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Pathology Chap 6
Mosby's Pathology Chap 6- Neurologic Pathologies
| Question | Answer |
|---|---|
| A group of motor disorders caused by cerebral damage during fetal life, birth, or early childhood. | Cerebral Palsy |
| A group of congenital neural tube defects characterized by failure of the posterior spinous processes of the vertebral column to close. | Spina Bifida |
| Deep tissue massage with joint movement is advisable for a client with spina bifida. T/F | False. Light gentle strokes and gentle kneading avoiding affected area (normally the lumbarsacral region). |
| Spastic, dyskinetic, ataxic, and mixed are all forms of what neurologic pathology? It is also the most common crippler of children. | Cerebral Palsy |
| Another name for seizure disorders that are reaccuring is ___________. | Epilepsy |
| __________ are explosive episodes of uncontrolled and excessive electrical activity in the brain. | seizure disorder or Epilepsy |
| ___________ produce an intermittent contract-relax pattern in muscles and are associated with a loss of consciousness. | Grand mal seizures or Tonic-clonic |
| Aromatherapy is contraindicated for massage of client that has/ or has had a seizure. T/F | True. Certain smells can trigger a seizure, so aromatherapy is contraindicated. |
| If a client is having vomiting during a seizure, what position should you make sure they are in? | Roll client onto their side. This helps to free the airway and counteract choking. |
| Name on of the two most mobile areas of the spine. | C1- C7 or T12-L2 |
| ______________ results from damage to the vertebrae and neural tissues causing paralysis. | Spinal cord injury |
| If the injury to the spinal cord is acute then massage is contraindicated/ indicated. | contraindicated |
| Men tend to have a 4 times higher rate of ADHD than women. T/ F | True |
| ___________ is a neurologic disorder that the person displays an array of behaviors associated with inattentiveness, hyperactivity, impulsivity, or a combo. | Attention Deficit- Hyperactivity Disorder (ADHD, ADD) |
| ________ is a syndrome of social withdrawal and obsessive behavior. | Autism |
| Massage movements should be firm gliding or compressive strokes for a client with autism. The session should also be shortened to 10-15 min. T/F | True |
| ____________ is and inflammation of the meninges. From a bacterial or viral source. | Meningitis |
| A throbbing headache, chills and fever, sensitivity to light, and hyperextended stiff neck are symptoms of what disorder. | Meninitis |
| Massage for meninitis and severe encephalitis is indicated. T/F | False. Massage is highly contraidicated for these disorders. |
| ________ is an inflammation of the brain. | Encephalitis |
| Encephalitis is normally caused by a virus? T/ F Name some of the viruses. | True. Herpes Simplex, measles, West Nile. |
| __________ is a highly contagious infection by direct contact that causes selective destruction of motor nerves. This condition is now rare. | Polio (poliomyelitis) |
| If a client with cerebral palsy cannot speak clearly: | The therapist and client must devise a code for communication |
| Explosive episodes of uncontrolled and excessive electrical activity in the brain also known as a “lightning storm in the brain”? | seizure |
| In less severe forms of spina bifida Massage is indicated while avoiding the area over the spinal defect. T/F | True |
| What should you do if a client appears to be having a seizure | Remain in the room calmly, begin to time the seizure, clear the area of objects, and cushion the client’s head with the client’s chin lifted. |
| A person with autism is most likely to benefit from: | 15-minute sessions focused on FIRM GLIDING and COMPRESSIVE STROKES with FULL HAND CONTACT. |
| Infectious disease caused by the poliovirus? | Poliomyelitis |
| Massage for a client with postpolio syndrome should be 90 minunte of deep tissue massage with joint movements. T/F | False. Best in 30-minute sessions using lighter-than-normal techniques. |
| Dementia typically interferes with work and social activities because it: | Affects thinking, remembering, and communicating |
| Type of dementia that produces a typical profile of mental deterioration? | Alzheimer disease |
| Rare, genetic disease characterized by motor disturbances, mental deterioration, and abnormal behavior | Huntington disease |
| A person with Huntington disease (chorea) develops | Involuntary, jerky motions of the arms and face |
| What neurologic disorder produces a syndrome of abnormal movements marked by destruction of dopamine-producing neurons in the brain | Parkinson's disease |
| What disorder results in progressive neural demyelination? | MS (Multiple sclerosis) |
| What is another name for amyotrophic lateral sclerosis? | Lou Gehrig's disease |
| Amyotrophic lateral sclerosis affects: | Motor nerve function |
| What condition is due to occlusion or rupture of blood vessels causing disruption in cerebral blood flow? | Stroke |
| The two main types of stroke are: | Ischemic and hemorrhagic |
| Migraine headaches appear to be caused by: | Chemical imbalance that dilates and inflames blood vessels |
| What is a synonym for trigeminal neuralgia? | Tic douloureux |
| For a client with trigeminal neuralgia massage of the face and scalp is indicated. T/F | False. Avoid massaging face and scalp. |
| Massage for a client with Bell palsy should incorporate what? | Should incorporate light gliding directed upward, kneading, percussion, and vibration on facial muscles as part of general massage |
| Which of the following autoimmune disorders is caused by a loss of acetylcholine receptors at the neuromuscular junction? | Myasthenia gravis |
| Myasthenia gravis results in progressive muscle weakness and paralysis. T/F | True |
| A client with Guillain-Barré syndrome should have the massage even is they have not fully recovered. T/F | False. Should postpone massage until full recovery has occurred |
| Peripheral neuropathy affects: a. sensory nerves b. motor nerves c. both | All three are correct |
| What type of massage should be used degenerative disc disease. | Only gentle gliding over the affected area is indicated after positioning the client for comfort. |
| Protrusion of the nucleus pulposus through a tear in the annulus fibrosus? | Herniated disc |
| This occurs when pain radiates into the extremities along the path of a compressed nerve? | Radiculopathy |
| Inflammation of the sciatic nerve | Sciatica |
| Caused by repetitive use of the wrist | Carpal Tunnel Syndrome |
| What nerve is most affected in persons with carpal tunnel syndrome? | Median |
| Another name for cerebrovascular accident is a: | Stroke |
| A compression of nerves in the brachial plexus and/or the subclavian artery and vein | Thoracic outlet syndrome |