Transtornos Funcionais Flashcards
What are the general features of Functional Poverty of Movement?
Extreme slowness and fatigue, giveway weakness, inconsistency in performance
What does the Hoover sign indicate?
Non organic Leg weakness
What is the Hip abductor sign?
Weakness of hip abduction in a paretic leg that resolves with contralateral hip abduction against resistance
What does it mean if a patient can stand on toes or ankles despite weak plantarflexion or dorsiflexion?
Indicates functional leg weakness
What is the significance of Drift without pronation in arm weakness?
Indicates inconsistency in upper limb examination
What is the Finger abduction sign?
Weakness of finger abduction that resolves with contralateral finger abduction against resistance in a period of 2min
What is a key feature of Parkinsonism in functional movement disorders?
Lack of speed or amplitude decrement on repetitive tapping (sequence effect)
What does variable resistance during passive manipulation indicate?
Gegenhalten(paratonia) in Parkinsonism
What are the characteristics of functional excess of movement related to tremor?
Variability in frequency, entrainment or full suppressibility, tonic coactivation of antagonistic muscles at tremor onset
What is meant by the Whack-a-mole sign?
Emergence or worsening of an involuntary movement in a separate body part when the initially affected body part is suppressed
What does myoclonus exhibit in functional movement disorders?
Entrainment or full suppressibility, variability in duration and/or distribution of jerks or latency
What defines dystonia in the context of functional movement disorders?
Fixed dystonia at onset, variable resistance to passive manipulation, lack of sensory trick, lack of overflow
How does functional dystonia present on face, hand and Feet?
Tonic pulling of the lips or jaw to one side; closed eyelids resist retraction by examiner
What are the characteristics of tics in functional movement disorders?
Not fully stereotypical, interference with speech or voluntary actions, lack of premonitory urge, inability to voluntarily suppress tics
What are common gait features in functional axial manifestations?
Knee buckling, dragging gait with forefoot in contact with ground, excessive slowness
Dobramento do joelho, marcha arrastada com a parte frontal do pé em contato com o solo, lentidão excessiva
What does variability of positions over time indicate in posture?
Inconsistent, uneconomic postures
What is a notable balance issue in functional movement disorders?
No or controlled falls despite excessive swaying(oscilação) when walking
What is a characteristic of speech in functional movement disorders?
Effortful speech, sudden onset of dysphonia, stuttering, or dysprosody
Fala esforçada, início súbito de disfonia, gagueira ou disprosodia(entomação/ritmo)
Fill in the blank: The _______ sign indicates weakness of hip abduction that resolves with contralateral hip abduction against resistance.
Hip abductor
True or False: The finger abduction sign indicates consistent performance in upper limb examination.
False
O que é o huffing puffing sign?
Cansaço excessivo do paciente com paresia ao tentar deambular ou realizar alguma manobra de contraposição
Tubular vision in functional blindness is
positive when the area of visual field defect remains unchanged despite moving away from the visual target. Verdadeiro ou falso?
Verdadeiro
Teste que pose ser utilizado para avaliar instabilidade postural funcional:
Shoulder tap test
