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Neuroanatomy II

Case study review

Injury to the Brachial Plexus during difficult vaginal delivery causes what? erb's palsy
What are some common risk factors for erbs palsy? Birth weight greater than 3500 g, difficult delivery of the shoulder, Prolonged maternal labor, maternal diabetes Sedated hypotonic infant during delivery, Breech delivery
What is the primary goal of intervention for erb's palsy? maintain ROM, prevent contractures
What is the most common type of torticollis? type II(77%)
An asymmetrical condition of the head arising from extrinsic molding is called? plagiocephaly
Joint contractures in two or more body areas, Affected body parts: foot, hip, wrist, knee, elbow, shoulder, Involvement can range from mild to severe, Lack of muscle development...what does this describe? AMC
What should treatment be targeted at for pt's with AMC? Maximizing STR, improving ROM, enhance sensorimotor development
Autoimmume demyelination disease that affects the peripheral nervous system is? Guillain Barre Syndrome
Ascending symmetric motor weakness, Progressive weakness >1 extremity, usually, stops progressing within four weeks. Mild sensory signs and symptoms, Usually distally, Loss of deep tendon reflexes Guillain Barre Syndrome
Condition where antibodies block receptors in muscles that receive signals of acetylcholine thus impairing muscle function is called? Myasthenia Gravis
A chronic, pervasive childhood disorder characterized by developmentally inappropriate activity level, low frustration tolerance, impulsivity, poor organization of behavior, distractibility, and inability to sustain attention and concentration is what? ADHD
What kind of treatment approach would you want to use for pt's with ADHD? Top-down, or cognitive, approach to therapy, task-specific, focus on performance skills, Emphasizing organization, planning, adaptation and safety
A chronic disorder of various causes characterized by recurrent seizures is called? Epilepsy
What kind of seizure causes muscles to become rigid, person could lose consciousness and fall to the ground? Tonic
What kind of seizure causes muscles to contract & relax rapidly, causing convulsions? Clonic
If a seizures lasts more than ___ minutes you should call medical help. 5
What role do PT's play in the treatment of epilepsy? Essentially, we will be treating patients not for epilepsy, but more likely their comorbidities.
What is the triad of symptoms for FAS? Characteristic facial dysmorphology, Prenatal and postnatal growth deficiency, CNS Dysfunction
95% of trisomy 21 is due to what? nondisjunction of chromosome 21 in oocyte or spermatocyte
These Physical Characteristics decribe what? Upward slanting palpebral fissures, Low nasal bridge, Simian Creases, Hypotonia, Tetralogy of Fallot (congenital Heart, defect) Down Syndrome
PT intervention for down syndrome should be aimed at what? specific medical problems associated, and developmental issues
This is characterized by having a greater than 10° lateral curvature on a standing radiograph, and most have curvature to the right. Scoliosis
What can be done to treat scoliosis? use of milwaukee brace, trunk ROM/stabilization exercise, surgery
Avascular Necrosis of the ossific nucleus of the femoral head caused by loss of blood supply, AKA: ischemic necrosis of the hip, coxa plana, osteochondritis, or avascular necrosis of the femoral head is known as what? Legg-calve-perthes disease
This Leads to a collapse and flattening of the femoral head if not treated properly,and the is etiology unknown. Legg-calve-perthes disease
What are two treatment approaches to Legg-calve-perthes disease. conservative(Modalities for pain control Bracing, ROM Exercises), sugery
Malfunction of the energy-producing mitochondria found in all living cells causes what? mitochondrail disorders
“Common disease” with atypical features, More than one organ system involved, Recurrent setbacks or flare-ups from infection...these are halmark characteristics for what? Mitochondrial disorders
A degenerative disorder of the central nervous system that can come from mitochondrial or nuclear DNA is called? leigh syndrome
Is there a cure for leigh syndrome? What is the prognosis? no/poor
PT treatment for leigh syndrome should include what? Work on achieving age appropriate milestones, Maintain gross motor function, Positioning, and Family education and support
Involves deliberate exaggeration or fabrication of medical condition(s), presumably for attention, sympathy, or other...usually non-financial gains is called what? Munchausen’s
An autoimmune inflammatory disorder, activated by an external trigger, in a genetically predisposed host is what? RA
This is the most common form of juvenile RA, it involves 4 joints or less, and peaks at 1-2 years. oligoarthritis
What are the general goals for treating juvenile RA? controlling pain & inflammation, maintaining ROM, STR, and endurance, ensure typical growth and development.
Created by: txst spr 2009
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