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Neuromuscular selective terminology

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Term
Definition
agnosia   inability to recognize familiar objects with one form of sensation (e.g., visual agnosia)  
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akinesia   inability to initiate movement  
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aphasia   disturbance to language that results in errors in word choice, comprehension, or syntax  
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expressive (broca's) aphasia   severe difficulty in verbal expression with impairment in object naming and writing abilities. Mostly found in those with R hemiplegia.  
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global aphasia   most common and severe form of aphasia. Reduced speech and comprehension. Reading and writing are impaired as well.  
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receptive (wernicke's) aphasia   severe disturbance in auditory comprehension. Reading, writing, and word recognition are also impaired.  
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apraxia   inability to perform movement previously learned even though there is no loss of strength, coordination, sensation, or comprehension  
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Ideational apraxia   person no longer gets the "idea" of how to do a routine task; eg., washing hands or brushing teetch  
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ideomotor apraxia   person cannot do a task on command but can do it spontaneously  
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astereognosis   inability to recognize objects by touch alone  
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asynergia   inability to move muscles together in a coordinationed manner  
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ataxia   uncoordinated movement, especially gait  
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athetosis   slow, involuntary, worm-like, twisting movements. usually seen in forms of cerebral palsy  
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causalgia   burning sensation, which are painful. often associated wtih CRPS type 2  
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cheyne-stroke respiration   common and bizzare breathing pattern characterized by a period of apnea lasting 10-60 sec followed by gradually increasing, then decreasing depth and frequency of respirations.  
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chorea   rapid, involuntary, jerky movements. seen especially in Huntington's chorea  
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clonus   a rhythmic oscillation of a muscle in response to sustained stretch in patients with UMN lesion  
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decerebrate rigidity   contraction of extensor muscle of UE and LE because of an injury at the level of the brain stem  
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decorticate rigidity   contraction of flexory muscles of UE with contraction of extensor muscles of LE  
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delirium   temporary confusion and loss of mental function. often as a result of illness, drug toxicity, or lack of O2. often reversible.  
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dementia   loss of memor or intellectual functioning.  
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dysmetria   inability to judge distances. seen especially in cerebrallar dysfunction  
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electromyography (EMG)   the study of a graphic record of the contraction of a muscle as a result of electrical stimulation. used to evaluate voluntary electrical activity of muscle.  
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glove and stocking anesthesia   occurs in generalized peripheral neuropathies in which the distal portion of the nerves degenerate resulting in anesthesia of the distal extremities in a pattern as if the pt was wearing long gloves and stockings. occasionally seen in GBS  
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herpes zoster (shingles)   painful inflammatoin of posterior root ganglion, caused by virus, resulting in formation of vesicles along the course of dermatomal nerve  
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Horner's syndrome   ptosis of the eyelid, constriction of pupil, lack of sweating of ipsilateral face, often accompanying stroke involving anterior inferior or posterior inferior cerebellar arteries  
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morton's neuroma   excessive pronation during stance produces compression between 3rd and 4th metatarsals.  
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nerve conducting velocity (NCV) test   determines speed of propagation of an action potential along a nerve or muscle fiber. If nerve is compressed/damaged, velocity will be slow and latency (time it takes to travel between 2 points) increased.  
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nystagmus   rapid, usually back and forth, movement of the eyeballs  
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reciprocal inhibition   inhibition of muscles antagonistic to those being facilitated. essential for coordinated movements  
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romberg's sign   loss of balance in standing when eyes are closed  
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somatagnosia   lack of awareness of the relationship of one's own body parts or the body parts of others  
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vegetative state   deep coma with abnormal posturing.  
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visual acuity   sharpness of vision that generally decreases with age or certain disabilities such as diabetes  
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homonymous hemianopsia   deficit of either bilateral R or L halves of the visual field, caused by damage to contralateral optic tract. e.g., bilateral L visual field deficit due to R optic tract damange.  
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bitemporal hemianopsia   deficit of bilateral temporal or peripheral visual field, caused by injury at the optic chiasm. (tunnel vision)  
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monocular blindness   blindness in one eye as a result of damage to optic nerve  
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