Module 10 Flashcards by Kathleen Palmer

Resting tremor occurs in the

Earlier stages of disease

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Bradykinesia presents as

Reduction in spontaneous movement, mask like expression or decrease in facial expression, shuffling or freezing gait

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_% of those with neurological conditions present with depression

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The Schwab and England ADL scale is used for

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The Schwab and England ADL scale assesses

Persons ability to perform ADLs

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The Schwab and England ADL scale higher percentage means

Greater independence

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The gold standard PD assessment

Unified Parkinson’s disease rating scale

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0 on the modified Hoehn And Yahr stages

No signs of disease

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1 on the modified Hoehn And Yahr stages

Unilateral disease

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1.5 on the modified Hoehn And Yahr stages

Unilateral plus axial involvement

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2 on the modified Hoehn And Yahr stages

Bilateral disease without impairment of balance

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2.5 on the modified Hoehn And Yahr stages

Mild bilateral disease, recovery on pull test

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3 on the modified Hoehn And Yahr stages

Mild to moderate bilateral disease, postural instability, physically independent

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4 on the modified Hoehn And Yahr stages

Severe disability, able to walk or stand unassisted

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5 on the modified Hoehn And Yahr stages

Wheelchair bound or bedridden

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PD QOL questionnaire has _ items

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PD QOL rates each item on a scale of

0-3, higher number is more severe involvement

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Four sub scales on the PD QOL

Parkinsonism symptoms, systemic symptoms, emotional functioning, social functioning

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In functional gait assessment a score of 15/30 indicates

Fall risk

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Brief BeSTest has _ items and is good for

9, PD

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What is sinemet

Levodopa combined with carbidopa

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Four types of drugs for treatment of PD

Sinemet, dopamine agonists (requip, mirapex), anti cholinergics and MAO-B inhibitors

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Deep brain stimulation targets the

Subthalamic nucleus and globus pallidus

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The four exercises in flewitt Hanford exercises for PD

Long sitting flexion extension, hook lying rocking knees, supine lying flexion extension and standing exercises

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Practice technique best used to learn a new task

Blocked

In PD patients There is a better retention of learning when knowledge of results was given

After every trial

Studies show that rhythmic ____ stimulation is effective with PD

Auditory

LSVT stands for

Lee Silverman Voice Treatment

LSVT program lasts

4 days per week for 4 weeks

LSVT focus is on

Amplitude - big movements

LSVT has _ different exercises

Most common cause of hemorrhagic stroke

Uncontrolled HTN

The 6 common signs and symptoms of CVA

Acute onset of numbness or weakness, decreased level of consciousness, aphasia/dysarthria, nystagmus or visual changes, ataxia and Vertigo and headache

This CVA will present with more depression

Left

This side CVA will present with more language deficits

Left

This side CVA will present with more cautious behaviors

Left

This side CVA will be more aware of their deficits

Left

This side CVA will have more difficulty performing new tasks

Left

Motor programming deficits in left side CVA

Difficulty with sequence of movement, requires increased time for learning, slower movement

Strategies in therapy for left CVA

Speak slowly to allow processing, use visual cues, prevent distractions

Side CVA to present with inappropriate positive emotions

Right

Side CVA more likely to present with safety concerns

Right

Side CVA to present with spatial lesions

Right

Side CVA to present with right vs left side discrimination deficits

Right

Motor programming deficits in right CVA

Difficulty sustaining movement and or posture, tends to move too fast

Strategies for therapy with right CVA

Decrease environmental distractions, maximize verbal cues and address safety issues

Tripp's model for evaluating stroke patients

Motor neuron response, fractioned movements, movement consistency, mental status and functional assessment

The Carr and shepherd motor assessment scale outlines

Problems and compensatory strategies

The Carr and Shepard motor assessment scale is on a _ point scale

Tonus is included on the

Carr and Shepard motor assessment scale

What is pusher syndrome

Postural imbalance due to ipsilateral pushing

In Pusher syndrome they push away from the

Unaffected side

Motor function limitations of pusher syndrome : overuse of ___ on uninvolved side and predominant ____ pattern on affected side

Extension, flexion synergy

Motor function limitations with pusher syndrome : increased weight bearing on the ___ side, and shifting of trunk away from ___ side

Involved, uninvolved

Explicitl information is good for those with ____ damage

Cerebellar

Explicit learning interferes with learning in those with

Basal ganglia damage

In subjects who had a stroke involving the MCA, they had decline in learning with addition of

Explicit information

According to ____ guidance has a negative impact on learning

NDT

Guidance is a form of ____ that occurs ___ In learning process

Feedback, early

Feedback for stroke should be in __% of trials

Risk factors for Alzheimer's

Age, history, APOE 4 genotype, obesity, insulin resistance, vascular factors, dyslipidemia, HTN, inflammatory markers, Down syndrome, traumatic brain injury

Older adults with dementia retain ___ memory but have almost no ___ Memory

Implicit, explicit

Stage 1 Alzheimer's is characterized by

Forgetfulness, mild memory deficit, difficulty with novel tasks, apathy and social withdrawn

Middle stage (2) Alzheimer's is characterized by

Moderate to severe objective memory deficit, disorientation to time and place, requires supervision, language disturbance, apraxia, personality and behavioral changes

Late stage (3) Alzheimer's is characterized by q

Intellectual functions untestable, verbal communication severely limited, incapable of self care, incontinence

Terminal stage 4 Alzheimer's is characterized by

Bedridden, mite, unaware of environment, joint contractors and myoclonus

Plaques and tangles are widespread and brain atrophy occurs in stage

Late stage Alzheimer's

The most widely used staging system in dementia research is

Clinical dementia rating scale

The functional assessment staging (FaSt ) is used for

Alzheimer's

The global deterioration scale for assessment of primary degenerative dementia (GDS) divides disease process into _ stages

What is sundowning

A syndrome seen in late afternoon and early evening of confusion, hallucinations and agitation

Sundowning occurs in what stages of Alzheimer's

Middle and late

Patients with Alzheimer's are able to achieve near transfer with ____ practice

Constant

Alzheimer's patients are unable to learn new tasks with ____ practice

Random

There is impaired learning with ___ practice in those with Alzheimer's

Blocked

The four primary neurological impairments

Resting tremor, bradykinesia, rigidity and postural instability

Module 10 Flashcards

(76 cards)