tone Flashcards

(27 cards)

1
Q

mm tone

A

the resistance to stretch in resting mm

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2
Q

how is mm tone modified

A

nervous system conscious and unconscious control

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3
Q

___ dampens down hyper excitable spinal reflexes

A

descending corticospinal influence

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4
Q

T/F humans have range of mm tone

A

t

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5
Q

longstanding flacidity PNS or CNS

A

PNS LMN

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6
Q

rigidity vs spasticity

A

rigiity is velocity INDEPDENT

spasticity is DEPDEND

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7
Q

rigidity features

A

bidirectional resistican to stretch

velocity independent

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8
Q

righty is hyperreflexia always evident

A

not always

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9
Q

decerebrate rigidity characterized

A

both U/LE in Ext

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10
Q

decorticate rigidity characterized

A

UE in flex

LE in ext

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11
Q

spasticity

A

velocity dependent inc in tonic stretch reflex
exaggerated tendon jerks
hyperexcitabilty
UMN

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12
Q

can spasticity impact pts alertness

A

yes

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13
Q

hyperreflexia UMN or LMN

A

UMN

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14
Q

hyporeflexia UMN or LMN

A

LMN

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15
Q

when is stretch reflex not normal

A

grade 0, 4+ and 5+

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16
Q

clonus

A

involuntary sustained mm contraction in response to stretch

17
Q

exaggerated cutaneous proprioceptive reflexes

A

exaggerated cutaneous reflex

spasm out of chair etc..

18
Q

possible causes for increase in spasticity

A

infection, ingrown toe nail, fatigue, discomfort, stress, SCI

19
Q

spasticity can lead to

A

pain, contractures, limited ROM

postural changes, fear, decreased sitting balance

20
Q

when to leave spasticity

A

when it increases function

when its a mm we want tightening

21
Q

when to intervene spasticity

A

joint limitation
decrease functional ability
altered joint biomechs

22
Q

tone assessment subjective what might you ask

A

UTI, cold/flu

23
Q

evaluation for tone

A

modified ash worth scale

24
Q

pt intervention for increased tone ROM

A

stretch
active/functional moves
positioning program
WB

25
PT intervention tone
``` maintiain ROM manual therapy for joint mobility biomechanics promote functional exercise program create balance/posture hydrotherapy modalities address factors contributing to tone orthotics equipment medical ```
26
T/F need greater angle of DF where is clonus is triggered
t
27
general treatment
promote active movement desensitize pre warn individual stimulus