Quiz #4 Flashcards
an involuntary and automatic movement of a body part as a result of an intentional active or resistive movement in another body part
associated reaction
a flexion pattern of the involved upper extremity facilitates flexion of the involved lower extremity
homolateral synkinesis
the involved lower extremity will abduct or adduct with applied resistance to the uninvolved lower extremity in the same direction
Raimiste’s Phenomenon
raising the involved upper extremity above 100 degrees with elbow extension will produce extension and abduction of the fingers
Soques’ Phenomenon
APGAR stands for?
Activity Pulse Grimace Appearance Respiratory
Scores for Glasgow
severe
moderate
mild
severe = 8 or less moderate = 9-12 mild = 13-15
LVL OF AROUSAL
Able to open eyes, look at examiner, but responds slowly and is confused
Patient demonstrates decreased alertness and interest in the environment
obtunded
LVL of Arousal
Patient can be aroused from sleep only with painful stimuli
Verbal responses are slow or absent
Patient returns to unresponsive state when stimuli are removed
Demonstrates minimal awareness of self and environment
stupor
LVL of AROUSAL
State of unconsciousness from which patient cannot be aroused, eyes remain closed
No response to external stimuli or environment
COMA
LVL AROUSAL
Able to open eyes, look at examiner, respond fully, and appropriately to stimuli
alert
LVL AROUSAL
Patient appears drowsy
Able to open eyes, look at examiner, respond to questions, but falls asleep easily
lethargy
Mini-Mental State Examination Scored out of \_\_ \_\_ Mild \_\_ Moderate \_\_ severe
out of 30
21-24 mild
16-20 moderate
Montreal Cognitive Assessment
scored out of __
__ or above = normal
out of 30
26 or above = normal
Intermediate or long term memory
Area where long term information about everything an individual has ever learned or info acquired is stored
Includes facts, figures, and name
Thought to work like a hard drive in the computer
declarative memory
Involves all motor activities, actions, habits, or skills that are learned through repetition in motor practice
Examples include walking, playing an instrument, and driving
procedural memory
amnesia
Inability to remember events prior to the injury
Progressively decreases with recovery
retrograde amnesia
amnesia
Inability to create new memory
Usually the last to recover after a comatose state
Contributing factors: poor attention, distractibility, and impaired perception of stimuli
anterograde amnesia
MEMORY: Inability to think as clearly or quickly as they normally do, may feel disoriented and have difficulty paying attention, remembering, and making decisions
May come on quickly or slowly over time depending on the cause
Patient may have strange or unusual behavior or may act aggressively
confusion
MEMORY: Observed in patients recovering from unconsciousness after severe brain injury
Characterized by disorientation, fear and misinterpretation of sensory stimuli
Patient is frequently loud, agitated, and offensive
delirium
3 criteria for complete ASIA
Presence of voluntary anal contraction= No
All S4-5 sensory scores = 0
Presence of deep anal pressure= No
ASIA __ sensory but not motor function is preserved below the neurological level & included the sacral segments S4-S5
B = incomplete
ASIA: no sensory or motor function is preserved in the sacral segments S4-S5
A= complete
ASIA: motor funciton is preserved below neurological level and more than half of key muscles below the neurological level have a muscle grade
C = complete
ASIA: motor funciton is preserved below the neurological level and at least half of the key muscles below neurological level have a muscle grade greater than or equal to 3
D = incomplete