Motor Neuron Disease Course
This disease occurs when an enteric paralytic virus attacks motor neuron cell bodies of lower motor neurons resulting in flaccid muscle paresis or paralysis.
What is polio?
This piece of equipment invented in 1955 by R.R. Stratton can be used to complete dependent transfers in persons with mid to late stage ALS to reduce caregiver burden.
What is a Hoyer lift?
This postural deviation requires accommodation with a custom backrest or seat cushion.
What is a fixed deviation?
This neurologic level indicates emergence of hand function.
What is C8?
In this process, which commonly occurs in SCI, connective tissue cells change to bone forming cells.
What is heterotrophic ossification?
This disease evolves rapidly and presents as relatively symmetrical, ascending weakness or flaccid paresis with 50% of patients reaching the point of greatest severity within 1 week of onset.
What is Guillain-Barre Syndrome?
Your patient may come in for a follow-up visit complaining that he/she felt weaker 30 minutes after exercise and experienced severe muscle cramping if this occurred during the previous session.
What is overwork damage?
The key defining feature of this wheelchair group is rear-axle adjustability. This wheelchair is indicated for patients who have long-term community ambulation requirements.
What is a K005 ultra lightweight manual wheelchair?
This neurologic level includes innervation of the following muscles: sartorius (full), gracilis (full), quads (full), tibialis anterior (partial), peroneus tertius (partial), glut med (partial), glut min (partial) and TFL (partial)
What is L4?
This defines completeness of spinal cord injury and potential for motor/sensory recovery.
What is sacral sparing?
What process involves intact motor axons sending axon terminals to the denervated muscles in an attempt to re-innervate these muscle fibers and restore muscle power.
What is collateral sprouting?
After patients with Guillain-Barre Syndrome reach their plateau in symptoms, this strategy should be implemented to support progressive recovery of function in muscles and increased CV endurance.
What is a recovery strategy?
This wheelchair is most appropriate for individuals with impaired cognition that are unable to safely or effectively propel a manual wheelchair and cannot perform independent pressure relief.
What is a tilt in space manual wheelchair?
Patients with these neurologic levels are expected to be dependent for all mobility.
What is C1-C4?
This is the prerequisite length of the hamstrings for gait.
What is 110 degrees?
This disease presents with asymmetrical muscle weakness, muscle atrophy, and respiratory muscle weakness and can manifest as either limb-onset or bulbar-onset.
What is ALS?
Mild progressive resistance exercise is helpful in neuromuscular disorders including ALS if muscle strength is greater than or equal to this value.
What is 4/5?
This measurement is taken from the posterior buttock to the popliteal fold minus ~1-2 inches to avoid pressure from the front edge of the seat on the popliteal fossa.
What is seat depth?
Patients with these neurologic levels are unlikely to functionally walk but may walk for exercise with bilateral Lofstrand crutches and B HKAFO’s or KAFO’s with or without assistance
What is T1-T9?
This is the recommended pressure relief technique utilized for C6 neurologic level of injury.
What is a lateral lean with and without hook?
Although most patients recover from the resulting symptoms of Guillain-Barre syndrome and become ambulatory within 6 months of symptom onset, long-term deficits often present in this muscle group.
What is the tibialis anterior?
These can be used to assist with gait by supporting LE muscle groups too weak to strengthen in patients with PPS.
What are AFO’s?
This type of wheelchair cushion can be thought of as the “gold standard” for pressure relief but also the least stable.
What is an air cushion?
An exceptional functional outcome for this neurologic level would be independent for transfers on even surfaces without a transfer board and mod I with transfer board for uneven surfaces less than 3in
What is C6?
According to the Waters article, this is the percent chance muscles with grade 1/5 or 2/5 at 30-days post SCI have of obtaining functional strength of 3/5 at one-year post injury.
What is 85%?