W1 - Neuro Objective Assesment

Question 1

Name the 10 components of a neuro objective assessment

Answer 1

Observation
AROM
PROM
Strength
Sensations
Coordination
Reflexes
Visual field
Function
Outcome measures

Question 2

What is the international classification of function (ICF)

Answer 2

Impairment = problem in the bodies function or structure
Activity = difficulty executing a task or action
Participation = promote participation/getting involved in life situations

Question 3

What is the purpose of using the ICF in our objective assessment

Answer 3

Create a treatment plan based on what the patient has expressed their preferences for how they may wish to participate

Question 4

What are we looking at in the observation part of out OA

Answer 4

Posture (static) & movement (dynamic)

Question 5

What are we observing

Answer 5

Muscle function
Effort put into doing a movement/keeping static
Speed, smoothness, timing of movements
Directness
Posture
Differences from normal
Visual behaviour

Question 6

How may you assess AROM

Answer 6

At a specific joint using a goniometer
Observe it within a functional movement (brushing hair/sit to stand)

Question 7

What information will you get from assessing AROM

Answer 7

Information about their strength before doing a strength test

Question 8

What are you assessing/feeling for when assessing PROM

Answer 8

Asses range of movement at the joint
Feeling of changes in muscle tone
Watching for pain response/associated reactions

Question 9

Define muscle tone

Answer 9

Stage of readiness in a muscle at rest (resting tone)
OR
the resistance to passive movement

Question 10

What is considered normal muscle tone

Answer 10

Normal muscle tone should be high enough to keep you up against gravity but low enough to allow movement

Question 11

What happens if you have an increased muscle tone

Answer 11

Soasticity
Rigidity

Question 12

What happens if you have a decrease muscle tone

Answer 12

Flaccidity

Question 13

Wha 2 factors produce muscle tone

Answer 13

Neural factors
- active contraction
- reflex contraction

Non-neural factors
-physical inertia of limb
-viscoeleastic properties of the muscle
-thixotropy (when muscles don’t move often they get thicker & stuffer)

Question 14

What is flaccidity

Answer 14

Diminished resistance to passive movement
Caused by CNS or PNS lesion

Question 15

What causes an increased muscle tone

Answer 15

Damage to the CNS
-spasticity
-rigidity
-spasm
-clonus
-dystonia