CVA
WHAT IS FLACCIDITY?
COMPLETE LOSS OF NORMAL TONE
Parkinson's disease is caused by a deficit of _____?
Dopamine
What are signs of hypoglycemia?
Lightheaded, decreased motor function, clammy, confusion
Define and demonstrate a test for dyskinesia
FTN
finger to finger
heel to shin
If you could teach the family of someone with PD one thing before d/c, what would it be?
Floor transfers
Relaxation techniques
Importance of frequent short activities
WHAT IS AN ASSOCIATED REACTION?
Movement in uninvolved extremity causes same movement in involved extremity
What are 3 clinical signs for Parkinson’s Disease and demonstrate?
Rigidity
Bradykinesia
Resting Tremor
How would you describe gait deviations for a person with PNS neuropathy?
Steppage due to foot drop
No heelstrike
No heel or toe off
Increased hip/knee flexion in swing phase
Define and demonstrate a test for dysdiadochokinesia
Unable to perform rapid alternating movement
decreased speed and rhythm
Toe tap pronation/supination finger opposition
What are common clinical presentations of a MCA CVA?
The UE will be more involved than the LE.
It is the most common type of CVA.
Homonymous hemianopsia is common.
Can lead to coma and death.
Demonstrate flexor synergy of the UE and name the strongest component
Shoulder abd with ER or hyperextension
Scapular elevation/retraction
Elbow flexion and forearm supination, wrist/finger flex
Describe and demonstrate typical gait deviations with Parkinsons Disease and one treatment intervention to improve it?
Flexed posture, festination, decreased BOS, shuffling
Weight shifting, Step ups
What is the cause of Bell’s palsy?
Herpes simplex virus, increased incidence with DM
Describe and demonstrate common gait deficits for patient with cerebellar disorder
Wide BOS
staggering
unsteady
What is akinesia?
Freezing
Absence of movement
Name 2 treatment strategies that could be performed for patient in Stage 1-2
(synergy begins, minimal voluntary movement and avoid reinforcing tone when present
Protect limb/positioning
Bed mobility, transfers, sitting balance
Motor relearning- weight bearing, facilitation
If you could focus on one thing to improve mobility with PD patient, it would be…
and why?
Rotation, extension, stretching
Due to rigidity
What treatment interventions are appropriate for someone with Bell’s Palsy?
Facial exercises
Electrical stimulation
Psychological support
What is the most common
initial symptom of MS
Optic neuritis
loss of vision
blurred vision
True or False
Hemiplegia is an UMN lesion?
TRUE!
Name 2 treatment strategies that could be performed for patient in Stage 3-4
(some control of synergy as tone decreases and break up synergy patterns, perform activities outside of tone patterns)
Pregait, balance activities, strengthening
Functional mobility activities
Weight bearing, static/dynamic activities, reciprocal movement (NuStep)
A disorder caused by an excess of Dopamine is called
Huntington’s disease/chorea
Your patient has significant confusion, low blood sugar, and fruity smelling breath. What is this called and what will you do?
Ketoacidosis
Call 911 or MD or RN
Name 3 things that are important for education for people with MS patient?
Effect of increased temp, lifestyle mod to prevent fatigue
decreasing stress
support group/group therapy
skin care
The ICF model focuses on three components.
Name them
Body (Impairments)
Activities/Tasks (functional mobility)
Participation (restrictions related to home and community)