Neurological Impairments Flashcards
(35 cards)
Define composite impairments
result of combine effect of 2 or more other impairments
List the motor cortex deficits
muscle weakness, abnormal synergies, coactivation, abnormalities of muscle tone
Motor weakness is also called
paresis
Abnormal synergies is a _ and _ problem
activation and sequencing
Describe coactivation
agonist and antagonist both activated at the same time
Hypotonicity (reduced/increased) resistance to passive movement
reduced
Flaccidity is velocity (independent/dependent)
independent
Hypertonicity is the _ to passive movement
resistance
Rigidity is the velocity (independent/dependent)
independent
Spasticity is velocity (independent/dependent)
dependent
Rigidity is seen with lesions of the (basal ganglia, cerebellum)
basal ganglia
What are the clinical scales for spasticity?
Modified Ashworth, SCATS (spinal cord)
What is seen with cerebellar pathology?
hypotonia, ataxia or dyscoordination of voluntary movement, action or intention tremor
What is seen with Basal Ganglia pathology
hypokinetic, hyperkinetic movement, cognitive and behavioral disorders
Spasticity changes the _ properties of _ and other tissues
physical, muscle
(Paresis/spasticity) results in underlying structural changes in muscle
Paresis
What impairment is seen with medial lemniscal system lesions?
loss of discriminative touch and proprioception
What impairment is seen with lateral spinothalamic tract lesions?
pain sensibility, ability to detect thermal changes, loss of more coarse touch
What impairment is seen with somatosensory cortex lesions?
loss of discriminative sensations: two-point discrimination, proprioception, stereognosis, localization
Body scheme deficit
awareness of body parts, position of body in relationship to environment
Right-left discrimination
ability to understand concepts of left and right
Body-part identification
ability to identify body parts of self and others
Anosognosia
unawareness or denial of deficits
Unilateral neglect
neglect of one side of body or extrapersonal space