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Neuromuscular Phys > Review > Flashcards

Review Flashcards

1
Q

4 stages of PNF motor control:

Mobility -> _____ -> controlled mobility -> _____

A

Stability

Skilled mobility

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2
Q

4 stages of PNF motor control:

____ -> stability -> _____ - skilled motor control

A

Mobility

Controlled mobility/ dynamic posture control

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3
Q

5 elements of postural control

Trunk -> _________ -> weight shift over BOS -> ________ -> limb function

A

Midline orientation

Head control

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4
Q

5 elements of postural control:

_____ -> midline orientation -> ________ -> head control -> _______

A

Trunk

Weight shift over BOS

limb function

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5
Q

A patient will be 92% unlikely to leave home (home bound) upon discharge if….

A

BERG under 20 and FIM-L is 1 or 2 (total or max assist) at admission to inpatient rehab

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6
Q

What are the 3 key inputs to central pattern generators

A

Stretch of hip flexors

Unweighting of triceps surae (PLANTARFLEXORS)

Weight bearing to facilitate extensor tone in stance Limb

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7
Q

Criteria for deciding if patients will walk post stroke:

LE Strength of _____________________________________

_______________________________________

A

1/5 in hip flexors, knee extensors, and ankle dorsiflexors

Independent sitting balance

if criteria unmet after 3 days, 27% will walk

if criteria walked after 9 days, 10%

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8
Q

What are the 4 components of a movement schema stored in memory

A

Initial Movement conditions

Parameters of general knowledge of motor program

Knowledge of results

Sensory consequences of movement

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9
Q

Patients need an ashworth scale of _____- to get an intrathecal bacolofen pump

What age?

How long since injury?

A

3+ Ashworth

Over 4 years old

over 1 year since injury

not dependent on spasticity for function

movement disorder is not the main problem

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10
Q

What outcome measures does StrokeEDGE recommend students learn

A

FIM

Fugl-Meyer assessment

Postural assessment

Stroke impact scale

Trunk Impairment scale

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11
Q

FIM scores

A

1- Total assist

2- Maximum assist

3- Moderate assist

4- min assist

5- supervision set up

6- modified independence

7- complete independence

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12
Q

A baclofen pump works better for spasticity where?

A spinal cord stimulator works better for spasticiy where?

A

LE

UE

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13
Q

What essential structure to gait does these things:

Final integrative center for locomotion b4 spinal cord

driving center for locomotion in all animals

provides drive to central pattern generators

A

medial medullary formation

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14
Q

Absolute requirements of a candidate for CIMT treatments:

A

AROM Wrist extension of 10-20 degrees

Must be able to extend 2 fingers

Ability to understand and follow directions

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15
Q

Considerable ncrease in muscle tone, passive movement is difficult

A

MA grade 3

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16
Q

Affected part(s) rigid in flexion/extension

A

MA grade 4

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17
Q

“No increase in tone”

A

MA scale 0

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18
Q

Slight increase in tone with a catch and release, or by minimal resistance at the end of the ROM when the joint is moved

A

MA scale 1

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19
Q

Marked increase in muscle tone throughout most of the ROM, but affected part is easily moved

A

MA scale 2

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20
Q

What 3 criteria signal emergence from minimally conscious state

A

Awake most of the time, but confused

Functional object use

Functionaly accurate communication

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21
Q

What are the main predictors of UE recovery in a stroke

A

AROM of shoulder

AROM of middle finger

predicted the variance in UE function at 3 months

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22
Q

What kind of brain injury is most likely to have spasticity

A

Cerebral palsy

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23
Q

What kind of brain injury is most likely to have HO

A

TBI and SCI

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24
Q

What lab value is elevated in patients with HO

A

serum alkaline Phosphatase

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25
Q

What does v1, v2, and v3 on the tardieu scale mean?

A

V1- as slow as possible

V2- speed of limb falling w gravity

V3- as fast as possible

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26
Q

What does R1 and R2 mean on the tardieu scale?

A

R1 - PROM until catch point

R2- full PROM

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27
Q

Botox contraindications

A

Neuromuscular transmission disease

Inflammation at projected infection site

Pregnancy

Children under 2

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28
Q

What factors have a higher incidence of HO?

A

Sex

Spasticity

Smoking

Completeness of injury

Pneumonia

pressure ulcers

29
Q

What are the 7 commandments of PNF

A

Manual contacts
Commands/communication
Stretch
Traction/approximation
Maximal resistance
Normal timing
Reinforcement

30
Q

What tendons is tendon release most commonly done on

A

Achilles and hamstring tendons

31
Q

What PNF technique do you use to get the motion going

A

Rhythmic initiation

32
Q

What 4 PNF Techniques are for strength

A

Repeated contraction

Hold relax- active motion

Reversal or antagonists/ slow reversal

Timing for emphasis

33
Q

What 4 PNF Techniques are for strength

A

Repeated contraction

Hold relax- active motion

Reversal or antagonists/ slow reversal

Timing for emphasis

34
Q

What principle does timing for emphasis use?

A

Irradiation

35
Q

What principle does slow reversals use

A

Successive Induction

36
Q

When a movement is mature, timing is ______

A

Distal to proximal

37
Q

How is the evidence: moderate to high intensity gait training for CNA injury

A

Evidence strong for post stroke

No evidence for post TBI

38
Q

How is the evidence: virtual reality walking training

A

Evidence high post stroke

No evidence post SCI or TBI

39
Q

How is the evidence: strength training

A

Evidence weak for post stroke and SCI

no evidence for post TBI

40
Q

How is the evidence: Cycling

A

Weak or no evidence

41
Q

How is the evidence: circuit or combined training

A

Evidence weak post stroke

No evidence SCI or TBI

42
Q

How is the evidence: sitting balance and standing balance for postural stability and WB symmetry

A

Evidence to NOT do it

43
Q

How is the evidence: preforming balance w vibration

A

Evidence NOT to do so

44
Q

How is the evidence: static/dynamic balance paired with virtual reality

A

Post stroke- strong

Limited evidence for TBI

no evidence for SCI

45
Q

How is the evidence: body weight supported treadmill training

A

Evidence NOT to use for post stroke

Limited evidence for SCI and TBI

46
Q

How is the evidence: robotic assisted walking training

A

Evidence NOT to use for post stroke or SCI

47
Q

What are the 2 dimensions of gentiles taxonomy?

A

Environmental Context (stationary vs. motion)

Function of Action (body stability vs. body transport)

48
Q

What does a closed task consist of

A

Involve stationary objects

Does not change trial to trial

Least interaction with environment

49
Q

As movement variability decreases this skill needs less attention

A

Closed skill.

50
Q

As movement variability increases, new movement patterns are generated

A

Open skill

51
Q

What are the 2 categories of regulatory conditions of tasks

A

Stationary- example: stairs

Motion- people walking around

52
Q

What is a variable motionless task

A

A stationary task with intertrial variability

53
Q

What is a motion task with no intertrial variability

A

Consistent motion task

54
Q

What is a motion task with intertrial variability

A

Open tasks

55
Q

What is a stationary task with no intertrial variability

A

Closed task

56
Q

What are the 3 levels of movement analysis in gentiles taxonomy

A

Action level: outcome

Movement level: what movement strategy?

Neuromotor level: underlying processes

57
Q

The best kind of practice for retention is:

For performance:

A

Variable

Progressive

58
Q

The best kind of scheduling for retention is:

For performance:

A

Random

Blocked

59
Q

The best kind of feedback for retention is:

For performance:

A

Low frequency

High frequency

60
Q

We need to push our chronic patients into periods of _____ in order to reach a new pattern of stability

A

Instability

61
Q

What kind of scale is the Fugl Meyer

A

Body structure/function

62
Q

What kind of scale is the trunk impairment scale

A

Body structure/function

63
Q

What kind of scale is the postural assessment scale for stroke

A

Body function/structure or activity

64
Q

What kind of scale is the stroke impact scale?

A

Participation

65
Q

What kind of scale is the FIM?

A

Activity

66
Q

Can you use an AFO for spasticity post-stroke?

A

NO

67
Q

What 2 scales can assess PTA

A

Orientation log (O-log)

Galveston orientation and amnesia scale (GOAT)

68
Q

What does FITT and ATEM stand for?

A

Frequency
Intensity
Time
Type (ATEM)

Activity
technique
elements
Motor learning

69
Q

What are the 6 core tasks of ANPT movement system

A

Sitting

Sit to stand

Standing

Gait

Step up/step down

UE reaching and manipulation

Neuromuscular Phys (26 decks)

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