ALS (Exam 5) Flashcards Preview

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Flashcards in ALS (Exam 5) Deck (23):
1

Lough Gehrig Diease

ALS

2

Amyotrophic Lateral Sclerosis

ALS

3

Terminal progressive diease invovling UMNs and LMNs

ALs

4

Progessive degeneration and loss of motor neurons in the spinal cord, brainstem, and motor cortex.

ALS

5

____ is the most common motor neuron disorder among adults.

ALS

6

Average onset is ____.

Mid to Late 50s

7

Men or women more greater?

Men

8

Cause of ALS _____.

Unknown except for an inherited form.

9

Elevated levels of ____ present.

Creatine Phosphokinase

10

Both UMN and LMN in at least 3 regions. UMN and LMN signs in the bulbar region and at least 2 spinal regions.

Clincially Definite

11

UMN and LMN in 2 regions. At least 1 UMN rostral to the LMN.

Clinically Probable

12

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

13

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.

Clinically Possible

14

Degenerate in the cortex and corticospinal tract.

UMN

15

Degerenate in the brainstem and antieror horn cells in the spinal cord.

LMN

16

____ is a cardinal sign.

Muscle Weakness

17

Limb Loss: Asymmetrical weakness in arm or leg.
Bulbar Loss: Swallowing or speaking difficulties. Fasiculuation with tongue.

Clinical Signs

18

Bulbar loss more common in men or women.

Women

19

Early Signs

Muscle cramps, weakness, atrophy, fatigue.

20

Mixed Palsy

Combination of spasticity and flacciditiy.

21

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.

22

Can you strengthen a patient with ALS?

No, because they will just loose it any way because its a degenerative diease.

23

ALS is UMNL or LMNL?

Both!