Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
More NM DOs
NPTE Neuromuscular
| Question | Answer |
|---|---|
| Multiple Sclerosis | chronic, progressive, demyelinating disease of CNS |
| Relapsing Remitting MS | relapses and full or moderate recovery, lack of disease progression between relapses |
| Primary progressive MS | Disease progression from onset without plateau or remission or with occasional temporary improvements |
| Secondary progressive MS | initial relapsing-remitting course followed by progression at variable rate |
| Progressive-relapsing MS | Progressive disease from onset but without clear acute relapses, develop disease after 40yr |
| Sensory problems in MS | hyperpathia, paresthesias, dysesthesias, trigeminal neuralgia, Lhermitte’s sign |
| Hyperpathia | hypersensitivity to sensory stimuli |
| Abnormal sensations | dysesthesias |
| Electric shock like sensation throughout body by flexing neck | Lhermitte’s sign |
| Chronic progressive disease of CNS with degeneration of dopaminergic substantia nigra neurons | Parkinson’s disease |
| Parkinson’s etiology | deficiency of dopamine within the basal ganglia corpus striatum with degeneration of substantia nigra |
| Parkinson’s s/s | rigidity (lead pipe, cogwheel), bradykinesia (hypokinesia), resting tremor, impaired postural reflexes, hypophonia, bradyphrenia, dysphagia, mask like face, small writing, restlessness, pill rolling, festination |
| Abnormal involuntary increase in speed of walking | festination |
| NMJ disorder characterized by progressive muscular weakness & fatigue on exertion | Myasthenia gravis |
| Myasthenia gravis etiology | autoimmune antibody mediated attack on acetylcholine receptors at NMJ |
| Generalized myasthenia | usually bulbar and proximal limb muscles, progressive course |
| Myasthenic crisis | with respiratory failure, medical emergency |
| S/S of myasthenia gravis | diplopia, ptosis, dysarthria, dysphagia, drooping facial muscles, hoarse voice, fatigability, repeated muscle use results in rapid weakness, EMG conclusive |
| Tonic activity | stiffening and rigidity of muscles |
| Clonic activity | rhythmic jerking of extremities |
| Tonic-Clonic Seizure | Grand mal, dramatic LOC |
| Absence seizures | petit mal, brief LOC, no convulsions, may occur very frequently |
| Focal motor seizure | clonic activity involving a specific area of body |
| Focal motor with march (Jacksonian) | orderly spread or march of clonic mvmts |
| Temporal lobe seizures | episodic changes in behavior, hallucinations, automatisms, althered cognitive fxn, emotional fxn, aura |
| Status epilepticus | prolonged or a series of seizures >30min, life threatening |
| Cerebellar lesions tend to produce signs on which side | Ipsilateral |
| Archicerebellum s/s | central vestibular (ocular dysmetria, eye pursuit, VOR, eye-hand coord), gait/trunk ataxia with poor postural control, wide based gait. Little change in tone or dyssynergia of extremities |
| Paleocerebellum s/s | Hypotonia, truncal ataxia (disequilibrium, static postural tremor, sway, wide BOS, high guard), posture worse in Romberg. Ataxic gait with unsteady, falls, decr step length, incr step width |
| Neocerebellum s/s | Ataxic limb mvmts, intention tremors, dysdiadochokinesia, dysmetria, dyssynergia |
| Dyssynergia | abnormal timing, movement decomposition of agonist & antagonist interactions, impairments of complex motor tasks |
| Asthenia | generalized weakness |
| PT goals for Cerebellar Dos | eye-head coord ex, stability ex, approxim, wtd belts, dynamic stab w/ sm range control, smooth reversals of mvmt, graded resist, balance trng, pool-graded resist to decr ataxia & postural instab, low stimulus envi, distributed practice for low endurance |
Created by:
Jenwithonen
Popular Physical Therapy sets