S3_L1: Movement Disorders Flashcards
Lesions in the cerebellum leads to problems with what? (1-2).
balance and coordination
_______ is the loss of coordination that may be central or peripheral
Ataxia
TURE OR FALSE: Since the cerebellum contains both motor and sensory representations of the body, lesions to the cerebellum produces either paralysis or significant muscle weakness
False
Determine which which condition is part of what kind of ataxia.
- Alcohol Abuse
- Tabes Dorsalis
- Cerebellar Atrophy
- (+) DM
A. Sensory Ataxia
B. Cerebellar Ataxia
- B
- A
- B
- A
Determine which which condition is part of what kind of ataxia.
- Decreased Proprioception
- Peripheral Vascular Disease
- Stroke
- TBI
A. Sensory Ataxia
B. Cerebellar Ataxia
- A
- A
- B
- B
Determine the condition.
- Has difficulty stopping a movement
- Associated with cognitive disorders, emotional lability, &depression
- Definite decomposition of movement
- (+) Uthoff’s phenomenon
- Progress visual feedback from narrow/small to wide (~1 ft)
A. Parkinson’s Disease
B. Multiple Sclerosis
- B
- B
- A
- B
- A
Determine the condition.
- Basal ganglia affectation
- Cerebellum affectation
- Has difficulty starting a movement
- Cognitive affectation may not be present
- Increase in amplitude of the movement, wide BoS
A. Parkinson’s Disease
B. Multiple Sclerosis
- A
- B
- A
- A
- B
TRUE OR FALSE: Pts c PD walk with decreased velocity, cadence, & stride length. The ideal feedback to give pts c Parkinson’s disease is both visual and verbal cues
A. Both statements are true
B. Both statements are false
C. Only the 1st statement is true
D. Only the 2nd statement is true
D. Only the 2nd statement is true
Cadence increases in PD
TRUE OR FALSE: Lesions of the central regions of the cerebellum are accompanied by movement incoordination related to the intent of movement and reflect problems with preparation for movement.
Lesions of the lateral region result in problems reflecting the loss of ‘updating’ afferent information.
A. Both statements are true
B. Both statements are false
C. Only the 1st statement is true
D. Only the 2nd statement is true
B. Both statements are false
NOTE: The regions must be interchanged
TRUE OR FALSE: Lesions of the vestibulo-cerebellum, with its connections to the vestibular system, are associated with disturbances of balance. It also results in nystagmus.
A. Both statements are true
B. Both statements are false
C. Only the 1st statement is true
D. Only the 2nd statement is true
A. Both statements are true
TRUE OR FALSE: Cerebellum contributes to engram formation or motor memory. Cerebellum dictates how big and small movements should be.
A. Both statements are true
B. Both statements are false
C. Only the 1st statement is true
D. Only the 2nd statement is true
A. Both statements are true
TRUE OR FALSE: Alcohol is a stimulant.
False
Determine whether the following impairments are primary or secondary
- Dysmetria
- Rebound Phenomenon
- Sequencing Problems
A. Primary
B. Secondary
- B
- B
- A
Determine whether the following impairments are primary or secondary
- Decomposition of Movement
- Scaling Problems
- Timing Problems
- Dysdiadochokinesia
A. Primary
B. Secondary
- B
- A
- A
- B
Identify the clinical signs of cerebellar affectation.
Decreased coordination of rapid alternating movements
Dysdiadochokinesia
Identify the clinical signs of cerebellar affectation.
Abnormal coordination affecting speed, amplitude of displacement, directional accuracy, and force of movement
Ataxia
Identify the clinical signs of cerebellar affectation.
Unable to terminate the movement soon enough
Hypermetria
Identify the clinical signs of cerebellar affectation.
Decomposition of movement
Dyssynergia
Identify the clinical signs of cerebellar affectation.
Abnormal coordination of muscles for speech production
Dysarthria
This is one of the hallmarks of a cerebellar disorder. It presents with widened base, unsteadiness, irregularity of stepping both in direction and distance, and reduced stride length with a trend to reduced cadence.
Ataxic Gait
Answer the following questions:
- How often does fatigue occur in MS?
- In what time of day do fatigue most common occur in MS patients?
- daily
- afternoon
Fill in the blanks: Role of the cerebellum in movement.
- Initiates and control _______
- ______ of movement/muscle action
- Compares ______ with _______
- _______ and adaptive adjustments
- Compensating for lesions of the ______
- voluntary movement
- Timing
- intended movement (IM) ; motor performance (MP)
- Motor learning (ML)
- cerebral cortex
TRUE OR FALSE: The cerebellum regulates movement and posture directly by adjusting the output of major descending motor systems
False
It is indirect.
The cerebellum acts as a (1)_____ to detect the difference between an intended movement and the actual movement, and, through its projections to the upper motor neurons, to reduce the ______.
- comparator
- error