Trombly Vocab. for Test 3 Flashcards

1
Q

learned nonuse

A

loss of capacity in an impaired extremity because of a tendency to avoid using that extremity and to use other body parts instead

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2
Q

protective sensation

A

painful sensation evoked by potentially damaging sensory stimuli such as excessive temperature, pressure, or tissue stress

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3
Q

passive sensory training

A

stimulation applied to the patient who is not required to pay attention
(delivered via high-rep modalities like e-stim or passive rubbing of skin surface over highly textured materials)

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4
Q

active sensory training

A

patient is actively involved in the reeducation process

sensory training is based on learning principles

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5
Q

compensation techniques for decreased sensation (5)

A

frequent position changes (damage caused by cont low pressure)
avoid concentrated high pressure
increase awareness of extreme heat/cold
avoid repetitive motions and excessive friction
instruct in care for blisters, cuts, bruises to avoid infection (and to keep free from pressure in case of infection)

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6
Q

decubitus ulcer

A

open sore caused by pressure, friction, and moisture
most commonly over bony prominences
can lead to reduced blood flow and tissue death

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7
Q

hypersensitivity

A

condition in which ordinary stimuli produce an exaggerated or unpleasant sensation

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8
Q

allodynia

A

condition in which nonpainful stimuli produce painful sensations

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9
Q

hyperesthesia

A

condition in which there is increased sensitivity to somatosensory stimuli

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10
Q

graphesthesia

A

the inability to identify numbers or letter traced on the skin

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11
Q

motor extinction

A

motor neglect

underutilization of one side without defects of strength, reflexes, or sensibility

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12
Q

tactile gnosis

A

functional tactile perception; ability to complete functional tasks through the use of sensory feedback

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13
Q

adaptation

A

alteration or adjustment by which an individual or species improves its condition in relation to its situation or environment

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14
Q

attribution

A

the process by which an individual assigns causality

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15
Q

cognitive-behavioral therapy (CBT)

A

a systematic form of talk therapy that emphasizes the impact of thoughts on emotions and behaviors

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16
Q

coping

A

cognitive, emotional, and behavioral efforts individuals undertake to manage external and internal challenges that tax their ordinary resources

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17
Q

existential

A

description of a perspective that emphasizes the human condition, including the recognition of mortality and the felt necessity to create meaning

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18
Q

mindfulness

A

maintaining a calm and nonjudgmental awareness of consciousness in the present moment

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19
Q

obstructive sleep apnea (OSA)

A

partial or complete blockage of airway passages during sleep leading to repeated awakenings driven by decreased oxygen saturation

20
Q

post-traumatic stress disorder (PTSD)

A

lasting psychological response to witnessing or experiencing traumatic events, especially when helpless to prevent them

21
Q

relaxation response (RR)

A

a physiological state characterized by slowed brain waves, lowered HR and respiratory rates, and lowered BP that is believe to enhance health and well-being

22
Q

resilience

A

the psychological capacity to respond to disruption with a new integration

23
Q

agitation

A

subtype of delirium that is unique to survivors of TBI in altered states of consciousness in which there are excesses in behavior that include some combination of aggression, disinhibition, restlessness, and confusion

24
Q

post-traumatic amnesia

A

inability to remember day-to-day events after TBI including those immediately before the injury (retrograde amnesia) and events that occur after the injury
the time elapsed from injury to recovery of continuous memory is one indicator used to describe the severity of brain damage

25
traumatic axonal injury
axonal damage including shearing of axon clusters with reactive swelling and disconnection of strained and damaged axons as well as occasional tearing of axons (results from acceleration or deceleration injuries)
26
traumatic brain injury (TBI)
alteration in brain function, or other evidence of brain pathology, caused by an external force
27
akinesia
impaired ability to initiate voluntary and spontaneous motor responses, such as the interruption of performance in movement when attention is distracted (ex. freezing in Parkinson's)
28
axonal transection
separation of an axon from its postsynaptic neuron, permanently interrupting action potential propagation
29
bradykineskia
slowness or poverty of body movement
30
cogwheel rigidity
series of catches in the resistance during passive motion
31
demyelination
myelin that covers nerve fibers is lost or damaged, resulting in an absence or impairment of nerve conduction typically manifesting in disability and limitations to function
32
fasciculations
rapid, flickering twitching movements of a part of a muscle occurring irregularly in time and location
33
festinating gait
marked by very small rapid steps which occurs in persons with Parkinson's when the posture of the head and trunk involuntarily lean forward ahead of the feet, moving the center of gravity forward *instead of taking large step to correct, one takes several hurried small steps which results in "chasing ones COG"
34
intention tremor
a tremor that occurs during visually guided, goal-directed movements that is worse as the proximity to the target nears and when increased precision is demanded
35
myelin
lipid-rich insulation material covering nerve fibers that speeds conduction of impulses
36
rigidity
hypertonicity of agonist and antagonist muscles that offers a consistent, uniform resistance to passive movement
37
acquired amputation
surgical amputation after birth as a result of trauma or disease
38
functional envelope
the area of space in which the patient can operate an UE prosthesis
39
preprosthetic therapy program
period from the postsurgical procedure until a test-socket (temporary prosthesis) or permanent prosthesis is received
40
terminal device (TD)
prosthetic hook, hand, or other prehensile device that is inserted into the wrist unit of the prosthesis
41
transfemoral amputation
amputation across the axis of the femur | also called an above knee (AK) amputation
42
transhumeral amputation
amputation across the axis of the humerus | also called an above elbow (AE) amputation
43
transradial amputation
amputation across the axis of the radius and ulna | also called a below elbow (BE) amputation
44
transtibial amputation
amputation across the axis of the fibula and tibia | also called a below knee (BK) amputation
45
visual analogue scale
a straight line 10 cm scale with 0 cm meaning no pain and 10 cm meaning the worst pain imaginable
46
voluntary closing (VC) mechanism
TD that remains open until tension is applied to the control cable for grasp
47
voluntary opening (VO) mechanism
TD that remains closed until tension is applied to the control cable to open it