CVA
6 areas of impairment from CVA
Postural Control
Language deficits
Psychosocial
Upper Extremity Dysfunction
Cognitive Perceptual
List two scales that measure severity of TBI
Ranchos Los Amigos
What is the hallmark sign for MS
Diplopia
At what SCI level do you gain elbow flexion
C5
Adult learned non-use is equivalent to ________ in children
Developmental disregard
When is the greatest recovery for CVA?
First 3-6 months
If a patient who sustained a TBI requires minimal physical assistance, what is their FIM score?
4
A patient has a progressive disorder of voluntary and involuntary movement, what is their diagnosis
Huntington's Disease
Using wrist extension to grasp items is called
Tenodesis
What is the key point of control for a bobath max transfer
GRAB 'EM BY THE TROCHANTERS
Which sensory evaluation do you move the non-affected limb into position and ask patient to copy position with affected
If a patient responds to loud voice, has word salad, and withdraws when touched, what is their Glascow Coma Scale?
10
At what stage of Alzheimer's do you start to see physical status decline
Stage 3
What is the term for medical emergency when stimuli causes an increase in blood pressure
Automatic dysreflexia
Explain the intrinsic plus position
Wrist at 20-30 degrees extension
MCP 60-70 degrees flexion
IP's in full extension/neutral
Thumb is at 45 degrees extension
List 3 of the common observations in CVA
Inability to perceive midline results in misaligned postures
Poor static sitting posture
Trunk weakness in all directions/planes
Spinal contractures
Inability to shift pelvis
Inability to complete segmental trunk movements
Patient has been out of vegetative state for 1 week, they can respond to yes/no questions and have awareness of self, what state are they now in
Minimally conscious state
A patient with ALS has difficulty buttoning, increased respiratory effort, and has slight difficulty navigating stairs. What phase are they in?
Phase 1- Independent (stages 1-3)
What is the term for flaccid tone, true atrophy, and lower motor neuron
Hyporeflexia
If a patient is able to get through the full ROM against gravity with no added resistance, what is their MMT score?
3
List and describe the 4 types of Aphasia
Global: Loss of all language skills
Broca's: Impairment in expressive language
Wernike's: Impaired auditory comprehension
Anomic: Difficulties with word retrieval only
List the acute stage initial precautions
ICP over 20mmHg
Do not turn to one side
Fluid restrictions
Check before elevating head
The intervention plan for all PND's should address what 4 areas
2) Cognitive implications
3) Social implications
4) Emotional implications
What tract is responsible for light touch and what tract is responsible for pain and temp?
Light touch= dorsal column medial liministic tract
Pain and temp= lateral spinal thalamatic
Name the group 1 muscles
Flexors
Adductors
Internal rotators