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N Prob of N Pt
notes
Term | Definition |
---|---|
memory | involves mental process that allow people to store experiences & perception of those experiences & ability to recall |
perseveration | involuntary persistence of same verbal or motor response regardless of stimulation |
orientation | knowledge of present circumstance- oriented x4- person, place, time & situation |
affect/emotional disinhibition/lability | crying for no reason |
who treats behavior problems | typically psychologists, education specialists in school setting, speech language pathologists |
aphasia | impairment of speech-either spoken or understanding- use simple gestures- brain not getting it together |
agraphia | inability to write |
alexia | inability to read |
dysarthria | impairment of speech production-mechanical dysfunction- like respiratory |
UMNL | upper mother neuron lesion-CNS damage |
hypertonus | increased tone, tension |
hypotonus/flaccid | decreased tone/no tone |
spasticity | increased tone, distribution varies/damage to motor cortex &/or primary motor pathway &/or anterior lateral corticospinal tract |
spasticity (clinical) | clasp knife phenomenon (response to quick stretch initial resistance, then release. /velocity dependent (resistance to quick stretch based on speed) /will have + clonus & babinski (with babinski-brain damage) /increased DTR's |
rigidity | total body co-concnetric high tone |
rigidity- damage to brainstem | decorticate (when UE are flexed, LE are ext) /decerebrate (UE & LE both ext) |
rigidity- damage to basal ganglia | leadpipe (cocontraction, constant resistance to PROM in any direction-you can't get any stretching)/ cogwheel(may have ratchet type situation-rigid, then let go) |
rigidity DTR's | there will be an increase or decrease in all the DTR's in the body |
hypotonus/flaccid damage | in cerebellum, DTR's decrease or no response-mvmt slow or weak or none |
LMNL | it would be in ant horn cell. if it's incomplete you will have some weak response in mm. if complete, no response or movement |
perception | where pt may have difficulty interpreting or identifying incoming info or stimuli- need intact sensation & memory |
body image | visual or mental, to where body parts are in space or in relation to other parts |
spacial | depth, distance (patterns on floor can be a problem) |
agnosia | inability to recognize incoming info w/ sight, sound or touch |
apraxia | impaired motor planning- don't know how to move body to complete task |
who treats perception problems? | OT and/or psychologist |
ataxia | clumsiness (kind of flailing uncoordinated pattern) |
balance | ability to maintain COG over BOS |
4 dev reflexes/reactions that are reflexive background for balance | 1)labrynthine righting 2) optimal righting 3)protective ext & 4) equilibrium reactions |
functional problems | bed mob, transfers, ADL, mobility, in community or occupational setting |
RAM | rapid alternating movements |
coordination tests with RAM | finger to nose, finger to the therapists finger, finger opposition, mass grasp, pronation/supination, tapping (hand), tapping (foot), toe to examiners finger, heel on shin |
development | may take days, months or years |
control | person, task, environment-instant once learned |
motor learning | permanent changes in motor performance as result of practice or experience- functional connection of control & development |