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trx for spasticity

Neuromuscular

QuestionAnswer
What happens during the stretch reflex? quick stretch to the muscle (mm spindle), sends signal to alpha motor neuron in the spinal cord, and an efferent signal causes a mm contraction resulting in an opposing stretch
What would you use to measure/determine spasticity? Modified Ashworth Syndrome, Tardieu Scale
What are the scores on the Modified Ashworth Scale and what do they mean? 0 = no increase in tone; 1 = slight inc in mm tone w catch and release; 1+ = slight inc in mm tone catch w min resistance; 2 = gr inc mm tone through most ROM; 3 = inc in mm tone passive movement difficult; 4 = rigid in flex or ext
What are the scores in Tardieu scale and what do they mean? Velocity: V1=slow, V2=speed,V3=fast as possible Quality: 0=no resistance through passive motion, 1=slight resist, 2=clear catch and release, 3=fatigable clonus, 4=unfatigable clonus
What are the functional implications of spasticity post stroke? comfort, posture, ease of care, function , weakness
What are the four possible medical management strategies for spasticity? oral, intrathecal, surgical, local
What does Baclofen do? How might you take it? What are side effects? Oral or intrathecal; inhibits overactivity of reflexes by acting on GABA receptors; side effects: drowsiness, weakness, nausea, vomiting, dizziness
Where does Dantrium target spasticity? blocks Ca+ release at the sarcoplasmic reticulum to reduce mm contraction
Why is Cannabis effective for spasticity? we have cannabinoid receptors in the CNS, helps reduce pain and spasticity
Where does BoTox act to reduce spasticity? Locally; blocks ACh release at neuromuscular junction
Created by: mcush1
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