Parkisons
Parkisons is what type of disorder?
Progressive neurodegenerative disorder (NOT UMN*)
A walking speed of .9 would classify a patient as what type of ambulator
Community ambulator
What part of the brain is responsible for speech motor planning, articulation, and language production
Frontal
During the stroke process, energy production is impaired and leads to further neural death and damage. What is this called?
Ischemic Cascade
The neurophysiological Approach focuses on normalizing movement patterns through ______.
NDT (Neurodevelopmental techniques)
An impaired direct loop will lead to what PD sxs?
Bradykinesia, akinesia
What outcome measure would you use for a home care patient with overall functional impairments?
OASIS
Pt presents with nonfluent spontaneous speech and intact auditory comprehension. What type of aphasia does this person have?
Brocas
An elevated ICP, thunderclap headache, facial pain, diplopia, difficult to arouse, stiff neck/low back pain, vomitting could all be signs and symptoms of what kind of stroke?
Subarachnoid: rupture of vessel on brain surface w/ bledding into subarachnoid space
The hypothalamus is responsible for what in the limbic system?
Initiation of motor activity for homeostasis, autonomic functions
Freezing episodes during gait would be classified into what category and why? (akinesia, bradykinesia, hypokinesia)
Akinesia because it is loss or impairment of voluntary movement.
Placing a pt on a foam pad during the mCTSIB would force patient to rely more on what sensory aspect?
Vestibular (if theyre on firm it would be somatosensory)
Pt presents with disturbances in muscular control of speech mechanisms. Their speech is breathiness, hypernalsality, imprecise consonants, short phases, and monoloudness. What type of disocrder may this be?
Flaccid dysarthria
If someone gets a 7 on the NIHSS scale, what is their severity of their stroke?
Moderate
What is contraindicated in terms of ROM exercises post-stroke?
Overhead pulleys for self ROM
Levodopa/carbidopa is the gold standard for PD medications however it does not ...
Slow progression or alleviate tremor
If patient is unable to complete command but may do it automatically, what would this be called?
Ideomotor apraxia
Apraxia is a disorder of speech motor programming, and has no relation to __________.
Muscle weakness or paralysis
A patient who suffered a stroke presents as quick, impulsive, and has poor judgment. What side did they suffer the stroke on?
Right CVA
Phenol
Some non-motor attentional/cognitive symptoms of PD could include ..
Difficulty shifting attention, dual tasking, quickly accessing memory, dementia, visuospatial perception/discrimination, learning
A score of 1+ on the Modified Ashworth Scale would be what?
Slight increase in muscle tone, manifested by a catch, followed by minimal resistance throughout the remainder of the ROM
If someone suffered a stroke that affected their basal ganglia, what would this patient struggle with in terms of language?
They would lose their motor relay station and speech movement programming
Ptosis, miosis, and facial anhidrosis are all S&S of what syndrome
Horners Syndrome: Brainstem or Medullary Stroke
Selective Dorsal Rhizotomys are not indicated for ______
Dystonia