NPTE Neuromuscular
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| Myotatic reflex stimulus | show 🗑
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| Myotatic reflex arc | show 🗑
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| show | maintenance of muscle tone, support agonsist muscle contraction, provide feedback about muscle length
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| Myotatic reflex testing | show 🗑
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| show | Reciprocal inhibition
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| show | facilitation
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| Inverse myotatic reflex stimulus | show 🗑
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| Inverse myotatic reflex arc | show 🗑
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| Function of inverse myotatic reflex arc | show 🗑
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| show | Gamma reflex loop
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| show | excite gamma MN causing muscle spindle contraction then increased stretch sensitivity and increased firing from spindle afferents then conveyed to alpha MNs
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| Flexor withdrawal reflex stimulus | show 🗑
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| show | cutaneous receptors via Ins to flexor muscles
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| Flexor withdrawal reflex arc function | show 🗑
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| Crossed extension reflex stimulus and response | show 🗑
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| show | coordinates reciprocal limb activities such as gait
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| show | eye opening, motor response, verbal response
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| Scoring of GCS | show 🗑
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| State defined by no eye opening even to pain, failure to obey commands, inability to speak | show 🗑
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| Return of sleep/wake cycles, normalization of basic functions, lack of cognitive responsiveness | show 🗑
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| Central language DO with speech is awkward, restricted, interrupted, produced with effort | show 🗑
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| show | L hemisphere – Broca’s area
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| Impairment of volitional articulatory control 2/2 cortical dominant hemisphere lesion | show 🗑
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| Impairment of speech production | show 🗑
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| show | Receptive or Wernicke’s aphasa
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| Receptive aphasia is result of damage to | show 🗑
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| show | Global aphasia
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| Periods of apnea followed by gradually increasing depth/frequency of respirations | show 🗑
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| show | depression of frontal lobe and diencephalic dysfunction
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| show | Hyperventilation
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| Hyperventilation can be caused by dysfunction of | show 🗑
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| Abnormal respiration with prolonged inspiration | show 🗑
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| Apneustic breathing is result of damage to | show 🗑
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| show | hypothalamus or brainstem
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| Signs of meningeal irritation | show 🗑
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| show | meningeal irritation. Supine with flexed hip/knee to chest then extend knee.
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| show | meningeal irritation. Supine, flex neck. Causes flexion of hips/knees
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| show | restless, confused, decr LOC, incr BP, widening pulse P & slowed pulse, Cheyne-Stokes, elevated temp, HA, vomiting, unequal pupils, slowed PLRs, dilated pupils*, papilledema, weakness, hemiplegia, Babinski, decorticate or decerebrate rigidity, seizures
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| Joint position sense | show 🗑
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| show | movement sense
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| show | vibration sense with tuning fork
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| Combined cortical sensation testing | show 🗑
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| Stereognosis | show 🗑
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| Two point discrimination | show 🗑
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| show | ability to differentiate weights
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| Graphesthesia | show 🗑
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| show | loss of half of visual field in each eye contralateral to side of cerebral hemisphere lesion
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| show | body scheme disorder – unable to ID body parts or relations to each other
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| show | patient ignores one side of body and stimuli from that side
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| show | severe neglect or denial of severity of condition
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| Figure ground discrimination | show 🗑
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| Form constancy | show 🗑
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| Spatial relations | show 🗑
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| Topographical disorientation | show 🗑
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| Vertical disorientation | show 🗑
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| show | inability to recognize familiar objects with one sensory modality
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| Apraxia | show 🗑
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| Ideomotor apraxia | show 🗑
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| Ideational apraxia | show 🗑
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| Clasp-knife response | show 🗑
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| show | maintained stretch stimulus produces cyclical spasmodic contraction, usu plantar flexors or wrist flexors
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| show | DF of great toe with fanning of other toes with stroke to lateral bottom of foot
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| Babinski indicates | show 🗑
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| show | increased DTRs
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| show | uniform throughout range
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| Cogwheel rigidity | show 🗑
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| Decerebrate posturing | show 🗑
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| show | UEs in flexion, LEs in extension, seen in brainstem lesions above superior colliculus
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| show | arching back of head back and heels with UEs rigidly flexed. Seen in severe meningitis, tetanus, epilepsy, strychnine poisoning
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| Plantar reflex | show 🗑
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| show | T6-L1, lateral to medial scratching of skin to umbilicus in each of 4 quadrants should cause deviation of umbilicus to stimulus
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| show | L1-L2, stroking of skin on inner thigh elevates testicle, lost in SCI and Corticospinal lesions
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| show | CNS/central fatigue, neural/myoneural fatigue, muscle contractile failure
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| show | in MS, ALS, CFS
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| Neural/myoneural junction fatigue | show 🗑
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| Muscle contractile failure fatigue | show 🗑
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| Extrapyramidal disorders (basal ganglia dysfunction) | show 🗑
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| Tics | show 🗑
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| show | relatively quick twitches or dancing movments
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| Athetosis | show 🗑
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| show | continuous quivering mvmt, rhythmic, oscillatory observed at rest
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| Myoclonus | show 🗑
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| Cerebellar disorders cause | show 🗑
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| Cortical disorders cause | show 🗑
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| show | impaired ability to associate muscles together for complex mvmt
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| Dysmetria | show 🗑
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| show | impaired ability to perform rapid alternating movements
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Created by:
Jenwithonen
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