Neurologic Considerations
Help!
|
|
||||
|---|---|---|---|---|---|
| show | Parkinson's disease
🗑
|
||||
| Primary motor symptoms of Parkinson's disease (4) | show 🗑
|
||||
| show | 1) Unilat involvement, min func disable
2) Bilat/midline without balance impaired
3) Bilateral, mild to moderate disability impaired postural reflex, physically ind
4) Severly disabling, can walk or stand unassisted
5) Confinement to bed or w/c
🗑
|
||||
| show | 0 = no sign
1 = unilat
1.5 = unilat + axial
2 = bilat without impairment of balance
2.5 = mild bilat, recovery on pull test
3 = mild - moderate bilat; postural instab; physically ind
4 = severe disable; walk or stand ind
5 = w/c or bedridden
🗑
|
||||
| How do you evaluate rigidity on a Parkinsonian patient? | show 🗑
|
||||
| show | 2 MWT
6 MWT
TUG (TGUG)
Sit-to-Stand
🗑
|
||||
| show | 10 listed items
Rated 0-3 higher number is more severe involvement
🗑
|
||||
| show | Consists of 4 subscales:
1) Parkinsonian symptoms
2) Systemic symptoms
3) Emotional functioning
4) Social functioning
🗑
|
||||
| show | Relaxation/Breathing exercises
Passive stretching
AROM and Posture alignment
Weight shifting
Balance responses
Gait activities
HEP
🗑
|
||||
| Flewit-Hanford Exercises for PD | show 🗑
|
||||
| Alberts study on Tandem Bicycle for PD | show 🗑
|
||||
| show | True
🗑
|
||||
| show | 25% of people who recover from their first stroke will have another within 5 years
🗑
|
||||
| Signs and Symptoms of Stroke | show 🗑
|
||||
| Which type of stroke is more severe hemorrhagic or ischemic? | show 🗑
|
||||
| Pushers Syndrome (what is it, whos affected, remission) | show 🗑
|
||||
| What is affected in pusher syndrome? | show 🗑
|
||||
| When does recovery of tone generally happen post stroke? | show 🗑
|
||||
| Left CVA Behaviors (5) | show 🗑
|
||||
| Left CVA Motor Programming Deficits (3) | show 🗑
|
||||
| show | Speak slowly to allow processing of verbal instructions
Use visual cues
Use one step commands and decrease environmental distractions
🗑
|
||||
| show | Unrealistic/inappropriate positive emotions
Unaware of deficits
Tend to be impulsive
Decreased information processing
Decreased visual spacial perception
Decreased mathematical reasoning
Poor R vs L discrimination
🗑
|
||||
| show | Difficulty sustaining movement and/or posture
Tend to move too fast
🗑
|
||||
| show | Decrease environmental distractions
Maximize verbal cues
Keep visual cueing to a minimum
Address safety issues, encourage patient to slow down
🗑
|
||||
| Tripp's Model for Evaluating Stroke Patients | show 🗑
|
||||
| show | 1) Inability to attain full hip flex during swing
2) Inability to ext the knee fully
3) Inability to activate ankle DF
🗑
|
||||
| 4 Principles of Carr and Shepard's Treatment Approach | show 🗑
|
||||
| What common treatment for shoulder problems should be avoided in hemiplegia? | show 🗑
|
||||
| show | AFO for DF
FES on glutes and quadriceps
Prolonged icing to inhibit tone
🗑
|
||||
| show | Intact cognition
Active patient participation
🗑
|
||||
| show | 1) Early resumption of upright posture and transitioning ability
2) Recalibrate perception of an upright posture
3) Utilize tactile and proprioceptive inputs
4) Emphasize stability during early standing
🗑
|
||||
| Both over-ground gait training and treadmill training are needed to optimize over-ground walking in stroke patients. T/F | show 🗑
|
||||
| show | Beneficial: cerebellar damage
Detrimental: MCA and Basal Ganglia
🗑
|
||||
| How frequent should feedback be given for CVA patients? | show 🗑
|
||||
| In patients with CVA guidance has a positive impact on retention of learning. T/F | show 🗑
|
||||
| show | Deterioration of memory and other cognitive domains that leads to death within 3 to 9 years after diagnosis
🗑
|
||||
| show | Amyloid clumps
Tau neurofibrillary tangles
Clumps cause cell death in disease process
🗑
|
||||
| What part of the brain is affected first by AD? | show 🗑
|
||||
| show | Chromosomes 1, 14, 19, 21
🗑
|
||||
| show | Age
Genetics
Down's Syndrome
Gene mutation
Head trauma
Exposure to metals, infections, toxins
🗑
|
||||
| show | HTN
Obesity
Insulin resistance
Smoking
Inactivity
🗑
|
||||
| show | Forgetfulness, mild memory deficit
Difficulty with novel tasks
Apathy and social withdrawal
🗑
|
||||
| show | Moderate to severe objective memory deficit
Disorientation to time and place
Language disturbance, apraxia, personality and behavioral changes
🗑
|
||||
| Stages of Alzheimer's Disease - Late Stage | show 🗑
|
||||
| show | Bedridden
Mute
Unaware of the environment
Joint contracures
Myoclonus
🗑
|
||||
| Neurologic signs such as hyperactive reflexes, increasing primitive tone, and primitive reflexes occur during what stage of AD? | show 🗑
|
||||
| What is one way to maintain environment when placing a patient with AD in a nursing home? | show 🗑
|
||||
| show | Failing to remember limitations in ADLs
Judgment errors and lack of awareness
Over-estimation of capacity for safe mobility
Refusing/Forgetting use of assistive device
🗑
|
||||
| show | A syndrome characterized by:
Restlessness
Excitement
Increased confusion
Hallucination
Agitation
Seen in late afternoon or early evening
Occurs in middle and late stages of AD
🗑
|
||||
| show | Restriction of visual fields - loss of peripheral vision, homonymous hemianopia
Decrease in visuospatial function, depth perception
Loss of contrast sensitivity, agnosia
🗑
|
||||
| Motor incoordination during gait in AD | show 🗑
|
||||
| Benefit of habitual exercise for AD | show 🗑
|
||||
| show | Constant practice = i.e. practice of all transfers from the same chair
Pt.'s were unable to learn new tasks with random practice
Learning was impaired with blocked practice
🗑
|
Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Created by:
jpwittman
Popular Physical Therapy sets