Diseases Flashcards
(33 cards)
What type of motor neuron involvement is seen in GBS
LMN only - flaccid paralysis, areflexia, and ascending weakness
What is the Hallmark presentation of GBS
Symmetrical ascending weakness, areflexia, possible respiratory involvement, and glove-stocking sensory loss
What is the best PT approach for GBS in early stages?
Avoid overexertion, use sub max exercise, focus on gradual mobility and respiratory monitoring.
What type of motor neuron involvement is seen in MS
UMN only- spasticity, hyperreflexia, and coordination deficits
What is a typical clinical presentation of MS
Relapsing/remitting pattern, optic neuritis, spasticity, fatigue, heat sensitivity and sensory/motor impairments.
What PT interventions are most effective for MS
Energy conservation, task specific training, cooking strategies, moderate aerobics exercise, and morning sessions to avoid fatigue
What type of motor neuron involvement is seen in ALS
Mixed UMN and LMN - spasticity, hyperreflexia (UMN) with fasciculations and atrophy (LMN)
What are common symptoms of ALS
Progressive muscle weakness, atrophy, spasticity, bulbar involvement (speech/swallowing), no sensory loss.
What is the primary PT goal for ALS
Compensatory strategies, maintaining function as long as possible, assistive devices, and avoiding overwork
What NPTE tip is critical for ALS and GBS management
Do not over fatigue - avoid resistance training that worsens symptoms.
Focus on sub max, pacing strategies
Post polio syndrome
LMN only - progressive fatigue, new weakness in previously unaffected muscles
What brain area is primarily affected by Huntington’s?
Basal ganglia -caudate nucleus and putamen
PT focus in Huntington’s?
Safety, fall prevention, cognitive support, task specific training
What is the primary management of post polio syndrom?
Low intensity, pacing activities
What are the primary types of CP
Spastic, athetois/dyskinetic, and ataxic
What motor impairments are typical in specific cp
Increased time, scissor gait, toe walking, hyperreflexia
Common PT strategies for CP
Positioning, stretching, strengthening, orthotics, gait training
What is a key early sign of DMD
Gower’s sign d/t proximal make weakness
Why is eccentric training contraindicated in DMD
It can accelerate muscle damage
PT approach to DMD
Sub max exercise, assistive device, monitor fatigue
Common complications of myelomeningocele
Hydrocephalus, LE paralysis, incontinence, latex allergy
PT considerations for spina bifida
LMN below level of injury;
Skin protection
Bracing,
mobility training,
bladder education
What MSK trait is a contraindication for contact sports in down syndrome
Atlantoaxial instability
Typical tone and posture in down syndrome
Hypotoninia,
Joint laxity,
Flat feet,
Protruding tongue
