Neurological And Cardio PT Flashcards
Neurological deficits
Decreased ROM, strength Pain Impaired postural stability Incoordination, delayed motor development, abnormal tone, Poor functional movement strategies Decreased balance, independence with ADLs and IADLs Issues with social integration, economic self-sufficiency, negotiation of inaccessible architectural barriers
Kubler-Ross stage of death and dying
Denial Anger Bargaining Depression Acceptance
Neuro-exam
Not cab PVC
Cranial nerve check Muscle tone check PostureControl/Balance assessment Vital signs Cardiopulmonary function Attention Orientation Cognition Not cab pvc
Sensory assessment
Screen vision
Superficial test
Deep test (pressure vibration)
Motor control
Ability of CNS to control neuromotor system for efficient movement
Motor learning
Over time, body learns skilled moves
Neurophysiological approaches
Body must relearn, and go back through developmental stages
CVA
Brain vein accident. Sudden loss of neurological function due to vascular injury to the brain.
Can cause hemiplegia/hemiparesis/aphasia/homonymous hemianophasia/apraxia/neglect/contra lateral sensory loss
CVA goals
^postural control/balance ^repiratory functioning recovery/inactivity use the hell out of hemiplegic side task specific training emotional support/Family Ed.
CVA treatments
position them to prevent deformity
maintain skin integrity
PROM
transfer training
gait training
promote norrmal tone through inhibition
or facilitation techniquesTBI
injury to brain from external force
causes primary damage
then secondary damage
a mild TBA is a concussion-headaches maybe
GCS measures severity of it
Ranchos LCOF-sequence of cognitive and behavioral recovery after TBI
TBI PT
EARLY phases positioning PROM protect the skin sensory stimulation promote return of function mobility LATER phases independence with functional tasks decision making mobility in reality
PD
disease of the Basal Ganglia which controls the gas and brakes of motion. efficiency of movement suffers.
Pill rolling, rigid muscles, Bradykinesia, posture instability
stooped posture, shuffling gait, masked face
No cure
PD PT
the usuals (ROM,strength, flexibility) Respiratory capacity/Aerobic exercise ambulation gait and posture ADL's skin integrity relaxation exercises
SCI
disruption of spinal cord resulting in paralysis, sensory loss, and messed up autonomic and reflex activity. usually from vertebral fracture or dislocation
area below injury is impaired
paraplegia, tetraplegia/quadriplegia
SCI PT
ROM, strength ^resiratory capacity skin integrity ^funtional activities ^balance, ambulation if possible presctiption and training for wheeled mobility and/or orthoses ^cardio endurance
Cardiopulmonary Assessments
symtoms
pain, disnea, fatigue, gerneralized weakness, arrhythmias, dizziness, edema, diaphoresis, cyanosis
assess pulses
Auscultation of heart and lung sounds
measure blood pressure and respiratory rate
look for poofiness in neck and thorax
Cardiac Rehab post cardiac event
phase I in hospital
Education, bed mobility, ankle pumping, transfers with ass., gait training
phase II outpatient
ED for self monitoring of vital signs, ADL’s, UE exercises, treadmill, stationary bike
Phase III
maintenance
secretion removal techniques
postural drainage (lettin gravity help), percussion and vibration techniques, airway clearance techniques
CAD
disease of the arteries that go to the heart that fill up with plaque.
narrows lumen of the coronary, v bloodflow to heart arteries>ishemia>angina pectoris>MI
MI
Severe, crushing chest pain, radiates into neck, jaw, left arm, nausea vomiting, sweating, hypotension, weakness, dyspnea, light headedness, anxiety
CAD PT
ED reduction of risk factors and self monitoring
gradual progression of ther ex/activity
*be aware of med’s and side effects, dietary restrictions, o2 demands, phase of cardiac rehab
May have another MI if exercise too hard
CAD risk factors
smoking, lifestyles, stress, fam history, high cholesterol, overweight, high BP
COPD
progressive lung disease > increased resistance to air movement, prolonged expiration phase, loss of normal elasticity of the lungs
Emphysema+Chronic bronchitits
chronic cough, sputum production, dyspnea on exertion (DOE) , progress to dyspnea at rest
