Neuro Flashcards
(276 cards)
upper extremities in spastic flexed position with internal rotation and adduction with lower extremities in spastic extended position, internally rotated, and adducted
decorticate rigidity
upper and lower extremities in spastic extension, adduction, and internal rotation with wrist and fingers flexed, plantar portions of the feet flexed and inverted, trunk extended, and head retracted
decerebrate rigidity
what reflexes will be impaired with midbrain damage
righting reflexes
what reflexes will be impaired with basal ganglia damage
equilibrium reactions and protective extension
what is a common feature of cerebellar damage
ataxia
what is a critical difference between a coma and vegetative state
sleep-wake cycle
3 behavioral areas of the Glasgow coma scale
motor responses
verbal responses
eye opening
describe the levels of eye opening for the Glasgow coma scale and their related point values
no response (1)
response to pain not applied to face (2)
response to commands/verbal stimuli (3)
spontaneous eye opening (4)
describe the levels of verbal responses for the Glasgow coma scale and their related point values
no response (1) incomprehensible speech (2) inappropriate words (3) confused but able to answer questions (4) oriented to person, place, time (5)
describe the levels of motor responses for the Glasgow coma scale and their related point values
no response (1)
extension response to pain (decerebrate) (2)
flexion response to pain (decorticate) (3)
withdrawals from pain (4)
purposeful movement to pain (5)
obeys commands for movement (6)
describe the scoring for the Glasgow coma scale
below 8: severe brain injury
9-12: moderate brain injury
> 14: minor brain injury
Describe level I of the Rancho Los Amigos Scale of Cognitive Functioning
no response
Describe level II of the Rancho Los Amigos Scale of Cognitive Functioning
generalized response; inconsistent and non-purposeful reactions to stimuli
Describe level III of the Rancho Los Amigos Scale of Cognitive Functioning
localized response; reacts specifically to stimuli, though inconsistently
Describe level IV of the Rancho Los Amigos Scale of Cognitive Functioning
confused/agitated
Describe level V of the Rancho Los Amigos Scale of Cognitive Functioning
confused, inappropriate, non agitated
Describe level VI of the Rancho Los Amigos Scale of Cognitive Functioning
confused and appropriate
Describe level VII of the Rancho Los Amigos Scale of Cognitive Functioning
automatic and appropriate
Describe level VIII of the Rancho Los Amigos Scale of Cognitive Functioning
purposeful and appropriate
What Ranchos Los Amigo Score would an individual with heightened activity state and severe decreased ability to process information; max A with brief attention
Ranchos Los Amigos Scale IV
What Ranchos Los Amigo Score would an individual with alert with fairly consistent reactions; complex commands cause random responses; max A no goal directed behavior and ataxia
Ranchos Los Amigos Scale V
What Ranchos Los Amigo Score would an individual with goal-directed behavior but dependent on external output for direction; mod A for 30 minutes of attention; NEW LEARNING
Ranchos Los Amigos Scale VI
What Ranchos Los Amigo Score would an individual that behaves appropriately and is oriented to place and routine but displays shallow recall; min A for ADLs; carryover of new learning
Ranchos Los Amigos Scale VII
What Ranchos Los Amigo Score would an individual that is alert and oriented and able to recall and integrate past and recent events; SBA for 1 hour of attention; increased rate of depression due to awareness
Ranchos Los Amigos Scale VIII