Week 1 - Neuro Ax Flashcards
What systems do you ask about in HPC?
MSK, Neuro, Resp, Cardio, Endocrine
What are the SQ for Neuro?
Fatigue
Falls
Pain
What else do you need to consider during a Subjective Ax?
Communication issues - expressive/ receptive dysphasia/ agnosia/ confusion
Emotional Status
Fatigue
Describe the phases of an Obj Ax
Observation AROM PROM Strength Sensation testing Reflexes Functional Activities
What sensation tests are there?
2 pt discrimination
Sharp/ blunt
Light/ deep
Proprioception
What reflexes can you test?
Biceps Brachioradialis Triceps Quadriceps TA Babinski
What outcome measures are there for sensation?
Fugal-Meyer
Nottingham Sensory Ax
What outcome measures are there for standing balance?
TUSS 180 agree turn Functional Reach Rombergs GUAG Star excursion Berg Balance POMA
What is Autonomic Dysreflexia and what level SCI does it affect?
Serious, acute medical event whereby noxious stimuli cause an increase in BP, which ANS cannot control or regulate leading to CV response of further increased BP and HR
T6 and above
What is a tenodensis grip?
Ability to passively utilise natural propensity to create finger flexion through wrist extension due to tension in long finger flexors when no motor activity in fingers/ wrist flexion
Define postural hypotension
Sustained reduction in systolic BP of at least 20mmHg or 10mmHg diastolic within 3 minutes of standing
Name some outcome measures for the trunk
Postural Assessment Scale for Stroke (PASS)
Trunk Impairment Scale (TIS)
Melsbroek Disability Scoring Test (MDST)
