Flashcards in ALS (Exam 5) Deck (23):
Lough Gehrig Diease
Amyotrophic Lateral Sclerosis
Terminal progressive diease invovling UMNs and LMNs
Progessive degeneration and loss of motor neurons in the spinal cord, brainstem, and motor cortex.
____ is the most common motor neuron disorder among adults.
Average onset is ____.
Mid to Late 50s
Men or women more greater?
Cause of ALS _____.
Unknown except for an inherited form.
Elevated levels of ____ present.
Both UMN and LMN in at least 3 regions. UMN and LMN signs in the bulbar region and at least 2 spinal regions.
UMN and LMN in 2 regions. At least 1 UMN rostral to the LMN.
UMN and LMN in 1 region. UMN present in 1 region. UMN in 1 region. LMN in at least 2 regions.
Clinically Probable with Laboratory Support
UMN and LMN found together in 1 region. UMN found in 2 or more regions. LMN found rostral to UMN instability to establish a diagonosis of clincially probable laboratory supported.
Degenerate in the cortex and corticospinal tract.
Degerenate in the brainstem and antieror horn cells in the spinal cord.
____ is a cardinal sign.
Limb Loss: Asymmetrical weakness in arm or leg.
Bulbar Loss: Swallowing or speaking difficulties. Fasiculuation with tongue.
Bulbar loss more common in men or women.
Muscle cramps, weakness, atrophy, fatigue.
Combination of spasticity and flacciditiy.
Avoid heavy eccentric exercise. Moderate resistance can increase strength in muscles with a MMT of 3 or higher. Overuse is not a issue if the muscles exhibit a MMT of 3 or higher.
General Suggestions for PT.
Can you strengthen a patient with ALS?
No, because they will just loose it any way because its a degenerative diease.