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NPTE
Neuromuscular
| Question | Answer |
|---|---|
| Stroke outcome measures | NIH stroke scale, Motor assessment, fugl meyer, chedoke-mcmaster stroke scale, wolf motor function scale, action research arm test, mobility scale for acute stroke pts, frenchay activities index, stroke impact scale, stroke-specific quality of life |
| TBI outcome measures | Ranchos Levels cognitive function, agitated behavior scale, disability rating scale, Craig handicap assessment and reporting technique, HI-MAT, satisfaction with life scale |
| MS Outcome measures | Modified Fatigue Impact Scale, Expanded Disability Status Scale for MS |
| Parkinson's Disease Outcome Measures | Modified Hoehn and Yahr Scale, Unified Parkinson's Disease Rating Scale, Parkinson's Disease Questionnaire |
| Spinal Cord Injury Outcome Measures | ASIA, Spinal Cord Assessment Tool for Spastic reflexes, Spinal Cord Independence Measures |
| ALS (Lou Gehrig's Disease) Outcome Measures | ALS functional rating scale, ALS severity scale |
| Neuropathy | Disorder of nerve, involving axon and/or myelin Sensory and/or motor loss, associated with LMN symptoms Diabetic stocking/glove distribution |
| Guillian Barre Syndrome | Demyelination of peripheral nerves cause by immune system dysfunction LMN sign (BILATERAL) Progressive weakness, areflexia, parasthesias bilaterally (distal extremities) |
| Myopathy | Muscle weakness, worse proximally, no sensory or reflex loss Muscular Dystrophy- degeneration of muscle fibers Dermatomyositis and polymyositis- immune inflammatory disorders |
| Myasthenia Gravis | Disorders of neuromuscular junction at post-synaptic membrane Symmetrical weakness, proximal limb, neck, diaphragm, eyelids Noraml reflexes and sensation; weakness increases with repetitive use |
| ALS | Degeneration of motor neurons in the SC, BS and brain Progressive weakness, paralysis, loss of swallowing, respiration Both UMN and LMN symptoms, initial muscle weakness of distal UE, LE or face; later spasticity and hyperreflexia |
| Paraplegia | LE and trunk |
| Brown- Sequard Syndrome | Hemisection of the SC Loss of pain and temp on the opposite side Ipsilateral weakness and loss of vibration/position |
| Central Cord | UE worse than LE involvement, preserved sacral function |
| Posterior Cord | Loss of proprioception, 2-point discrimination with intact pain, temperature, touch sensations and motor function |
| Anterior Cord | Loss of pain, temperature, and motor function with intact proprioception and vibratory senses |
| Stroke | Loss of blood flow to brain from ischemia (80%) or hemorrhagic causes |
| Multiple Sclerosis | Progressive demyelinating disease of CNS, causing sclerotic plaques in white matter, onset age 20-50 S/S diplopia, sensory loss, weakness, fatigue, spasticity, nystagmus, intention tremor, dysarthria, incontinence, cognitive, affective changes |
| Parkinson's Disease | Progressive disorder basal ganglia, loss of dopamine in substantia nigra Cardinal signs- bradykinesia, tremor, postural instability, rigidity |
| Huntington's Chorea | Inherited disorders, mid-life onset, cell death caudate/putamen basal ganglia Involuntary movements- chorea, ataxia + personality change/dementia |
| Cerebellar Ataxia | Extremity and/or trunk ataxia, intention tremor, dysmetria and dysrythmia |
| Traumatic Brain Injury | Injury to the brain resulting from trauma (car accidents, falls, violence) S/S- coma, cognitive loss, sensory/motor loss, impairment of coordination, speech, behavior, vision, swallowing |