Frontal lobe functions
- primary motor cortex and brocas area
- cognitive function
- judgement, reasoning, understanding, abstract thinking, short-term memory
- behavior and personality
- emotional responsiveness
temporal love functions
- audtiory cortex, sensory info (smell taste hearing sensory memory)
- visual task learning
- emotion
- long term memory
Parietal lobe
- sensory interpretation
- tactile and sense, body awareness
- spatial perception
- vision
occipital lobe
visual images and memories
mechanism of rigidity
decreased dopamine levels lead to overactive of motor neurons which would normally be inihbited
LMN is a lesion of what cell
anterior horn cell
Brunnstrom’s stages of recovery - stage 1
flaccid
Brunnstrom’s stages of recovery - stage 2
spasticity begins
Brunnstrom’s stages of recovery - stage 3
severe spasticity
Brunnstrom’s stages of recovery - stage 4
spasticity decreases, some isolated mvtms
Brunnstrom’s stages of recovery - stage 5
more complex isolated movements
Brunnstrom’s stages of recovery - stage 6
normal tone and movements
define hypermetria
the inability to grade forces appropriately for the distance and speed of a task. associated with cerebellar dysfunction
glaucoma vs macular degeneration - areas of vision lost
glaucoma = loss of peripheral vision
macular degeneration = loss of central vision
increased fall risk score on berg
<45/56
tinetti score for increased fall risk
<23/28
FTSST abromal score
> 15 seconds
ABC - activities specific balance confidence scale
- level of self confidence that you wil not fall
- score < 50 = low physical function, home care needed
- score 50-80 = moderate physical function, usually live in retirement home
Fukuda test - what is it
step test for vestibular issues. used when a patient complains of dizziness. have them stand with their EC and step in place. if they turn, it indicates vestiublar hypofunction
ALS - common s/s/
bulbar invovlement = dysarthria, dysphagia, emotional lability
UMN and LMN involvement
asymmetrical muscle weakness, atrophy, fasciculations, spasticity.
sensation, eye movement, and bowel/bladder function are preserved!!
PASS: Postural Assessment Scale for Stroke Patients
does not take into account quality of movement. looks at maintaining and changing posture. sit without support, stand with support, etc. all ranked from 0-3 (3 is the best)
sitBAT: sitting balance assessment tool
score of 0-4
sit to supine, scooting, quiet sit, look over shoulder, pick up object, etc
missing from the fugl meyer is what
function! used for patients with hemiplegia
FIM scale 0
activity not performed
