Physical Rehab Table 510 Flashcards
(40 cards)
Where is the location of lesion of a stoke
the cerebral cortex corticospinal tracts
where is the location of lesion of Parkinsons disease
Basal Ganglia
Where is the location of lesion of a tumor, stroke?
the Cerebellum
Where is the location of lesion of Trauma, tumor, vascular insult, or incomplete or complete SCI
the spinal cord
Stroke Sensation
impaired or absent; depends on lesion location; contralateral sensory loss
Stroke Tone
Hypertonia, spasticity velocity dependent; clasp-knife
Initial flaccidity: Cerebral shock
Stroke reflexes
hyperreflexia
Stroke Strength
Contralateral weakness or paralysis; Hemiplegia or hemiparesis. Disuse weakness in chronic stage
Stroke muscle bulk
normal during the acute stage; disuse atrophy in chronic stage
Stroke Involuntary movements
spasms
Stoke Voluntary movements
Dyssynergic: abnormal timing, co activation, fatigability
Stroke Postural Control
impaired or absent, depends on lesion location and impaired balance
Stoke Gait
Impaired: gait deficits due to abnormal weakness, synergies, spasticity, timing deficits
Parkinsons Disease Sensation
not affected
Parkinsons Disease Tone
Lead-Pipe regity: increases uniform resistance
Cogwheel rigidity: increases, ratchet like resistance
Parkinsons Disease Reflexes
normal or maybe decreased
Parkinsons Disease strength
Disuse weakness in chronic stage
Parkisons Disease Muscle Bulk
Normal or disuse atrophy
Parkisons Disease involuntary movements
resting tremor
Parkisons Disease Voluntary movements
Bradykinesisa: slowness of movement
Akinesia: absence of movement
Parkisons Disease Postural control
Impaired: Stooped (flexed) Impaired balance
Parkisons Disease Gait
Impaired: shuffling, festinating gait
Tremor/ Stoke Cerebellum sensation
Not affected
Tremor/ Stoke Cerebellum Tone
Normal or maybe decreased