Neurorehabilitation Flashcards
What does SMART stand for?
specific measurable achievable relevant timed
Who forms part of multi-disciplinary team in neurorehabilitation?
OT Nurses Psychology Speech language therapist Physician Physio
Describe three aspects in the process of rehabilitation
- assessment
- goal planning
- restoration: priming, interventions
- Adaptation: aids and appliances, environmental modification
- Prevention
Describe one intervention during the neurohabilitation process
Task-specific repetitive training
How to measure functional outcomes in clinical rehab?
Barthel index
Modified Rankin scale
Functional independence measure
List two patient populations who require rehabilitation medicine
Neuro dysfunction (MS, GBS)
Spinal cord injuries
Limb loss/MSK impairments
Trauma
List three rehab services
spasticity amputee prosthetics community rehab wheelchair and seating vocational rehab driving assessment
What is the WHO ICF framework?
classification of health and health-related domains.
Activities, personal factors (age, BMI, gender), environmental factors, body functions and structures (fitness level, cognitition, injury severity), participation (QoL, social engagement, self-esteem, work/employment)
Name a poor prognostic factor for head injury?
post traumatic amnesia
List one pharmacological agent in the management of head injury?
stimulants (during the day to promote sleep at night)
anti-depressants
Which type of patient groups might you find doing neurorehabilitation?
neuropathic pain
spasticity
head injury
Name two causes of neuropathic pain
diabetes, MS, trigeminal neuralgia
Name two drugs used in the treatment of neuropathic pain?
gabapentin
pregabalin (both antiepileptic drugs)
antidepressants: duloxetine, amitriptiline
Should you give morphine to someone with neuropathic pain?
no, morphine can exacerbate pain pathway
What is the difference between spasticity and rigidity?
spasticity involves pyramidal tract and rigidity involves extra pyramidal tract lesion. In contrast to spasticity, rigidity is considered to be independent of hyperactive segmental stretch reflexes, so that tendon jerks and H reflexes are almost normal in subjects without altering to change of velocity.
