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Neuro PT 2 > UE Dysfunction > Flashcards

UE Dysfunction Flashcards

1
Q

Grasp dysfunction behaviors (5)

A 
anticipatory hand shape impaired
grip force inappropriate
precision grip
premature/delayed finger closure
delayed/labored release
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2
Q

Manipulation allow u to do what?

A

interact with your environment on a fine motor level

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3
Q

Functional performance scales (outcomes measures) for UE

A

motor activity log
wolf motor function test
*however, most PTs address UE impairments by observation alone, not formal testing…

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4
Q

how many ppl have shoulder pain post CVA?

A

70-84% of pts

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5
Q

what happens to shoulders Post CVA

A

gravity slowly pulls arm into subluxation

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6
Q

what are reasons that shoulder pain develops post CVA

A

> rotator cuff musculature paralysis, incoordination or weakness
adhesive capsulitis
scapular position is off (tone, tightness)
scapulo-humeral rhythm is off
repeated trauma (multiple falls, neglect, loss of sensation)

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7
Q

Complex regional pain syndrome affects what percentage of ppl post stroke?

A

10-25%

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8
Q

components of CRPS

A

hypersensitivity, swelling, warmness, redness, glossy skin

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9
Q

how to help/prevent shoulder subluxations

A

wt. bearing, sling, strengthen mm, FES

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10
Q

treatment for reduced scapular mobility

A

soft tissue scapular mobs, sidelying strengthening/stretching, progress to AROM, then with perterbations, etc. PNF diagonals, massge to tight tissues

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11
Q

why is edema a common problem in post CVA pts?

A

lack of mm pumping in UE

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12
Q

what can edema in the hand lead to?

A

impaired grasp

impaired release

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13
Q

treatments of hand impairments

A

prevent/treat edema
facilitate or inhibit flexor/extensor mm
hand positioning splints

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14
Q

task oriented training

A

treat hand/UE impairments with functional tasks that the patient would do everyday, grasping objects, picking things up, reaching, manipulating, hand-eye coordination, etc.

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15
Q

is unilateral or bilateral a better technique to facilitate fxnl tasks ?

A

bilateral!

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16
Q

what is the misnomer with the “uninvolved side” of a stroke pt

A

there really is no “uninvolved side” both sides are involved, one just more than the other

17
Q

Why are both sides actually involved in a stroke

A

bc of bilateral cortical control, component of corticospinal tract that does not decussate, general cognitive deficits, visual-perceptual deficits

18
Q

CIMT

A

constraint induced movement therapy… works great, no nobody uses it…

19
Q

does CIMT work?

A

yes! changes brain mapping, effects last 2 years post study

20
Q

What do u do in CIMT?

A

restrict the “good arm” so that the pt has to use the involved side for all waking hours for 2 weeks

21
Q

What is the limiting factor for whether or not CIMT will work?

A

must be able to extend wrist and fingers 10-20 degrees, have to be at least Brunnstrom stage 5

22
Q

CIMT length of tx

A

14 days

23
Q

CIMT amount of time in contraint amount

A

90% of waking hours

24
Q

CIMT PT

A

6 hours each session x2 weeks

25
Q

CIMT frequency of PT

A

5 days/week

26
Q

mCIMT length of tx

A

10 weeks

27
Q

mCIMT amount of constraint

A

5 hours/day, 5 days/week

28
Q

mCIMT session times

A

1/2 hour at a time, 3 days/week

29
Q

frequency of sessions for mCIMT

A

3 days/week

30
Q

has there been success with mCIMT at home?

A

yes, with increased grip strength and decreased time on the WMFT

31
Q

functional roles of the UEs (6)

A 
reaching
grasping
manipulation
balance/arm swing
pointing/gesturing
weight bearing
32
Q

UE dysfunction/impairments

A

> abnormal tone: UE synergies, Brunnstrom stages, >abnormal voluntary movements, strength and coordination
impaired vision/perception
impaired sensation

33
Q

examples of reach dysfunction

A

timing problems, multiple joint coordination, weakness, vision

Neuro PT 2 (12 decks)

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