motor neuron degeneratin

Question 1

motor neuron disease

Answer 1

inherited or acquired

upper, lower or mixed

Question 2

LMN diseases

Answer 2

poliomyelitis
amyotrophic lateral sclerosis
gullian barre
HIv AIDS

Question 3

myasthenia gravis

Answer 3

immune response attacks NM junciton
can be treated
will affect strength and respirate mm

Question 4

motor unit diseases

Answer 4

myasthenia gravis , duchenne

Question 5

duchnen muscular

Answer 5

x linked recessive, survival >20 yrs

myotonic dystrophic

Question 6

Guillain barre

Answer 6

rare rapid autoimmune disorder attacking myelin sheath of PNS

Question 7

cause of Gillian barre

Answer 7

unknown but often preceded by infectious illness

Question 8

first symptoms of Guillain barre

Answer 8

weakness / tingling extremities leading to paralysis of body

Question 9

T/F guillian barre might need ventilator

Answer 9

yes

Question 10

cure for Guillain barre

Answer 10

no but high dose immunoglobulin therapies can lessen severity

Question 11

Gillian barre prognosis

Answer 11

varied
better outcome <40
many experience chronic pain /fatigue
might take weeks to years to recover

Question 12

poliomyelitis

Answer 12

caused by viral infection
destruction of anterior horn (LMN)
leads to mm weakness

Question 13

is poliomyelitis U or LMN

Answer 13

LMN

Question 14

do ppl recover from polio

Answer 14

many recover

Question 15

cure for polio?

Answer 15

no cure but prevented through vaccination

Question 16

post polio syndrome

Answer 16

25-40% of individual who suffered an acute attack of poliomyelitis

symptoms appear 15-30yrs after original disease

slow progression

Question 17

ALS cause

Answer 17

unknowns

Question 18

ALS presentation

Answer 18

progressive, fatal disrupts signals to all mm

Question 19

ALS u or L MN

Answer 19

both

Question 20

UMN / LMN signs ALS

Answer 20

first seen in arms hands, legs and swallowing
equal bilateral mm weakness
progress
spasticity , brisk reflexes

Question 21

is sensation bladder or ocular mm spared in ALS

Answer 21

yes

Question 22

prognosis of ALS

Answer 22

relentless progression of signs / symptoms

average survival 2-5yrs, 5-10 if ventilated

Question 23

incidences ALS

Answer 23

40-60 yr old, more men

Question 24

ALS stages

Answer 24

1-6

Question 25

whats PT do for ALS 1

Answer 25

educate, pain , gnerela conditions

Question 26

whats PT do for ALS 2

Answer 26

maintain strength, respect fatigue PROM movement orthotics

Question 27

whats PT do for ALS3

Answer 27

w/c prevent complications education maximize indp

Question 28

whats PT do for ALS 4

Answer 28

education for independence

Question 29

whats PT do for ALS5

Answer 29

decrease emphasis on strength | emphasis on caregiver education (ROM, position, respiration)

Question 30

whats PT do for ALS 6

Answer 30

comfort, psych support

Question 31

parkinsons presentation

Answer 31

progressive CNS motor / non motor UMN

Question 32

cardinal signs of parkinsons

Answer 32

righty bradykinesia tremor

Question 33

is there postural instability in parkinsons

Answer 33

later stages yes

Question 34

prognosis of parkinsons

Answer 34

progressive w long subclinical period variable rate of progression

Question 35

PT management parkinsons

Answer 35

``` meds CV fitness postur external cues internal cues momentum ```

Question 36

MS

Answer 36

autoimmune disease of CNS

Question 37

cause MS

Answer 37

unknown

Question 38

where is damage in MS

Answer 38

targeted to myeline sheath causing inflammation / interruption of nerve impulses

Question 39

T/F MS is progressive and irreversible

Answer 39

true

Question 40

types of MS

Answer 40

progressive relapsing seconding progressive primary progressive relapsing remitting

Question 41

incidence of MS

Answer 41

high in Canada | 1/340

Question 42

UMN sign diseases

Answer 42

Parkinsons and MS

Question 43

LMN sign diseases

Answer 43

Guillain barre | Polio

Question 44

mixed UMN/LMN

Answer 44

ALS

Question 45

how to intervene with degenerative dieseas

Answer 45

be sensitive to health prognosis | be aware of progression

Question 46

PT management of later chronic deteriorating neurological conditions is similar to __

Answer 46

early stage manger of acute recovering Neuro conditoin

Question 47

PT management of early stage chronic deteriorating neuro condition is

Answer 47

later stage management of acute recovering neuro condition

Question 48

LMN lesion face

Answer 48

paralysis of ipsilateral upper and lower face | can't raise eye brow or smile on affected side

Question 49

UMN lesion face

Answer 49

paralysis of contralateral lower face | can't smile on affected side but can raise eye brow

Question 50

Bells Palsy

Answer 50

LMN

Question 51

stroke

Answer 51

UMN

Question 52

complete peripheral nerve lesion recovery treatment

Answer 52

recovery not possible | treatment : range, circulation , mouth care eye care

Question 53

incomplete peripheral nerve lesion recovery treatment

Answer 53

possible same as complete but add mm retraining goal symmetry

Question 54

upper motor neuro lesion recovery treatment

Answer 54

recovery can not be predicted | incorporate treatment from complete / incomplete peripheral nerve lesions