Physical Rehab Table 510 Flashcards

1
Q

Where is the location of lesion of a stoke

A

the cerebral cortex corticospinal tracts

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2
Q

where is the location of lesion of Parkinsons disease

A

Basal Ganglia

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3
Q

Where is the location of lesion of a tumor, stroke?

A

the Cerebellum

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4
Q

Where is the location of lesion of Trauma, tumor, vascular insult, or incomplete or complete SCI

A

the spinal cord

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5
Q

Stroke Sensation

A

impaired or absent; depends on lesion location; contralateral sensory loss

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6
Q

Stroke Tone

A

Hypertonia, spasticity velocity dependent; clasp-knife
Initial flaccidity: Cerebral shock

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7
Q

Stroke reflexes

A

hyperreflexia

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8
Q

Stroke Strength

A

Contralateral weakness or paralysis; Hemiplegia or hemiparesis. Disuse weakness in chronic stage

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9
Q

Stroke muscle bulk

A

normal during the acute stage; disuse atrophy in chronic stage

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10
Q

Stroke Involuntary movements

A

spasms

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11
Q

Stoke Voluntary movements

A

Dyssynergic: abnormal timing, co activation, fatigability

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12
Q

Stroke Postural Control

A

impaired or absent, depends on lesion location and impaired balance

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13
Q

Stoke Gait

A

Impaired: gait deficits due to abnormal weakness, synergies, spasticity, timing deficits

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14
Q

Parkinsons Disease Sensation

A

not affected

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15
Q

Parkinsons Disease Tone

A

Lead-Pipe regity: increases uniform resistance
Cogwheel rigidity: increases, ratchet like resistance

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16
Q

Parkinsons Disease Reflexes

A

normal or maybe decreased

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17
Q

Parkinsons Disease strength

A

Disuse weakness in chronic stage

18
Q

Parkisons Disease Muscle Bulk

A

Normal or disuse atrophy

19
Q

Parkisons Disease involuntary movements

A

resting tremor

20
Q

Parkisons Disease Voluntary movements

A

Bradykinesisa: slowness of movement
Akinesia: absence of movement

21
Q

Parkisons Disease Postural control

A

Impaired: Stooped (flexed) Impaired balance

22
Q

Parkisons Disease Gait

A

Impaired: shuffling, festinating gait

23
Q

Tremor/ Stoke Cerebellum sensation

A

Not affected

24
Q

Tremor/ Stoke Cerebellum Tone

A

Normal or maybe decreased

25
Q

Tremor/ Stoke Cerebellum reflexes

A

normal or maybe decreased

26
Q

Tremor/ Stoke Cerebellum strength

A

normal or weak: asthenia

27
Q

Tremor/ Stoke Cerebellum muscle bulk

A

normal

28
Q

Tremor/ Stoke Cerebellum Involuntary movements

A

none

29
Q

Tremor/ Stoke Cerebellum voluntary movements

A

ataxia: intention tremor
Dysdiadochokinesia dysmetria
dyssynergia nystagmus

30
Q

Tremor/ Stoke Cerebellum postural control

A

Impaired: truncal ataxia and impaired balance

31
Q

Tremor/ Stoke Cerebellum gait

A

impaired: ataxic gait deficits, wide based, unsteady

32
Q

Spinal Cord Injury sensation

A

impaired or absent below the level of lesion

33
Q

Spinal Cord Injury Tone

A

Hypertonia/spasticity below the level of lesion
Initial flaccidity: spinal shock

34
Q

Spinal Cord Injury reflexes

A

hyperflexia

35
Q

Spinal Cord Injury Strength

A

Impaired or absent below the level of the lesion: paraplefia or paraparesis; tetraplegia or tetraparesis

36
Q

Spinal Cord Injury Muscle bulk

A

disuse atrophy

37
Q

Spinal Cord Injury involuntary movements

A

spasms

38
Q

Spinal Cord Injury voluntary movements

A

above the level of lesion: intact
Below the level of lesion: impaired or absent

39
Q

Spinal Cord Injury postural control

A

impaired below the level of the leison and impaired balance

40
Q

Spinal Cord Injury gait

A

impaired or absent; depends on the level of the lesion.