GIVE IT YOUR ALL Flashcards by Alex Stein

FPL - innervation

C8 to T1 nerve roots form the Median nerve - ant interosseous - Supplying FPL

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Flexor and Extensor Capri Ulnaris - innervation

C7-C8 nerve roots form the
Ulnar nerve (flexor)
Radial nerve (post interosseous) - Extensor
Supply the Flexor and Extensor Carpi Ulnaris

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Triceps innervation =

C5-C8 nerve roots form the
Radial nerve
Supplying Triceps brachhi

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Deltoid and teres minor innervation =

C5-C6 nerve roots form the
Axillary nerve
Supplying the deltoid and teres minor

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A spinal cord tumor at L1 = UMN or LMN

UMN

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A herniated NP at L4 = UMN or LMN

LMN

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Femoral nerve impingement = UMN or LMN

LMN

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Cauda equina lesion = UMN or LMN

LMN

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C6 dermatome

Lateral forearm and hand

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Injury to radial nerve would lead to sensory involvement where

Dorsum of the hand, thumb, and fingers

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C8 dermatome

Medial hand and lower forearm

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T10 complete SCI - what kind of transfer

Initially may use slide board but should eventually be able to learn Sit Pivot transfer!
Will have partial to full trunk and full UE innervation

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CNs - rule of __

4!
Midbrain = 1 to 4
Pons = 5 to 8
Medulla = 9 to 12

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Muscles of mastication - which CN

V - trigeminal!

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Impaired eye elevation; ptosis = injury to which CN

3! Oculomotor

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Tongue movement - which CN

Hypoglossal! XII

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Dysphagia - which CN injured

Vagus!

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Adducotr pollicis is innervated by

Ulnar nerve

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Pronator quadratus is innervated by

Median nerve

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Flexor pollicis longus is innervated by

Ant interosseous off of median nerve

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Abductor pollicis longus is innervated by

Post interosseous off of radial nerve

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MS - when and what kind of exercise

Submax (50-70%) mod intensity
Ex in the morning is recommended because body’s temp is low at that time
Alternate btw UE and LE with circuit training to dec fatigue

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VBI s/s

5 Ds And 3 Ns
Dizziness, Diplopia, Drop attacks, Dysarthria, Dysphagia
Nystagmus, Nausea, Numbness
Ataxia

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Central vestibular system lesion - s/s

Vertical nystagmus
Abnormal smooth pursuit
Abnormal saccadic eye movements

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Peripheral vestibular lesions - s/s

Nystagmus | Normal smooth pursiut and saccades

Ankle DF - myotome level

L4 - L5

Brainstem lesion would lead to

facial signs contralateral to the limb signs

SCI - face involvement

Cutaneous innervation to medial aspect of the leg and foot

Saphenous! | Entrapment can cause pain at medial knee

Musculocutaneous innervates

Skin on lateral side of forearm | Elbow flexors

Median nerve innervates

Skin on ant hand (ventral) Post tips of lateral 3 fingers Wrist flexors

Radial nerve innervates

skin on post forearm, arm, hand (dorsal) Snuffbox Elbow and wrist extensors

Single nerve root lesion - mm contraction

May not be apparent on testing immediately but after holding contraction for a few seconds, will see fatigue emerge.

Autonomic dysreflexia

Injury above T6

Fibrotic contracture will require what kind of stretch

Prolonged static stretch

Cerebellar dysfunction is characterized by

Delays in initiating and timing of movements Ataxia is often seen - abnormal coordination Impairments in timing and duration of mm activation

Moro - how

Support infant in supine Allow head to gently drop post in relation to trunk Assess arm response (abd, then add, then cry)

Startle - how

Make sudden loud or harsh noise | Results in sudden extension or abduction of UE and crying

Landau - how

Support infant in prone | Response will be neck and trunk extension

Positive support reflex/reaction - will see what

Hold infant vertically with contact of feet to a surface and assess LE response

Facial nerve exits the skull where

Stylomastoid foramen (auditory canal) - the anterior aspect of the ear

Trigeminal nerve exits the skull at the

Superior orbital fissure, the foramen rotundum, and the foramen ovale

Damage to left facial nerve affects

Muscles of facial expression on ipsilateral side

Lengthen tibial nerve with what motions

DF, Eversion, Toe extension

Why would you want to teach an acute stroke survivor to NOT push against the supporting surface with their uninvolved foot to initiate a roll?

Because this can bring out extension of the trunk and we want to encourage flexion of the trunk with rolling

Cerbellar tremors vs. Parkinsons tremors

``` Cbm = action tremor Park = resting; rhythm of 4 to 7 beats/sec ```

C6 spinal cord injury - locomotion; transfers

Can propel a manual wc ind | Can ind. do sliding board transfers

Conductive education is what

Therapy approach for people with CP = focused on improving motivation and self esteem

Perceptual motor training is what

Based on belief that an underlying deficit must be addressed before improving task performance

Sensory integration therapy focuses on what

Addressing deficits in sensory system to improve function and motor and perceptual impairments

Task specific intervention is based on what

motor learning principles of feedback, memory cues, and practice

RGO is often used for

Brachioradialis is innervated by what

Radial nerve (C5-C6)

Pronator teres is innervated by what

Median nerve (C6-C7)

ECRB is innervated by what

Radial nerve (C6-C8)

Lat is innervated by what

Thoracodorsal (C6-C8)

CP - UMN or LMN

UMN

MS - UMN or LMN

UMN

Moro integrates when

5 months

Landau integrates when

2 years

STNR is what and integrates when

Head into flexion = UE flex, LE extend Head into ext = UE ext, LE flex Seen from 6-8 months

Assessing attention - how

Counting from 1 - 25 by increments of three

Constructional ability - assess it how

Asking a person to copy figures consisting of various sizes and shapes or to draw a known item like a clock

Abstract ability - assess it how

Ask a person to interpret a common proverb or to describe similarities/differences between objects

Orientation can be assessed how

Asking pt to identify time, person, and place

EHL innervated by

Deep peroneal

Galant integrates when

2 months

mm to assist with high guard position

Rhomboids | Scpular retraction and downward rotation

STLR is what

In prone - flex | In supine - ext

Wrist cock up - often used for

CTS

Estim strengthening protocol Duty Cycle Intensity

High intensity - to produce max contraction Duty cycle: 1 to 5 ratio so 20% duty cycle

Droplet precautions requires what

MAASK

Repeated measures helps to do what

Control for differences between subjects

Electrode size and resistance | Smaller electrode =

Larger resistance

Face validity

The degree to which a measurement appears to test what it is supposed to

Predictive validity

Demonstrated when a score is helpful in predicting a specific future outcome (ex = career aptitude tests)

Concurrent validity

Demonstrated when a test score correlates with a measure that has previously been validated

Content validity

Refers to the extent to which a measure represents all facets of a given concept or construct

T-test would be used when a study is comparing what

Two means of two different groups | Used when variance is not known

Z-test would be used when what

Compares means of two different groups | Used where the variance of the population being studied is known

A chi square test is used when

To compare nominal data

ANOVA test is used when

3 or more variables are being compared