Neuromuscular PTA Review
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show | Receptors located in joint, mm's ligaments and skin provide proprioceptive input about length, tension, pressure, pain and joint position; proprioceptive and tactile info from ankles, knees, hips and neck send balance info to brain
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Somatosensory Input for Balance - Testing | show 🗑
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show | Visual cues provide for perceptual acuity of verticality, motion of objects & self; environmental orientation; postural sway and head/neck movement; Children rely on it heavily
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show | Examine quiet standing with eyes open; observe balance strategies to maintain COG with and without visual input; assessment of potential visual problems in neccessary
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show | Loss of vision on in half the field of vision or 1 or both eyes
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show | Allows our eyes to smoothly follow moving targets
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Saccades | show 🗑
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Gaze Control | show 🗑
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Acuity | show 🗑
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Vestibular Input for Balance | show 🗑
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Vestibular Input for Balance - Testing | show 🗑
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show | AKA Nylen Barany test; determines whether vertigo is connected to certain head movements, which ear is affected and whether it is inner ear/nerve (peripheral) or the brain (Central); tests for otoconia
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show | To test for virtigo, dizziness or hearing loss associated with an antibiotic; cold and/or warm water into ear canal should cause nystagmus; abnormal means there is damage to acoustic nerve, balance sensors of the inner ear or brain
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Head Thrust Sign | show 🗑
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show | Allows for head/eye movement coordination; supports gaze stabilization through counter head movement
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Vestibulospinal Reflex (VSR) | show 🗑
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Automatic Postural Strategies | show 🗑
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show | elicited by small range, slow velocity movement; distal to proximal mm contractions
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show | elicited by greater force, challenge or perturbation through hips/pelvis; hips move in opposite direction of head; proximal to distal mm contractions
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show | lowering COG for better control; used when both mobility and stability are required to complete a task
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show | Elicited in response to unexpected challenges and perturbations and when COG is outside BOS; LE steps and/or UE's reach to regain COG over BOS
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show | 14 tasks score 0-4 each; Max score is 56; 41-56 =low fall risk, 21-40 medium fall risk, 0-20 high fall risk; can be used 1 time or in succession
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show | Stroke specific performance based impairment index; 7 items scored from 0-2; Max score is 14; ,ax score does not indicate normal mobility
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show | Test reach 3x; 24-40 yo = 14.5-17 in, 41-69 yo = 13.5-15 in, 70-87 yo = 10.5-13.5 in; following age category measurement indicates increased fall risk
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show | Tests level of mobility/balance; Sit in a supported chair with feet flat, stand, walk 10 ft, turn and sit again; observe all parts of stability and mobility; Normal - 10 sec or less; Limit of functional independence is 20 sec; High fall risk is 30+ sec
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Tinetti Performance Oriented Mobility Assessment | show 🗑
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Romberg Test | show 🗑
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show | Same examination with tandem stance with eyes closed for 1 minute
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show | Crystals in inner ear moving or staying stagnant abnormally
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A patient who is stable in standing but not weight shifting has a balance descriptor of | show 🗑
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Postural Stability Control | show 🗑
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Aphasia | show 🗑
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Perseveration of Speech | show 🗑
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show | Usually involves temporal lobe, Wernicke's area and/or parietal lobe; word production and speech output is functional; empty speech/jargon with prosody; speech lack substance; neologisms
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show | Sounds and rhythms used in speech and poetry
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Neologisms | show 🗑
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Non Fluent Aphasia | show 🗑
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show | of or according to syntax; supporting words
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show | Lesion to posterior superior temporal gyrus; fluent aphasia AKA receptive aphasia; comprehension impaired (reading/auditory), good articulation; impaired writing; poor naming ability; motor impairment not typical; "word salad"
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show | 3rd convolution of frontal lobe; Non fluent AKA expressive aphasia; most common; intact comprehension; impaired repetition and naming skills; frustration; paraphasias; motor impairment typical
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show | Production of unintended syllables, words or phrases
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show | Non fluent; usually affects frontal, temporal or parietal lobes; comprehension of reading/auditory is severely impaired; impaired naming, writing, repetition skills; may use non verbal communication
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show | Inability to articulate; Motor disorder of speech caused by upper motor neuron lesion that affects the muscles used to articulate words and create sound; speech i s"slurred"; may affect respiration
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Treating Aphasia | show 🗑
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show | AKA associative aphasia; intact comprehension; fluent speech; poor repetition; interrupted speech due to difficulty finding words; impaired writing, excessive repetition; intact fluency with good comprehension
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show | Inability to interpret information
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Language Dominant Hemisphere | show 🗑
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Alexia | show 🗑
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Broca's Area | show 🗑
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Olfactory Nerve (I) | show 🗑
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Optic Nerve (II) | show 🗑
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Oculomotor (III) | show 🗑
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Trochlear (IV) | show 🗑
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Trigeminal (V) | show 🗑
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Abducens (VI) | show 🗑
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show | Afferent - taste; anterior tongue; Efferent - Voluntary - facial mm's; Automatic - lacrimal, submandibular and sublingual glands; Test - Close eyes tight, smile and show teeth, whistle and puff cheeks, identify familiar tastes
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Vestibulocochlear (Acoustic Nerve) (VIII) | show 🗑
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show | Afferent - touch, pain of posterior tongue and pharynx; Efferent - Voluntary - select mm's of pharynx; Automatic - Parotid gland; Test - gag reflex, ability to swallow
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Vagus (X) | show 🗑
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Accessory (XI) | show 🗑
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Hypoglossal (XII) | show 🗑
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show | Facial (VII)
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Anosmia | show 🗑
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show | Double vision; damage to trochlear nerve (CNIV))
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show | Afferent trigeminal and efferent facial
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Which 3 cranial nerves sense taste? | show 🗑
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Which 2 cranial nerves require eyes closed during test? | show 🗑
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show | Oculomotor (III) and trochlear (IV)
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How many cranial nerves possess only sensory tracts? | show 🗑
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Ptosis | show 🗑
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show | Visual field loss on left or right side of visual field in 1 or both eyes; CN damaged is - Optic (II)
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Rinne Test | show 🗑
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show | Opthalmic, Maxillary and Mandibular
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show | Eye chart; tests Optic nerve (II)
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show | Vestibulocochlear (VIII)
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Plexus Sequencing from Proximal to Distal | show 🗑
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show | Axillary; lateral, medial and posterior cords are named according to their position in relation to the axillary artery
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Pronator Syndrome | show 🗑
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Which nerve weakness gives rise to scapular winging? | show 🗑
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Efferent vs Afferent | show 🗑
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show | Study of the nature of movement OR the ability to regulate and direct essential movement
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Motor Learning | show 🗑
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3 Stage Model of Motor Learning | show 🗑
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Cognitive Stage of Motor Learning | show 🗑
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Associative Phase of Motor Learning | show 🗑
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show | Final Stage of Learning; improves efficiency through cognitive control; success in variable environment; Characterized by: automaticity, mostly error free, automatic, not distracted, little to no extrinsic feedback, internal feedback is dominant
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Feedback for Motor Learning | show 🗑
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Intrinsic (Inherent) Feedback | show 🗑
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show | Typically verbal or tactile from someone else; during or after performance
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Knowledge of Results | show 🗑
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show | Extrinsic; refers to expected movement patter and outcome; QUALITY of movement
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show | Repeated performance of an activity to learn or perfect a skill; physical practice allows for experience and kinesthetic support; mental practice can help
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Massed Practice | show 🗑
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Distributed practice | show 🗑
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show | Practice of a given task under uniform conditions
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Variable Practice | show 🗑
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Random Practice | show 🗑
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show | Consistent practice of single task
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show | Practice of an entire task
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show | Practice of an individual component or selected components of a task
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Closed System Model | show 🗑
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show | Decrease in response that will occur as a result of consistent exposure to non painful stimuli
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show | a single repeated stimuli (habituation, sensitization)
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Associative Learning | show 🗑
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show | learning tasks that can be done without cognition of it; forming movement habits; developing a habit through repetitive practice
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show | Requires attention, awareness, and reflection in order to attain knowledge that cna be consciously recalled; mental practice
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Open System Model | show 🗑
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Plasticity | show 🗑
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show | Providing feedback while task is performed
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show | Dependent on experience; signals sent before movement for anticipatory response
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