UMN vs LMN Injury, Movement Disorder Terms, D1/D2 patterns Flashcards Preview

NPTE Neuro > UMN vs LMN Injury, Movement Disorder Terms, D1/D2 patterns > Flashcards

Flashcards in UMN vs LMN Injury, Movement Disorder Terms, D1/D2 patterns Deck (26)
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1

What is the difference between Upper Motor Neuron and Lower Motor Neuron Disease in regards to:

Reflexes

UMN: Hyperactive
LMN: Diminished or Absent

2

What is the difference between Upper Motor Neuron and Lower Motor Neuron Disease in regards to:

Atrophy

UMN: Mild to Disuse
LMN: Present

3

What is the difference between Upper Motor Neuron and Lower Motor Neuron Disease in regards to:

Fasciculations

UMN: Absent
LMN: Present

4

What is the difference between Upper Motor Neuron and Lower Motor Neuron Disease in regards to:

Tone

UMN: Hypertonic
LMN: Hypotonic to Flaccid

5

What is Akinesia?

Inability to initiate movement (Parkinson's Disease)

6

What is Ataxia?

Inability to perform coordinated movements

7

What is Athetosis?

SLOW twisting and writhing

8

What is Bradykinesia?

Slow movements

9

What is Chorea?

Movements that are sudden, random and involuntary

10

What is the Clasp-Knife Response?

Greater resistance at the beginning of ROM than at the end in a hypertonic joint

11

What is Clonus?

Involuntary alternating spasmodic contraction of muscle from quick stretch reflex (UMN lesion)

12

What is Cogwheel Rigidity?

Resistance to movement has a phasic quality (Parkinson's Disease)

13

What is dysdiadochokinesia?

Inability to perform RAPIDLY alternating movements

14

What is Dysmetria?

Inability to control range of movement and force of muscular activity

15

What is Dystonia?

Like athetois, however, larger axial muscle involvement rather than appendicular muscles

16

What are Fasciculations?

Muscular twitch caused by random discharge of a LMN and it's muscle fibers (LMN Disease)

17

What is Lead Pipe Rigidity?

Form of rigidity where there is uniform & constant resistance to ROM (Basal Ganglia Lesion)

18

What is Rigidity?

State of severe hypertonicity where a sustained muscle contraction does not allow for any movement at a specific joint

19

What is a Tremor?

Involuntary, rhythmic, oscillatory movements (Basal Ganglia Lesion)

20

What is a Resting Tremor?

Observable at rest. May or may not disappear with movement.

21

What is a Postural Tremor?

Observed during voluntary contraction to maintain posture (ex: hyperthyroidism, fatigue, & anxiety)

22

What is an Intension (Kinetic) Tremor?

Absent at rest
Observable with activity -> increase at target approaches
(ex: MS)

23

What is the D1 Pattern for the Upper Extremity?

**Bowling**
Flexion: up and in
Extension: down and back

24

What is the D2 Pattern for the Upper Extremity?

**Sword & Pizza**
Flexion: Pizza
Extension: Sword

25

What is the D1 Pattern for the Lower Extremity?

Flexion: FABER (figure 4)
Extension: extend & point toe out

26

What is the D2 Pattern for the Lower Extremity?

Flexion: FADIR
Extension: extend & point toe in