Neuromuscular Part Twelve

Question 1

MOI anterior cord injury

Answer 1

flexion injuries of c-spine

Question 2

during weight bearing activities for Down Syndrome, what motions should be avoided

Answer 2

elbow hyperextension

knee hyperextension

Question 3

gender affected by DMD

Answer 3

males

Question 4

after a SCI, muscles must demonstrate what grade in order to indicate intact innervation

Answer 4

3+/5

Question 5

what deformity is present with Charcot-Marie-Tooth-Disease

Answer 5

stork deformity

equionovarus

Question 6

when cells of the spinal cord are traumatized, what ions accumulate in injured cells and what does that do

Answer 6

calcium ions accumulate

disrupts functioning and causes demyelination and destruction of the cell membrane and axonal cytoskeleton

Question 7

down syndrome affects the chromosomes how

Answer 7

extra chromosome 21

Question 8

kids with DMD will have difficulty with what functional task and why

Answer 8

climbing stairs

due to weak glutes and quads

Question 9

for babies with Down Syndrome, there will be difficulty with what functional task

Answer 9

eating

Question 10

after surgical closure of myelomeningocele and hydrocephalus is present, what is required and why

Answer 10

shunting of CSF to decrease intracranial pressure

Question 11

what is myelomeningocele

Answer 11

a defect in the vertebrae resulting in protrusion of the spinal cord and meninges

Question 12

difficulty standing up with DMD?

Answer 12

yes - Gower’s sign

Question 13

Down Syndrome AKA

Answer 13

Trisomy 21

Question 14

as DMD progresses, the child will develop _____ after age 11

Answer 14

kyphoscoliosis

Question 15

what is Legg-Calve-Perthes disease

Answer 15

idiopathic aseptic necrosis of the femoral capital epiphysis

Question 16

tight muscles with myelomeningocele

Answer 16

hip flexor

adductor

Question 17

how is head control with myelomeningocele

Answer 17

real not good

Question 18

age of boys affected by DMD

Answer 18

3-7

Question 19

for lower thoracic lesion with myelomeningocele, what type of walker can be used

Answer 19

swivel and rollator walker

Question 20

what type of orthoses can be used for myelomeningocele

Answer 20

standing frames

parapodia

Question 21

age of boys affected by legg calve perthes

Answer 21

5-10

Question 22

effects of central cord syndrome

Answer 22

UE sensation/motor function

LE is fine

Question 23

gait pattern with DMD

Answer 23

waddling

toe walking

Question 24

MOI wedge compression/burst fracture

Answer 24

flexion/vertical compression

Question 25

myelomeningocele AKA

Answer 25

spina bifida

Question 26

spinal shock usually resolves within...

Answer 26

24 hours of the injury

Question 27

what artery can be affected with anterior cord injury

Answer 27

anterior spinal artery

Question 28

Legg Calve Perthes unilateral or bilateral

Answer 28

unilateral

Question 29

foot deformity present with myelomeningocele

Answer 29

club foot/talipes equinovarus

Question 30

for down syndrome, what exercises should be avoided and why

Answer 30

avoid forceful neck flexion and rotation bc atlantoaxial ligamentous laxity and potential for subluxation/SCI

Question 31

for upper lumbar lesion with myelomeningocele, what type of orthoses are appropriate

Answer 31

RGO

Question 32

direction of muscle weakness for DMD

Answer 32

proximal to distal

Question 33

what is spinal shock

Answer 33

temporary phenomenon that occurs after trauma to spinal cord in which the cord stops functioning below the LOI

Question 34

type of gait present with ataxic (cerebellar) CP?

Answer 34

wide-base

Question 35

type of orthosis used for legg calve perthes

Answer 35

a special hip abduction orthosis

Question 36

Brown-Sequard syndrome results in...

Answer 36

ipsilateral weakness, motor paralysis, loss of all corticol, decreased reflexes, clonus, spasticity contralateral loss of superficial

Question 37

orthotic devices for Charcot-Marie-Tooth-Disease should aim to correct what deformity

Answer 37

equinovarus

Question 38

treatment for legg calve perthes

Answer 38

prolonged bed rest mobile traction and slings casting

Question 39

ataxic CP results in what part of the brain involvement

Answer 39

cerebellar involvement

Question 40

effects of anterior cord syndrome

Answer 40

loss of motor function loss of pain loss of temperature

Question 41

what reflexes return after spinal shock is done

Answer 41

anal bulbocavernosus

Question 42

overall tone with myelomeningocele

Answer 42

low

Question 43

patient problems with Charcot-Marie-Tooth-Disease

Answer 43

foot drop

Question 44

for DMD, should exercise be performed at a maximal level? why or why not

Answer 44

not a maximal level because heavy exercise may injure muscle tissue

Question 45

what is Charcot-Marie-Tooth-Disease

Answer 45

a hereditary disorder of the peroneal and distal leg muscles

Question 46

what is Gower's sign and what disease is it associated with

Answer 46

DMD child uses UE to walk up legs

Question 47

for upper thoracic lesion with myelomeningocele, what is appropriate for movement

Answer 47

adapted wheelchairs

Question 48

after surgical closure of myelomeningocele, what may become a problem

Answer 48

hydrocephalus

Question 49

central cord injury MOI

Answer 49

hyperextension with minor trauma to c-spine

Question 50

nontraumatic SCIs are most likely to occur with individuals...

Answer 50

with narrowing spinal canals