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Neuromuscular 1 > Test 1 > Flashcards

Test 1 Flashcards

0
Q

Specificity

A

Identify people who have pathologies

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1
Q

What does minimum detectable change (MDC) mean?

A

The absolute change in score necessary to conclude genuine change is the same for both improvement and deterioration in performance. (what is clinically important for the patient)

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2
Q

Sensitivity

A

Identifying that sick people are truly sick

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3
Q

Reliability

A

Measures the same thing consistently

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4
Q

Validity

A

Precise results from the object being measured

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5
Q

Function of CNS

A

Communication, Processes, Organizes and Regulates

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6
Q

Function of the brainstem

A

Regulates postural tone

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7
Q

Function of the Cerebellum

A

Responsible for regulating force/range of our movements and the adapting the amplitudes of muscle responses to changing environments/task

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8
Q

Function of Basal Ganglia:

A

Is responsible for motor planning and responding to change of environment/task by quickly changing the muscle pattern

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9
Q

Outcome Measure Tests related to Balance

A

Timed Up & Go Test (TUG), Single Leg Stance Test, Sitting Forward/Lateral Reach Test, Sharpened Romberg (Tandem Stance), Functional Reach Test, Multi-Directional Reach Test, Timed Chair Rise x 5

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10
Q

Timed Up and Go Test

A

Measures the time to stand up from a chair, walk 3 meters, walk back to chair, and sit down

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11
Q

What and who is the TUG good for?

A

It correlates well to functional mobility

It is good for populations that are at risk for falls and have vestibular dysfunction

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12
Q

TUG Fall Risk Scores

A

Fall Risk: 10-30 sec

Moderate Fall Risk: >19secs

Low Fall Risk: < 11 secs

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13
Q

Scores greater than 14 seconds in a TUG

A

High risk for falls

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14
Q

Score less than 10 sec for TUG

A

Is normal

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15
Q

Scores less than 20 sec for TUG

A

Community ambulation

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16
Q

Score of 20-30 seconds for TUG

A

Impaired Mobility

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17
Q

Score of TUG that correlates with Berg Scores and Dynamic Gait

A

Scores less than 20 sec correlated to higher Berg score

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18
Q

TUG provides a measure of what

A

Functional gait and indirectly translates to balance during gait

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19
Q

Functional Reach Test measure what

A

Measures balance by looking at max forward reach using a fixed BOS

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20
Q

Functional Reach Test detects

A

Detects balance impairments and changes in balance performance over time

21
Q

What populations is the functional reach test good for?

A

Older adults, repeat fallers, Parkinson’s pts

22
Q

The score in a functional reach test that is a predictor for falls

A

Less than or equal to 6 cm

23
Q

Time Chair Rise score that is an indicator for fall risk

A

Greater than 15 sec is indicator for fall risk

24
Q

Berg Balance test is good for what populations?

A

Older pts, MS, stroke

25
Q

Berg Balance score that is associated with increase risk for falls?

A

less than 45 seconds

26
Q

Berg Balance Scores that indicate low risk for falls

A

41-56

27
Q

Berg Balance score that indicates medium fall risk

A

21-40

28
Q

Berg Balance Score associated with high fall risk

A

0-20

29
Q

Tinetti Assessment Tool is what type of test?

A

Task-oriented test that measures balance and gait abilities in older adults. Also, examines different components of balance and gait.

30
Q

Performance Oriented Mobility Assessment (POMA) score for high risk

A

less than 19

31
Q

POMA score for medium risk

A

19-24

32
Q

POMA score of low risk

A

greater than 24

33
Q

Dynamic Gait Index evaluates what?

A

Functional stability and risk of falling during gait activities in older adults
ex. stairs, turning head, changing gait speed

34
Q

Dynamic Gait Index is good for finding what?

A

useful in capturing problems that are difficult to detect with static balance measures

35
Q

Dynamic Gait Index is good for what populations

A

Older adults, vestibular dysfunction, MS, stroke

36
Q

Dynamic Gait Index score for high risk for falls

A

Less than 16

37
Q

Score for the Dynamic Gait Index that is a decreased risk for falls

A

greater than 19

38
Q

Dynamic Gait Index score that is considered safe for ambulation

A

greater than 22

39
Q

Gait speed is a valid measure of what?

A

The ability to walk in older adults (over 60yo)

Shorter stride lengths and decreased gait speed increase the risk of falling

40
Q

Hoffer Classification- Nonambulatory

A

W/C bound

41
Q

Hoffer Classification: Therapeutic

A

Only walks in therapy (with aides also at home, school, hospital)

42
Q

Hoffer Classification: Household

A

walks only indoors, otherwise use W/C (furniture walkers)

43
Q

Hoffer Classification: Community Walker

A

Can walk indoors and outdoors for short time periods, but uses W/C long community trips

44
Q

Neonatal Theories- Supplemental Stimulation (1970s)

A

Premature infants develop differently b/c of sensory deprivation due to decreased exposure to the intrauterine environment. (so overstimulate the baby) But babies couldn’t handle all the stimulation

45
Q

Neonatal Theories- Environmental Modulation

A

Developmental differences are due to sensory stress and overload

Immature nervous system = decreased ability to habituate to sensory stimulus

Decrease stimuli

46
Q

Synactive Theory of Infant Development- Current Theory

A

Dynamic system formed by interaction of the infant, caregiver, and environment with focus on behavioral organization

(Blend of stimulation and protection from stimulation

47
Q

Positive effects of Kangaroo care

A

Temperature regulation, weight gain, sleep, breathing, state organization, physiologic stability, energy conservation, parent-infant bonding

48
Q

Benefits of infant massage

A

Improved daily weight gain, improved sleep, enhanced mother-infant communication and interaction

49
Q

Noise and Light Recommendations

A

Noise level <646 lux (60 ft candles)

Neuromuscular 1 (2 decks)

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