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Define Chorea
Irregular contraction that are rapid and brief sudden movements & involuntary
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Defined Dystonia
Sustained muscle contraction that are frequently cause twisting, abnormal posture, and repetitive movements.
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Athetosis
- Slow, writhing movements of the fingers and toes but can be seen on the face, tounge, trunk, extremities.
- Involuntary movements and trunk stability.
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Define Akinesia
Inability to initiate movements
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Asthenia
Generalize weakness
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Dysarthria
Difficulty to articulate of the tounge
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Apraxia
Inability motor planning
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Dysphasia
Difficulty swallowing
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Agnosia
Inability to recognize people
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Aphasia
Inability to be expressive
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Bradykines
Slow movements
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Babinski
A reflex of the big toe planter flex and the rest swing down
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Dysdiadochokinesia
Difficulty alternating rapid movements.
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Preservation
Repetitive unmeaningful word.
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Rigidity
State of severe hypertonicity where sustain muscle contractions not able to move a limb.
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Decerebrate rigidity
Cortocospinal lesion at brainstem resultant extension of the trunk and all extremities
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Decorticate rigidity
Cortocospinal lesion at the.dincephalon resulting the trunk and LE in extension and UE in flexion
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Synergy
- Movements that may be present or elicited in patients with neurological insult
- Abnormal pattern that don't present isolated muscles.
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Tinetti Assessment
Combination of gait and balance
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Define Stereogenosis test
Identify any common object with the eyes closed
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Define graphesthesia sensory test
Draw any two digit number or capital letter on the hands with their eyes closed.
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Define Bargonosis sensory test
Identify any two object's weights eyes closed
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What are the characteristics of Left Hemisphere. . .
Weakness, Paralysis, of the right side
Increase frustration
decrease processing
possible aphasia
possible dysphagia
Decreased discrimination left or right
Right hemianopsia
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What are the characteristic of right hemisphere. . .
Weakness, paralysis of the left side
Decrease attention span
Left hemianopsia
Decrease awareness and judgement
Memory deficits
Left inattention
Decrease abstract reasoning
Emotional liability
Impulsive behavior
Decrease spatial orientation
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What is a completed stroke
A CVA that presents with a total neurological deficit at the onset
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What is a stroke in Evolution . . .
A CVA usually caused by a thombus that graduAlly progressed. Total.neurological deficits are not seen.for one or two.days after onset.
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What are the two types of Ischemic strokes
Embolus
Thrombus
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Embolus stroke is . . .
Can be solid, liquid , or gas that travels through the blood stream to the arteries causing a collusion of a blood vessel and a resultant infant.
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Thrombus stroke is ...
- A plaque develops in an artery and eventually becomes a clot.
- This type of CVA is extremely variable in onset where symptoms can appear in a min or days after the onset.
- Usually occurs during sleep or waking up from an MI or surgery.
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Proprioception in a sensory test is . . .
Ability of Identifying a static position
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Kinesthesia sensory test is. . .
Identifying direction and the actual movement in space
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Two point discrimintation in a sensory test is . . . .
identifying two points when felt on the skin without sight.
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Sensory test for Trigiminal nerve
Sharp and dull on the face
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Deep pain sensory test is described by . . .
squeezing the calf or forearm or triceps area
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Sensory test for Trochlear nerve. . .
Following an object downward.
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Sensory test for Facial . . .
- Sweet and sour of the face. . .
- ability todo facial expression.
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Sensory Test Vestibularcochlear nerve. . .
Ticking sound next to the ear. .
Postivtive when can't hear 18-24 inches away
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Sensory Test for Optic Nerve
- Field of vision,
- pt covers one eye and look at the center. Ask them if they see your finger in their visual field.
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Sensory test for Oculomotor nerve
following an object vertical, horizontally, and diagonally
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Sensory test for Olfactory .. .
a common smell underneath the nose with a cotton ball
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Sensory test for Abducens
abduct the eyes. .
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Sensory test for Glossopharyngeal nerve . .
ability to gag when applying a tong depressor
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Sensory test for Vagus nerve . . .
ability to gag when applying a tong depressor
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Sensory test for Accessory Nerve
MMT on the shoulders.
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Sensory test for Hypoglossal nerve. . .
Protrude the tongue in a symmetrical fashion
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Define Spasticity
- Abnormal velocity dependent muscle tone.
- Faster & Lengthen the limb, the more resistance is felt in the muscle.
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Define Ataxia
uncoordinated gait
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