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Neuromuscular PTA Review

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Term
Definition
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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