Week 1 - Neuro Ax

Question 1

What systems do you ask about in HPC?

Answer 1

MSK, Neuro, Resp, Cardio, Endocrine

Question 2

What are the SQ for Neuro?

Answer 2

Fatigue
Falls
Pain

Question 3

What else do you need to consider during a Subjective Ax?

Answer 3

Communication issues - expressive/ receptive dysphasia/ agnosia/ confusion
Emotional Status
Fatigue

Question 4

Describe the phases of an Obj Ax

Answer 4

Observation
AROM
PROM
Strength
Sensation testing
Reflexes
Functional Activities

Question 5

What sensation tests are there?

Answer 5

2 pt discrimination
Sharp/ blunt
Light/ deep
Proprioception

Question 6

What reflexes can you test?

Answer 6

Biceps
Brachioradialis
Triceps
Quadriceps
TA
Babinski

Question 7

What outcome measures are there for sensation?

Answer 7

Fugal-Meyer

Nottingham Sensory Ax

Question 8

What outcome measures are there for standing balance?

Answer 8

TUSS
180 agree turn
Functional Reach
Rombergs
GUAG
Star excursion
Berg Balance
POMA

Question 9

What is Autonomic Dysreflexia and what level SCI does it affect?

Answer 9

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

Question 10

What is a tenodensis grip?

Answer 10

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

Question 11

Define postural hypotension

Answer 11

Sustained reduction in systolic BP of at least 20mmHg or 10mmHg diastolic within 3 minutes of standing

Question 12

Name some outcome measures for the trunk

Answer 12

Postural Assessment Scale for Stroke (PASS)
Trunk Impairment Scale (TIS)
Melsbroek Disability Scoring Test (MDST)