Neuromuscular Part Six

Question 1

who is robotic-assisted walking used for

Answer 1

complete SCIs

Question 2

training schedule for treadmill training using body weight support

Answer 2

4-5 days/week

20-30 minutes

8-12 weeks

Question 3

what disease is Lhermitte’s sign common with

Answer 3

MS

Question 4

for parkinsons, anticholinergic drugs are used for

Answer 4

control of tremor

Question 5

type of gait with MS

Answer 5

ataxic

Question 6

someone on parkinsons on levodopa, what would be expected

Answer 6

fluctuations in symptoms

Question 7

what is bradyphrenia

Answer 7

slowing of thought process

Question 8

what is festinating gait

Answer 8

involuntary increase in speed of walking, often with forward acceleration, but may occur with backward progression

Question 9

what is common with position changes for parkinsons

Answer 9

orthostatic hypotension

Question 10

what should be examined during gait for parkinsons

Answer 10

freezing of gait

Question 11

what is neuromodulation

Answer 11

use of electrical stimulation to replace of improve function of a paralyzed or paretic limb

Question 12

for MS, how are tone and DTRs

Answer 12

spasticity

hyperreflexia

Question 13

the biggest subgroup of MS

Answer 13

relapsing-remitting (85%)

Question 14

stages of Parkinson’s as per the Hoehn and Yahr classification

Answer 14

I. minimal or absent disability, unilateral symptoms

II. minimal bilateral or midline involvement, no balance involvement

III. impaired balance, some restrictions in activity

IV. all symptoms present and severe.. stands and walks only with assistance

V. confinement to bed or wheelchair

Question 15

for MS, communication difficulties?

Answer 15

yes - dysarthria

Question 16

sensory symptoms with MS

Answer 16

paresthesias

hyperpathia

dyesthesias

trigeminal neuralgia

Question 17

classic symptoms of Parkinsons

Answer 17

rigidity

bradykinesia

resting tremor

impaired postural reflexes

Question 18

what is scotoma

Answer 18

blind spot

Question 19

SCIs T12-L3: what assistance for ambulation

Answer 19

independent household

wheelchair community

Question 20

is there cognitive impairment with Parkinson’s

Answer 20

yes - intellectual impairment/dementia in advanced stages..

bradyphrenia, depression

Question 21

side effects of Sinemet (levodopa/carbidopa)

Answer 21

nausea

vomitting

ortho hypotension

cardiac arrhythmias

involuntary movements

psychoses

abnormal behaviors

Question 22

what is Sinemet

Answer 22

levodopa/carbidopa

Question 23

what is functional electrical stimulation used for

Answer 23

exercise

walking

functional use of UEs

Question 24

what do interferon drugs do for MS

Answer 24

slow progression of disease and decrease symptoms

Question 25

for parkinsons, amantadine does what

Answer 25

enhances dopamine release

Question 26

any cognitive involvement with MS

Answer 26

mild-to-moderate impairment is common

Question 27

what is multiple sclerosis

Answer 27

chronic, progressive demyleninating disease of the CNA affecting mostly young adults

Question 28

visual changes with parkinsons

Answer 28

yes - blurring, cogwheeling eye pursuit

Question 29

are there communication deficits with parkinsons

Answer 29

dysarthria hypophonia

Question 30

what drugs are good for MS

Answer 30

interferon

Question 31

what would be elevated for someone with MS

Answer 31

gamma globulin

Question 32

indications for treadmill training using body weight support for SCI

Answer 32

incomplete injuries (ASIA B, C, D)

Question 33

is there changes with chest mobility for parkinsons

Answer 33

yes - decreased thoracic expansion

Question 34

for Parkinson's, what is deficient within the substantia nigra

Answer 34

dopamine

Question 35

urinary problems with MS can be treated with what group of drugs

Answer 35

anticholinergic drugs

Question 36

deep brain stimulation in thalamus or subthalamic nucleus is good for what disease

Answer 36

parkinsons

Question 37

for Parkinson's, what neurons are degenerated

Answer 37

dopaminergic substantia nigra

Question 38

what is Lhermitte's sign

Answer 38

electric-shock sensation throughout the body produced by flexing the neck

Question 39

visual deficits with MS?

Answer 39

diplopia or blurred vision

Question 40

what gait pattern is common with parkinsons

Answer 40

festinating

Question 41

what is hypophonia and what disease is it common with

Answer 41

decreased volume of speech parkinsons

Question 42

gait pattern for SCI T12-L3

Answer 42

swing-through or four point with crutches

Question 43

for MS, the demyleninating lesions impair neutral transmission, leading to nerves doing what

Answer 43

fatiguing quickly

Question 44

top complaint with MS

Answer 44

fatigue