Transforming Practice - NEURO Flashcards

(38 cards)

1
Q

What is the Berg Balance Scale?

A

Sitting to standing
Standing unsupported
Standing to sitting
Transfers
Standing unsupported eyes closed
Standing unsupported with feet together
Reaching forward with outstretched arm while standing
Etc ………

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2
Q

What is CPIPS?

A

Cerebral Palsy Integrated Pathway Scotland
Assessment for hip surveillance

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3
Q

What is MOCA?

A

Montreal Cognitive Assessment
Assesses a range of cognitive abilities

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4
Q

What is the modified ashworth scale?

A

Tone

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5
Q

What is the ASIA scale?

A
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6
Q

What are some other outcome measures you could use for assessing a neurological case?

A

Tinetti Assessment Scale - balance and gait section
TUG
Standardised mini-mental state examination
Guidelines of administering SMMSE
NHSS
NHSS - one page assessment
Barthel index (ADLs)
MAS
PASS

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7
Q

What are some tools to use to assess the risk of falls?

A

STRATIFY SCALE
Morse fall scale
Medication fall risk scale and evaluation tools
Delirium evaluation bundle
FRAT
BERG
TINETTI
EMS

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8
Q

What factors are important in Neurorehabilitation?

A

Skills: person, task, environment

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9
Q

What is the ICF model?

A

Health condition
Body function/structure - activities - participation
Environmental factors - personal factors

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10
Q

How should you assess someone with Parkinsons?

A

Muscle power
Muscle tone
Joint mobility
Exercise tolerance
Pain
Functional movements
Safety
Balance - stationary, transfer and gait related.
Gait pattern impairments
Freezing
Dexterity
Transfers
Physical capacity

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11
Q

What outcome measures can be used to assess someone with Parkinsons?

A

Activities balance confidence scale
Falls efficacy scale international
Modified Parkinson’s activity scale
Timed up and go
Five times sit to stand test
Dynamic gait index
Functional gait assessment
Berg balance scale
10 metre walk
Freezing of gait
6 minute walk distance

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12
Q

What are some treatment goals for people with Parkinsons?

A

Hoehn and Yahr Year 1:
Self-management support, prevent inactivity, prevent fear to fall or move, improve physical capacity, reduce pain, delay onset activity limitations

Year 2 to 4:
Maintain or reduce limitations in transfers, balance, manual activities and gait.

Year 5:
Maintain vital functions
Prevent pressure sores
Prevent contractures
Support carers/nurses

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13
Q

What is the UKs exercise framework for Parkinsons?

A

Section 1: focus on adding exercise to their lifestyle - focus on general health and staying active. E.g. motor cognitive tasks, balance, gait, transfers and physical capacity training

Section 2: focus on exercises to target PD symptoms - including non-motor symptoms (depression, apathy, lack of motivation, sleep disturbances)

Section 3: use of exercise to manage progressive physical symptoms. Focus on training caregivers to help PwPD to do exercises.

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14
Q

What is The Alexander technique for Parkinsons?

A

It teaches you to be more aware of your body, improves posture and helps you move more efficiently. It can help people with Parkinson’s to manage their symptoms and carry out everyday tasks more effectively,

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15
Q

What tests can you do to assess people with Alzheimer’s disease?

A

MMSC - cognitive - mini mental state examination (detection of cognitive impairment for people with Alzheimer’s)

MOCA - cognitive - Montreal cognitive assessment (understanding memory and executive function)

QDRS - AD specific - quick dementia rating system - assesses memory language attention communication etc.

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16
Q

What is sensitivity?

A

Correctly identify patients with a disease

17
Q

What is specificity?

A

Ability of a test to determine people without the disease

18
Q

What tests can be performed to assess function in people with Parkinsons?

A

FAQ - Functional Activities Questionnaire
A -IADL-Q - AD specific - Amsterdam Instrumental activities of daily living questionnaire - assess more complex activities eg cooking/managing finances

19
Q

What are the exercise benefits for people with Parkinsons?

A

Functional independence - Barthel index
Cognitive function - MMSE
Neuropsychiatric symptoms - NPI
Physical function - 6MWT, BBS, Functional reach test

20
Q

What are some exercise options for people with Parkinsons?

A

Individual tailored exercise program
Aerobic exercise (at least 150 mins of moderate intensity)
Resistance training (at least twice per week)
Telehealth
Sport
Dance

21
Q

What are some domains that can be used to assess people with multiple sclerosis?

A

Physical disability:
Hand grip strength
Modified Ashowrth Scale
Expanded disability status scale

Cognitive impairment:
Symbol digits modalities test

Functional impairments:
Multiple sclerosis functional composite

Quality of life:
Multiple sclerosis impact scale

22
Q

What guidelines are there for general aerobic exercise for people with MS?

A

2-3 days per week
Gradually increase from 10-30 minutes over time
Moderate intensity - between 11 and 13 on the RPE scale.

Eg:
Ergometry
Walking
Quatics
Elliptical

23
Q

What are some guidelines surrounding advanced aerobic exercise for people with MS?

A

5 days per week
Can approach 40 minutes
Intensity can approach 15 on the RPE scale

Eg:
Same as general guidelines
Running
Road cycling

24
Q

What are some guidelines surrounding general resistance exercise for people with MS?

A

2-3 days per week
1-3 sets of 8-15 reps
5-10 exercises

Resistance that allows you to finish 8-15 reps comfortably

Mainly target major/large muscle groups:
Weight machines
Free weights
Elastic bands

25
What are some special considerations for exercising with MS?
Overall progression should start with duration or frequency, and then progress to intensity per tolerability Rest muscles for 2-4 minutes between sets and muscle groups Rest muscles for at leat 1 day between strength training sessions Aerobic and resistance training can be performed on the same day depending on tolerability MS specific symptoms (eg fatigue and sensitivity) should be identified and discussed before prescribing an exercise routine.
26
What are some outcomes measures for multiple sclerosis?
MAS Expanded disability status scale Functional independence measure Guy’s neurological disability scale Multiple sclerosis functional composite Multiple sclerosis walking scale Mini mental state examination Beck depression inventory General health questionnaire Hospital anxiety and depression scales Multiple sclerosis QoL-54 Health scale short form - 36.
27
What are some tools to assess sitting?
Spinal seating professional development project assessment form Posture in current seating system - ACI
28
What is FRAT?
Falls risk assessment tool Takes into account: recent falls, medication, psychological and cognitive status. Includes a risk factor check list: vision, mobility, transfers, behaviours, ADLs, environment, nutrition, continence, health conditions.
29
What is FaME?
Falls exercise management
30
What is Otago?
A home exercise programme 6 warm up exercises: March, head movement, neck movements, back extension, trunk movement, ankle movement Strength exercises: Front knee strengthening (seated leg raises) Back knee strengthening (standing hamstring curls) Side hip strengthening (standing lateral kicks) Calf raises Toe raises Balance exercises: Knee bends (squats with chair) Knee bends (without the chair) Toe walking (supported) Toe walking (no support) Heel toe stand (feet directly in front of the other - supported) Heel toe stand no support Heel toe walking supported Heel toe walking no support One leg stand supported One leg stand no support Sideways walking supported Sideways walking no support Heel walking supported Heel walking no support Sit to stand using hands Sit to stand no hands Backwards walking supported Backwards walking no support Heel toe walking backwards Walk and turn Stair walking Warm down: Calf stretch seated Back of thigh stretch seated Walking
31
What are some apps to help with falls prevention?
Reviewed by Healthify Keep on keep up app LPT falls prevention Nymbl app Onero online Walking tall
32
What is the SC tablet?
Compact iPad based speech generating device for people of all ages with communication impairment.
33
What are the common symptoms of concussion?
Headache Neusea or vomitting Balance problems or light headedness Temporary loss of conscioussness Double vision or blurred vision Ringing in the ear Sesitivity to light and noise Feeling tired or drowsy Changes in sleep patterns Depression or sadness Being irritable, nervous or anxious Feelings of being just not right
34
What are some brain functions that are evaluated in concussion tests?
Altertness Memory Attention and concentration Speed of thinking and solving problems Ability to recall information Vision Balance and coordination Reflexes Hearing
35
What are the most commonly used assessments when evaluating individuals with concussion?
Post-concussion symptoms scale Standard assessment of concussion Standard concussion assessment tool (SCAT3) Immediate post-concussion assessment and cognitive testing (ImPACT) Concussion resolution index Cogsport King-Devick (KD)
36
What is the immediate management for concussion?
Anyone with a suspected concussion should: - be removed from play immediately - get assessed by an appropriate healthcare professional within 24 hours of the incident - rest and sleep as needed for the first 24-48 hours. Light activities of daily living and walking are acceptable - Minimise screen time for first 48 hours Should not: - Be left alone for the first 24 hours - Consume alcohol in the first 24 hours/if symptoms persist - Drive a motor vehicle for the first 24 hours
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38
What are the top concussion management treatments?