hemiparesis/hemiplegia (lec 2) Flashcards
(38 cards)
ideational
loss of the concept of how to perform actions
ex: might try to brush their hair with a fork, or put on shoes before socks
ideomotor
inability to execute the movements needed to carry out an action, even if the concept is understood
ex: they might know how to wave goodbye, but be unable to perform the action on command or imitate the gesture when shown
stimulation of the affected area with a mildly unpleasant stimulus produces discomfort
allodynia
hyperesthesia
another word for homonymous hemianopsia
hemi neglect
BE FAST
balance
eyes
face
arms
speech
time
normal postural tone is defined as…
amount of tone that is sufficient to hold us upright against gravity, but is not so strong as to inhibit selective movements
primitive movement patterns
reflexes!!
righting reactions
provides orientation of the head to gravity + aligns the body
righting reactions are vital in the development of ________ _________
trunk rotation
protective extension reactions
when CoG becomes displaced, it makes the BoS wider to avoid falling
protective extension reactions in the UE is called _______ _______ and LE is called ______ ________
parachute reactions
protective stepping
equilibrium reactions
an extension of the protective extension reaction
maintains balance by adjusting location of COG within the BoS through postural fixation or moving the UEs/LEs
which reaction impairment is this:
Client does not extend and abduct weak arm when falling to that side
Protective Reaction
which reaction impairment is this:
Client has difficulty lifting head off the surface in supine
Righting Reaction
which reaction impairment is this:
Client does not move impaired leg forward quickly enough to prevent falling
Protective Reaction
which reaction impairment is this:
Client does not lengthen weight-bearing side of trunk when shifting over to that side.
Equilibrium Reaction
which reaction impairment is this:
Client keeps head rotated away from weaker side.
Righting Reaction
which reaction impairment is this:
Client does not increase muscular stability around the proximal joint when weight is shifted onto one limb
Equilibrium Reaction
UE flexion synergy
scapular elevation + retraction
shoulder abduction + ER
elbow flexion
forearm supination
wrist + finger flexion
(think about pulling shoulders back and scratching shoulders)
UE extension synergy
scapular depression + protraction
shoulder extension + adduction + IR
elbow extension
forearm pronation
wrist extension
finger flexion
(think of the top ROM of triceps dips on a bench)
what is the one similarity between UE flexion synergy and UE extension synergy
finger flexion
UE resting synergy
scapular depression + retraction
shoulder extension + adduction + IR
elbow flexion
forearm pronation
wrist + finger flexion
(think of bottom ROM triceps dips on a bench with FLEXED wrists)
UE resting synergy represents….
combination of the strongest components from both flexion + extension synergies
LE flexion synergy
pelvic elevation + retraction
hip flexion, abduction + ER
knee flexion
ankle DF + inversion
(think pigeon stretch)
