Show:
Transverse Myelitis
Multiple Sclerosis
Myasthenia Gravis
Autoimmune Diseases
100
Does recovery of Transverse Myelitis occur most in the first 3 months, from 3-6 months, or 6-12 months?
First 3 months
100
Does MS affect your central or peripheral nervous system?
Central Nervous System
100
What is the primary physical symptom of MG?
Voluntary muscle weakness and fatigue
100
How do autoimmune diseases function?
The immune system attacks healthy cells in your body by mistake
200
What causes Transverse Myelitis?
Inflammation of the spinal cord
200
Name five signs and symptoms of MS
Vision problems Sensory disturbances Numbness Disturbance in pain sensation Hypersensitivity Impairment in vibratory, proprioceptive, pain, touch, and temperature (stereognosis, kinesthesia and body schema) Motor: Spasticity, low energy, weakness, ataxia, intention tremor Cognitive: STM, attention, processing speed, visuospatial abilities, verbal fluency and executive functions are affected. Psychological: Depression or euphoria Impulsivity Lability Urinary incontinence or retention Fatigue (most common complaint) Dysphagia Dysarthria Vestibular dysfunction Positive Babinski sign
200
What are some psychosocial symptoms associated with MG?
Depression, anxiety, feeling of role inadequacy
200
What is the cause of autoimmune diseases?
The cause is unknown
300
What is often the first symptom of Transverse Myelitis?
Pain
300
How are patients diagnosed with MS?
No specific test—just ruling out other conditions
300
MG is caused by degeneration of Ach receptors at what location?
Post-synaptic membrane of neuromuscular junction
300
What are often the first symptoms of an autoimmune disease?
Fatigue, muscle aches, and a low fever Classic sign—inflammation (redness, heat, pain, and swelling)
400
What are three rehabilitation goals when working with a client with Transverse Myelitis?
Participate in daily stretching routine Improve independence during activities of daily living (i.e. feeding, dressing, bathing) Improve available joint range of motion Teach effective compensatory strategies Relieve pain Increase strength Family education Psychosocial support
400
What are the four types or patterns of MS?
1. Benign 2. Relapsing-remitting-nonprogressive 3. Relapsing-remitting-progressive 4. Progressive
400
What are 3 assessments an OT might use when assessing a client with MG?
ADLs/IADLs - FIM, COPM, Myasthenia Gravis Activities of Daily Living Profile, QMG Score Strength Fatigue Vision/Ocular Motor Function In addition to the table: Swallowing assessment Beck’s Depression Inventory Home assessment
400
What demographic has a higher risk for some autoimmune diseases?
Women—African-American, Hispanic-American, and Native-American women have a higher risk
500
What are three occupational therapy assessments for Transverse Myelitis?
ROM MMT Assess tone using modified Ashworth Scale FIM score Functional grip strength: gross grasp Observation: sitting balance, trunk stability Observation: skill set while performing task (brushing teeth or feeding) Sensory kit assessments Light touch Temperature: hot/cold Pain
500
Name three assessments that you would use with a patient with MS
Visual assessments Sensory kit (stereognosis, light touch, etc) ROM Ashworth scale- spasticity evaluation and control MMT- strength Test dexterity: 9 hole peg test, box and block, dynamometer, pinch meter
500
What are three energy conservation techniques an OT could educate a client with MG about?
Taking breaks during activities, breaking up daily routine into smaller tasks, pacing, rest breaks, take baths/shower in the evening, perform bathing self-care while seated, long-handled reachers, dressing can be done while seated, use of zippers/velcro
500
Name two ways an OT can be involved in care of a client with an autoimmune disease
Adaptive equipment, environmental modification, energy conservation, task simplification, scheduling, medication management, ADLs, IADLs, strengthening….