week 5: stroke rehab & therapeutic management (pt 2) Flashcards

1
Q

Resistance of muscles to passive stretch or elongation. Amount of tension a muscle has at rest.
May be normal or abnormal.

A

Tone

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2
Q

The CNS impairment can disturb tone. T or F

A

True

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3
Q

What is spasticity:

A

abnormal tone increased, involuntary, velocity-dependent muscle tone

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4
Q

Spasticity is a UMN or LMN disorder?

A

UMN: (hypertonia)

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5
Q

Hypotonicity or ________ is present immediately after stroke

A

Flaccidity

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6
Q

_____ emerges early in stroke following ______ with -90% of cases and occurs on the hemiplegic side

A

Spasticity; Flaccidity

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7
Q

Typical patterns of spasticity influence resting ______ and limit active movement of synergetic _______

A

posture; patterns

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8
Q

Tight-fisted hand with elbow flexed and held tightly against the chest or stiff extended knee with a plantarflexed foot is common. This is known as

A

Posturing of the limbs

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9
Q

The automatic adjustment of postural mm. that occurs normally in preparation for and during a movement task

A

Synergistic pattern

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10
Q

a massed patterns of movement ; movements are bound together is an example of

A

abnormal synergies

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11
Q

Flexor synergy:
Observer more commonly in ______
Possibly due to ______ reflex bringing your hand to your ______

A

UE
primitive; mouth to feed

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12
Q

Extensor synergy:
Observed more commonly in _____
Possibly due to ______ reflex to ______

A

LE
stand

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13
Q

UE Flexion Synergies
Shoulder girdle:
Shoulder:
Elbow:
Forearm:
Wrist:
Finger:

A
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14
Q

LE Extension Synergies
Hip:
Knee:
Foot/Ankle:

A
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15
Q

Which neuropathic facilitation model uses reflexive synergies to define the stages of motor learning and recovery following neurologic injury?

A

Brunnstrom

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16
Q

Which of the following terms is used to define the resistance exhibited by mmm when subjected to passive stretch representing the amount of tension a muscle maintains at rest which may be normal or abnormal?

A

Tone

17
Q

When assessing tone the first quick stretch will cause

A

high level of spasticity

18
Q

A quick stretch of muscle caused sustained beating of muscle:

A

Clonus

19
Q

MAS grading scale:
0:
1:
2:
3:
4:

A

0: No increase in tone
1: slight increase in tone/catch or release at end ROM
2: More marked increase in tone through complete ROM (rower)
3: Conderable increased in tone, passive movement difficult
4: Affected part in rigid flexion and extension

*cod wheel (1-2)

20
Q

Brunnnstrom Synergies Stages:
Stage 1: ________ paralysis
Stage 2: Development of ________ movement synergies
Stage 3: ________ movement synergy dependent
Stage 4: Some movements ______ of synergy
Stage 5: Movements almost _______ of synergy
Stage 6: _____ movement with normal speed

A
21
Q

Treatment goal of Stage 1: Flaccid paralysis
______ movements to regain motor functions

A

PNF

22
Q

Brunnstrom stage 2 _______ begins to develop. The treatment goal is to cont. _______ movements

A

spasticity; PNF

22
Q

Brunstrom stage 4: Can ______ synergy pattern

A

break

23
Q

Brunnstrom stage 3: _______ in synergy; spasticity reaches its peak.
Treatment goal: Break patient out of improper synergies to develop ________,_______ movements (recovery vs. compensation)

A

stuck
active, isolated

23
Q

Key difference between stage 6-7:

A

Stage 6: no spasticity; but not “normal”
Stage 7: normal motor function is restored

24
Q

Most common stroke location:
Prevalence of _______ limb impairment

A

MCA
upper limb

25
Q

The ability to execute smooth, accurate, controlled movement:

A

coordination

26
Q
A