Transforming Practice - NEURO Flashcards
(38 cards)
What is the Berg Balance Scale?
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 ………
What is CPIPS?
Cerebral Palsy Integrated Pathway Scotland
Assessment for hip surveillance
What is MOCA?
Montreal Cognitive Assessment
Assesses a range of cognitive abilities
What is the modified ashworth scale?
Tone
What is the ASIA scale?
What are some other outcome measures you could use for assessing a neurological case?
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
What are some tools to use to assess the risk of falls?
STRATIFY SCALE
Morse fall scale
Medication fall risk scale and evaluation tools
Delirium evaluation bundle
FRAT
BERG
TINETTI
EMS
What factors are important in Neurorehabilitation?
Skills: person, task, environment
What is the ICF model?
Health condition
Body function/structure - activities - participation
Environmental factors - personal factors
How should you assess someone with Parkinsons?
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
What outcome measures can be used to assess someone with Parkinsons?
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
What are some treatment goals for people with Parkinsons?
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
What is the UKs exercise framework for Parkinsons?
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.
What is The Alexander technique for Parkinsons?
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,
What tests can you do to assess people with Alzheimer’s disease?
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.
What is sensitivity?
Correctly identify patients with a disease
What is specificity?
Ability of a test to determine people without the disease
What tests can be performed to assess function in people with Parkinsons?
FAQ - Functional Activities Questionnaire
A -IADL-Q - AD specific - Amsterdam Instrumental activities of daily living questionnaire - assess more complex activities eg cooking/managing finances
What are the exercise benefits for people with Parkinsons?
Functional independence - Barthel index
Cognitive function - MMSE
Neuropsychiatric symptoms - NPI
Physical function - 6MWT, BBS, Functional reach test
What are some exercise options for people with Parkinsons?
Individual tailored exercise program
Aerobic exercise (at least 150 mins of moderate intensity)
Resistance training (at least twice per week)
Telehealth
Sport
Dance
What are some domains that can be used to assess people with multiple sclerosis?
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
What guidelines are there for general aerobic exercise for people with MS?
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
What are some guidelines surrounding advanced aerobic exercise for people with MS?
5 days per week
Can approach 40 minutes
Intensity can approach 15 on the RPE scale
Eg:
Same as general guidelines
Running
Road cycling
What are some guidelines surrounding general resistance exercise for people with MS?
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