Neuromuscular

Card Set Information

Author:
cardenkl
ID:
128044
Filename:
Neuromuscular
Updated:
2012-01-15 18:32:00
Tags:
OT
Folders:

Description:
NBCOT
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  1. Upper motor neuron damage signs
    • increased deep tendon reflexes
    • spasticity
    • emergence of primitive reflexes
    • autonomic dysreflexia
  2. Lower motor neuron damage
    • hypotonia
    • weak or absent deep tendon reflex
    • muscular atrophy
  3. Upper motor neuron disease
    • - Parkinsons
    • - Huntingtons
  4. Lower motor neuron disease
    • Myasthenia Gravis
    • ALS
  5. ASIA Scale
    • A Comple injury
    • B Incomple - intact sensory, no motor
    • C Incomplete- intact sensory, motor <3/5
    • D Incomplete- intact sensory, motor >3/5
    • E Normal
  6. Glascow Coma Scale
    • Tests:
    • best motor response
    • best eye response
    • best verbal response

    • Score: 1-13
    • The greater the score the higher functioning the individual is
  7. Rancho Los Amigos
    1-10.. The higher the score is the higher functioning the individual is and the less the burden of care.
  8. Autonomic Dysreflexia
    abnormal response to a noxious stimuli resulting in extreme rise in BP
  9. Orthostatic Hypotension
    Drastic drop in BP after standing up
  10. Evaluation of motor control
    • Abnormal Musle Tone- Quick Stretch, Ashworth Scale
    • Reflex Testing
    • Qualitative discriptions- ataxia, bradykinesia, akinesia, athetosis, dystonia, chorea, hemiballism
    • Glenohumeral subluxation
  11. Spinal Cord Injury Levels.
    • C4 and above- ventilator
    • C5- shoulder and bicep control
    • C6-wrist control/no hands
    • C7- difficulty with dexterity.. able to use tendodesis grasp
    • T1-T8- poor trunk control
    • T9 and below- good trunk control, decreased control of hip flexors
  12. Stages of Motor Control
    Cognitive: skill acquision and practice ((What to do))

    Associated: "carry over" ((how to do it))

    Autonomous: skill transfer
  13. Peripheral Nervous System
    LMN damage
  14. Autonomic Nervous System
    innervation of involuntary structures

    sympathetic and parasympathetic
  15. Principles of motor development
    • Proximal --> distal
    • Gross --> fine motor
    • Stability --> controlled mobility
  16. Facilitation Techniques
    • Fast brushing
    • quick icing
    • vibration
    • weight bearing
    • tendon tapping
  17. Inhibition Techniques
    • Maintained Stretch
    • Warmth
    • Rocking
    • Prolonged icing

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