lect 2: NEUROMOTOR IMPAIRMENTS Assessment and Treatment in OT

Question 1

hemi paresis meaning

Answer 1

partial paralysis or weakness on half of the body

Question 2

true or false and why: shoulder sublux Occurs in early stages of the hemiplegic
and/or hemiparetic arm

Answer 2

true due to Due to weak or flaccid shoulder musculature
* May/may not have pain associated with
subluxation

Question 3

contstuct assessed in box and block

Answer 3

unilateral gross manual dexterity

Question 4

infection examples

Answer 4

shinges, encephalsitic, meninggeitcs

Question 5

aspects to consider in a neuro assessment

Answer 5

age, nature of injury, occupation, formal assessments (structurs/functions, activtiy lims I(cahai), aprticipation, etc

Question 6

major cerebellum function

Answer 6

balance coordination equilibrium

Question 7

major frontal lobe function

Answer 7

executive function, problel solving, inhibition, motor planning [personality

Question 8

what is ideaomotor approaxia

Answer 8

inability to carry out a motor act on verbal command or imitation.
Able to explain how to perform an action, but not “imagine” or act out a movement.

Question 9

what are the limtaions involved in motor appraoxia

Answer 9

• Formulation of the intention to move
• Planning the movement
• Sequence of actions or movements
• Command or by imitation

Question 10

major brain stem functions

Answer 10

respiration, cardiac functions, alertness, sleep wake, digestion,

Question 11

true or falsed: trunk control influences tone, balance arom but does not impact functional performance

Answer 11

false it does

Question 12

what do you consider in a scapular assessment

Answer 12

positioning (winging, has it moved)
scapular movbement/strength (activte movement, passive, resistnace)
muscle tone around scap

Question 13

inability to carry out a motor act on verbal command or imitation.
Able to explain how to perform an action, but not “imagine” or act out a movement.

what type of appraxia

Answer 13

ideomotor

Question 14

contstuct assessed in sollerman hand function

Answer 14

common hand grips

Question 15

when is appraxia normally seen

Answer 15

in apahsia (left hemi leision)

Question 16

constructus assessed in fugyl meyer

Answer 16

Motor functioning, balance, sensation, and
joint functioning
*Stages of motor recovery following stroke
(Brunnstrom

Question 17

what are some spasticity assessments

Answer 17

ashworth (resistance to passive strgtch)
tardieu
compositve spasticity index

Question 18

what is clonus

Answer 18

repetive contractions in the antagonist muscles in response to rapid stretch

Question 19

overall, right side brain injury

Answer 19

attention impairements
left neglect
memory
decreased insight

Question 20

what do you consider in a shoulder sublux assessment

Answer 20

look for palpable gap between acromion and humeral head

Question 21

what are the standardized evals for balacne

Answer 21

berg balance
mini best

Question 22

what is muscle tone

Answer 22

tension in the muscle at rest (and also muscles response to an outside force such as a strtch to protect from injury)

Question 23

what is hypotonio

Answer 23

muscles slower to react to stretch, unable to sustain muscle contract

=appear soft, overrelaxed, mushy

Question 25

what are some elements to consider when assessing sitting or standing balance

Answer 25

base of support ability to maintain static psoition, to reach outside of BOS any external supports needed protective reactions

Question 26

what are some possible neuromotor impairments following CNS

Answer 26

decreased balance trunk control sensation edema endurance muscle tone paresis/paralysis pain

Question 27

paresis meaning

Answer 27

partial paralysis (ie weakness) on part of body

Question 28

what is a vascular disorder and give examples

Answer 28

disorder affected blood-related things (vessels, organs etc) =stroke (ischemic, hemmoragic), TIAs

Question 29

quick defintion of ideomotor vs ideational appraxia

Answer 29

Ideomotor Apraxia: Knows what to do but can’t do it. Ideational Apraxia: Doesn’t know what to do.

Question 30

overall, left side brain injuryies cause

Answer 30

diff understanding and expressing spiken and weitten speech changes, memory issues sequenceing diffiulties

Question 31

what is motor apraxia

Answer 31

Inability to plan a movement; cannot get your body to do what you want it to do (in the presence of NORMAL MOTOR & SENSORY FUNCTION FUNCTION)r

Question 32

what are neurological conditions (review)

Answer 32

disease, injury, disorder to the NS (CNS, PNS, spinal cord)

Question 33

Inability to use real objects, inability to conceptualize a task and impaired ability to complete multistep actions. May complete actions in incorrect orders. what aparxia

Answer 33

ideational

Question 34

plegia or paralysis

Answer 34

compelete paralysis of a body part

Question 35

constructs assessed ni tempa

Answer 35

upper limb perf in daily activtities

Question 36

what is ideational approaxia

Answer 36

Ideational apraxia: Inability to use real objects, inability to conceptualize a task and impaired ability to complete multistep actions. May complete actions in incorrect orders.

Question 37

what is a developmental disorder and give examples

Answer 37

neuro conditions (pyhsical, psycho, cognitive, etc) that usually happens during childhood ASD, DCD, CP, down syndrome, adhd tourettes,

Question 38

what are some UE motor function tests

Answer 38

box and block jebsen hand 9 hole peg test purdue pegboard sollerman hand function tests

Question 39

maj0or parietal lobe functions

Answer 39

reading, wrise, touch sense etc

Question 40

what is a shoulder subluxation and what do you visually obsevrve

Answer 40

Defined as a partial or incomplete dislocation due to changes in the mechanical integrity of glenohumeral joint * Palpable gap between acromion & humeral head

Question 41

hemiplegia meaning

Answer 41

complete paralysis of one side of the body

Question 42

what is a common synergistic pattern in UE spasticity

Answer 42

elbow, wrist flexion pronated forearm clenched fist (thumb in palm)

Question 43

contstuct assessed in ARAT

Answer 43

UE activity limitations: client's ability to handle objects of different size, weight and shape. Grasp, grip, pinch, and gross movement.

Question 44

contstuct assessed in jebsen

Answer 44

manual dexterity

Question 45

true or false; motor appraox is a cognitive or perceptial issue

Answer 45

true

Question 46

what are the 4 items of a trunk control test and score

Answer 46

rolling to affected (easier) rolling to unaffected sitting balance supine to sitting position score based on ability to performance task with or without support and abnorla or normal

Question 47

degenerative disorders and examles

Answer 47

a condition characterized by the progressive deterioration or loss of function of tissues or organs over time parkinson's, alzeigmers, MS, ALS

Question 48

major occupatla lobe function

Answer 48

vision and perception

Question 49

consetructs assessed in cahai

Answer 49

UE bilateral functional tasks (e.g. open jar, call 911, put toothpaste on brush, pour glass of water, etc.)

Question 50

contstuct assessed in purdue peg

Answer 50

finger and gross motor dexterity

Question 51

what are some contributing facors to balance

Answer 51

weight bearing/distruction sway allignment psotural control summetry dispalcement

Question 52

msucel strength meaning

Answer 52

muscle’s ability to contract and create force in response to resistance

Question 53

major temporal lobe function

Answer 53

memory, hearing feelings langauge undersa=tandign

Question 54

contstuct assessed in 9 hole ped

Answer 54

finger fexterity

Question 55

What are some UE activtiy tests

Answer 55

Action research arm test CAHAI TEMPA Fugyl meyer

Question 56

assessment of UE and LE strength and ROM

Answer 56

MMT, pinch, dynamoments, AROM and PROM

Question 57

meuromuscular disorders nd examples

Answer 57

a broad group of conditions that affect the nerves, muscles, or the communication between them, leading to muscle weakness, atrophy, and other symptoms bells palsy, spondylosys, carpal tunnel , guillame barrer

Question 58

what is hypertonia

Answer 58

aka spasiticyu msucles are in overactive state to strtch, high tension at risk for contractions

Question 60

trama examples

Answer 60

TBI, SCI