Principles of Neurorehab/ Epilepsy, Migraine and MS Flashcards
(21 cards)
Beliefs which impact on emotional functioning during rehabilitation
- Perceived injury severity
- Rehabilitation progress
- Treatment efficacy
- Risk of return
- Missed opportunities
Grief reaction
- Denial
- Anger
- Bargaining
- Depression
- Acceptance and re-organisation
SMART-ER goal setting
Specific Measurable Achievable Relevant Time Limited Evaluated Revised
What are paroxysmal disorders?
- AKA episodic disorders
- paroxysmal hyper-synchronous abnormal activity of neurons
- seizures, headaches, fainting
What is epilepsy?
- Most common neurological disorder
- Frequent unprovoked seizures
What percentage of Head Trauma Pts are liable to have seizures
75% within first year
Classification of seizures
- Partial or focal seizures
- Generalised seizures
Highlight features of focal seizures
- 2/3rds of all seizures
- Simple (consciousness preserved)
- Complex (altered consciousness)
- Where it starts in the brain is important
Seizure starting in Temporal Lobe
- Epigastric aura (nausea)
- Déjà vu
- Unresponsive
Seizure starting in Frontal Lobe
- Sudden with rapid recovery
- Sleep related
- Multiple event each night with kicking and thrashing
Seizure starting in Occipital Lobe
- Visual hallucinations
- Visual defects
- Ictal blindness
- Eye/Head deviation
Seizure starting in Parietal Lobe
- Somatosensory aura
- Numbness & tingling
- Speech disturbance
Conditions that mimic Epilepsy
- Sleep disorders
- Hyperventilation
- Hypoglycaemia
- Migraine
- Panic attacks
- Syncope (fainting)
Multiple Sclerosis definition
- Complex autoimmune disease
- attacks myelin sheath slowing transmission (impairs movement and sensation)
MS visual issues
- blindness (due to demyelination of optic nerve)
- painful loss of vision in 1 eye (optic neuritis)
- double vision (eye movements)
MS facial weakness
- Bell’s palsy
- trigeminal neuralgia, paroxysmal dysarthria and ataxia (lack of voluntary movement)
- other paroxysmal symptoms
MS hearing and balance
- Deafness
- Feelings of unsteadiness, ataxia, vertigo
MS cognitive symptoms
- visual and auditory attention problems, memory
MS Psychological symtoms
- Depression
Other symptoms (pseudo bulbar)
- loss of sensation in arms and legs, speaking, swallowing, breathing
SLT involvement for MS
- Loudness and pitch control
- Articulation
- Swallowing needs checking
