Session 8 Flashcards
name 4 prereqs for mCIMT.
pt. must demonstrate minimal AROM in affected UE:
- shoulder flexion and abduction greater than or equal to 45 degrees
- elbow and wrist extension greater than or equal to 20 degrees
- extension of all MCP and IP
- thumb extension or abduction greater than or equal to 10 degrees
name the 4 steps of mCIMT.
- 30 mins of OT or PT 3x a week for 10 weeks
- use of affected UE in functional tasks to increase strength and control
- shaping using CIMT principles
- unaffected UE is restrained with a mitt for 5 hr period on weekdays while actively using affected UE with daily tasks.
decreased initiation of voluntary movement
akinesia
motor unrest or fidgeting
akathesia
irregular and violent flailing movements
hemiballismus
impaired muscle tone affected voluntary movement
dystonia
brief, rapid involuntary movements or sounds
tics
slow, writhing, flailing of limbs and face
athetosis
sudden, jerky, involuntary movements
chorea
name 7 disorders of the basal ganglia.
- akinesia
- akathesia
- hemiballismus
- dystonia
- tics
- athetosis
- chorea
damage to the pathway for dopamine
parkinson’s disease/syndrome
increased hypertonicity and intermittent breaks in muscle tone
cogwheel rigidity
slowed movement and increased hypertonicity
bradykinesia
involuntary oscillations at rest
resting tremor
name an assessment and abnormal presentation for intention tremors (cerebellar dysfunction).
test: finger to nose
abnormal: oscillation through range and increases at approach target
name an assessment and abnormal presentation for postural tremors.
test: seated unsupported
abnormal: tremor in trunk
name an assessment and abnormal presentation for dysmetria.
test: finger to nose
abnormal: over or undershoot as approach target
name an assessment and abnormal presentation for ataxia.
test: observe movement of limbs
abnormal: incoordination, not smooth or fluid motion
name an assessment and abnormal presentation for ataxic gait.
test: observe gait
abnormal: incoordination, no smooth or fluid motion, stagger, wide base of support
name an assessment and abnormal presentation for rebound phenomenon.
test: hold UE and release
abnormal: inability to sustain UE in a holding position
name an assessment and abnormal presentation for dysdiadochokinesia.
test: rapid alternating movement
abnormal: incoordination with opposite movement patterns
