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NPT I > NPT I - Practical 1 > Flashcards

NPT I - Practical 1 Flashcards

1
Q

What is dysmetria?

A

Overshoot/undershoot a target

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2
Q

What is diadokokinesis?

A

Rapid alternating movements

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3
Q

Ashworth Grade 0

A

No increase in muscle tone

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4
Q

Ashworth Grade 1

A

Slight increase in muscle tone, manifested by catch and release or by minimal assistance at end ROM when part is moved

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5
Q

Ashworth Grade 2

A

Slight increase in muscle tone, manifested by a catch, followed by minimal resistance throughout the remainder (< 50%) of the ROM

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6
Q

Ashworth Grade 3

A

More marked increase in muscle tone through most (> 50%) of the ROM, but the affected part is easily moved

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7
Q

Ashworth Grade 4

A

Considerable increase in muscle tone, passive movement is difficult

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8
Q

Brunnstrom stage 1

A

Flaccid limb

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9
Q

Ashworth Grade 5

A

Affected part is rigid in position

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10
Q

Brunnstrom stage 2

A

Minimum voluntary movement; associative reactions

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11
Q

Brunnstrom stage 3

A

Voluntary movement synergies; peak of spasticity

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12
Q

Brunnstrom stage 4

A

Out of synergy (HBB, elevate arm to horizontal)

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13
Q

Brunnstrom stage 5

A

Able to do more difficult movements (abduct arm, reach overhead)

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14
Q

Brunnstrom stage 6

A

Isolated joint movement; nearly normal coordination

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15
Q

Brunnstrom stage 7

A

Normal motor function

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16
Q

Ashworth scale grade 0

A

No increase in muscle tone

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17
Q

Ashworth scale grade 1

A

Slight increase in muscle tone; catch and release followed by minimal resistance at end range

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18
Q

Ashworth scale grade 2

A

Catch and release; minimal resistance throughout ROM

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19
Q

Ashworth scale grade 3

A

More marked increase in muscle tone; affected joint still moves easily

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20
Q

Ashworth scale grade 4

A

Considerable increase in tone; difficult PROM

21
Q

Ashworth scale grade 5

A

Rigid

22
Q

Corticospinal tract: 1) What tract is it; 2) Where does it cross?

A
  1. Motor

2. Brainstem

23
Q

Spinothalamic: 1) What tract is it; 2) Where does it cross?

A
  1. Pain, temperature

2. Anterior horn

24
Q

Dorsal columns: 1) What tract is it; 2) Where does it cross?

A
  1. Proprioception

2. Brainstem

25
Q

Spinocerebellar: 1) What tract is it; 2) Where does it cross?

A
  1. Subconscious proprioception

2. Does not cross

26
Q

Anterior Cord Syndrome

A

Loss of motor
Loss of pain/temperature

Intact proprioception

27
Q

Central Cord Syndrome

A

Loss of UE function

Intact LE

28
Q

Hemi-Cord (Brown-Sequard)

A

Loss of ipsilateral motor/proprioception

Loss of contralateral pain/temperature

29
Q

Posterior Cord Syndrome

A

Loss of proprioception

30
Q

ASIA A

A

Complete SCI, no sacral function

31
Q

ASIA B

A

Incomplete SCI

Intact sensory
No motor except S4-S5

32
Q

ASIA C

A

Incomplete SCI

More than 1/2 of muscles < 3/5 strength

33
Q

ASIA D

A

Incomplete SCI

More than 1/2 of muscles > 3/5 strength

34
Q

ASIA E

A

No SCI, normal patient

35
Q

Autonomic dysreflexia: inal level

A

T6 and above

36
Q

MCA typical presentation

A

Contralateral spastic paralysis, hemianesthesia, homonymous hemianopsia

37
Q

L-sided MCA causes what aphasia?

A

Global

38
Q

R-sided MCA causes what issue?

A

Anosagnosia - denial of illness; heminglect

39
Q

Upper MCA causes what aphasia?

A

Broca’s (bad words)

40
Q

Lower MCA causes what aphasia?

A

Wernicke’s (fluent)

41
Q

L-sided ACA presentation?

A

Abulia (unable to execute motor function)

42
Q

ICA presentation?

A

Transient monocular blindness; MCA syndrome

43
Q

Proximal PCA presentation?

A

Thalamic pain syndrome
Hemiballismus
Contralateral hemiplegia

44
Q

Peripheral PCA presentation?

A

Transient global aphasia, alexia, cortical blindness

45
Q

Vertebral artery stroke presentation?

A

Wallenburg’s - vertigo, dysphagia, ipsilateral deficits

46
Q

Basilar artery stroke presentation?

A

Locked-in syndrome

47
Q

Dysmetria

A

Over/undershooting

48
Q

Dysdiadochokinesia

A

Unable to alternate quickly (pronation/supination or dorsiflexion/plantar flexion)

NPT I (3 decks)

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