

-dog peeing and curtsey

Flexion: dog peeing
-Hip: flx, IR, abd
-Knee: flx
-Ankle: DF, ev
-Toes: extension

Extension: curtsey
-Hip: ext, ER, add
-Knee: ext
-Ankle: PF, inv
-Toes: flx

27
Q

Home Exercises

A

-Flexibility
-Strength
-Education

Palloff Press: with thera band
Balance

must dose

Neuromuscular (21 decks)

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