Ther Ex II Q5 PNF/Stroke/Tone/TBI

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prestoncas
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195377
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Ther Ex II Q5 PNF/Stroke/Tone/TBI
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2013-02-10 19:04:37
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Ther Ex II Q5 PNF Stroke Tone TBI
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Ther Ex II Q5 PNF/Stroke/Tone/TBI
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  1. PNF techniques that improve mobility
    • Contract Relax
    • Hold Relax
    • Hold Relax w/ movement
    • Joint Distraction
    • Rhythmic Initialization
    • Rhythmic Rotation
    • Repeated contractions
  2. PNF techniques that improve stability
    • Compression
    • Alternating Isometrics
    • Rhythmic Stabalization (when used with AI)
  3. PNF Techniques that promote skill
    • Normal timing (distal to proximal sequence)
    • Timing for emphasis (to strengthen any weak component of a motor pattern)
    • Resisted Progression (resistance of prox components during gait)
  4. Left Hemispheric Stroke
    • Right-sided hemiplegia
    • Aphasia
    • Slow cautious style of behavior
    • short term memory loss
  5. Right Hemispheric Stroke
    • Left-sided hemiplegia
    • difficulty w/ spacial & perceptual abilities (dysmetria)
    • Judgement difficulties (impulsive & dangerous)
    • Visual Issues
    • Left sided neglect
    • short term memory loss
  6. Cerebellar Stroke
    • Reflexes & balance
    • Difficulty standing
    • nausea
    • dizziness
  7. Brainstem Stroke
    • BP
    • HR
    • RR
    • Swallowing
    • Hearing
    • Aphasia
  8. I.E.E.D.
    • Involuntary Emotional Expression Disorder
    • laughing or crying outbursts
  9. Wernickes Aphasia
    • "fluent aphasia"
    • Can understand but, has issues speaking
    • spontaneous speech present but, auditory is comprimised
    • calling a knife a gleeble
  10. Brocha's aphasia
    Difficulty forming complete sentences & rules of grammar
  11. global aphasia
    • can barely speak
    • Cannot understand speech
    • unable to read or write
  12. Intracerebral hemorrhage
    Rupture of a vessel that leads to bleeding within the brain
  13. Primary Cerebral Hemorrhage
    Aneurysm produced in small cerebral blood vessels caused by atherosclerosis
  14. Subarachnoid hemorrhage
    sacular aneurysm in large blood vessels that causes bleeding into the subarachnoid space
  15. What is an AVM
    • Arterial Venous Malformation
    • A tangle of blood vessels redirects oxygen rich blood to the veins instead of to the brain tissues, causing the brain to be deprives of oxygen
  16. Risk Factors of Stroke
    • Hypertension
    • Heart Disease
    • Diabetes
    • TIA
  17. Signs of Stroke
    • Face
    • Arm
    • Speech
    • Time
  18. Ischemic Cascade
    Events which occur after stroke
  19. Cerebral Edema
    Accumulation of fluids after ischemic stroke which peak in 3-4 days
  20. Internal Carotid
    • 1 of the 2 bifurcations of the common carotid
    • run up neck to head
    • supplies the brain
    • divides to form anterior cerebral artery & Middle cerebral artery
    • Receives blood from circle of Willis
  21. Vertebral Artery
    • Runs paralell to carotid
    • Supplies blood to the Circle of Willis
  22. Endarterectomy
    Surgical removal of atherosclerotic material
  23. TLR
    • Tonic Labyrinthe Reflex
    • Tilting head backward causes:
    • Leg extension
    • Back extension or arching
    • Flexion of UE
  24. ATNR
    • Asymmetrical Tonic Neck Reflex
    • When a person turns their head to one side the arm and leg of that side extend
  25. Flexor Withdrawl
    When a stimulus is applied to the bottom of a foot the hip, knees, elbows and wrist flex while the foot dorsiflexes
  26. Crossed Extensor Reflex
    Stepping on a nail
  27. Brunnstroms
    • 1-Flacidity
    • 2-Spacticity begins to develop, synergies begin to appear, minimal voluntary facilitation
    • 3-Spasticity increases up to severe, voluntary facilitation occurs, synergies increase
    • 4-Spacticity begins to decline, some non-synergistic movements can be accomplished
    • 5-More difficult non-synergistic limb movements are learned, synergies lose their dominance
    • 6-Individual joint movements occur, spasticity disppears
    • 7-Full recovery
  28. agnosia
    • inability to recognize an object
    • inability to recognize a nose
  29. Somatic Reflex Arc
    • Stimulus to sensory (somatic) receptor
    • Afferent fibers carry signal to dorsal horn
    • interneurons integrate information
    • Efferent fibers carry signal to skeletal muscles
    • Skeletal muscle react
  30. Muscle Spindles
    Senses muscle length and speed of length change
  31. 3 Components of the Glasgow Coma Scale
    • Eye Opening
    • Motor Response
    • Verbal Response
    • (1 is the lowest for each component)
  32. Levels of consciousness
    • Coma
    • Stupor
    • Obtunded
    • Lethargy
    • Conscious
  33. Antegrade Amnesia
    Unable to create new memories
  34. Post-traumatic Amnesia
    Unable to remember from the time of injury until recent recall is re-established
  35. Retrograde amnesia
    Unable to recall memories prior to accident
  36. Ranchos Los Amigos Cognitive Function Scale
    • 1 - No Response
    • 2 - Generalized Response
    • 3 - Localized Response
    • 4 - Confused Agitated
    • 5 - Confused Inappropriate
    • 6 - Confused Appropriate
    • 7 - Automatic Appropriate
    • 8 - Purposeful Appropriate
  37. Decerebrate
    • Form of rigidity that occurs from injury to brainstem
    • UE & LE - Extensor Synergy
  38. Decorticate
    • Type of rigidity that occurs from an injury above the brainstem
    • UE - Flexion
    • LE - Extension
  39. Abnormal Synergy is caused from
    Cerebral Lesion
  40. Ataxia and Hypotonia are caused from
    Cerebellar Lesion
  41. Arterial Formation of the Cerebrum
    • Common Carotid
    • -Internal Carotid
    • --Anterior Cerebral Artery
    • --Middle Cerebral Artery
    • --Circle of Willis
    • -Vertebral Artery
    • --Posterior Cerebral Artery
    • --Posterior Portion of the circle of willis
  42. MCA Syndrom
    • Aphasia
    • Dysphagia
    • UE>LE
  43. ACA Syndrome
    • Mental impairments
    • Urinary incontinence
    • Apraxia
    • Bradykinesia
  44. PCA Syndrome
    • Hemianopsia (1/2 visual field)
    • Pusher Syndrome
    • Thalamic Pain Syndrome
  45. Vertebrobasilar Artery Syndome
    • Ataxia
    • Locked-in Syndrome
  46. Margaret Rood preached ...
    early reflexes & relearning motor control via reflex patterns
  47. Rood's 4 principles
    • Sensory input is required for normalization of tone and evocation of desired muscular responses.
    • Sensory motor control is developmentally based.
    • Movement is purposeful, engagement in activities is required to produce a normal response.
    • Repetition of movement is necessary for learning.
  48. Rood's 8 motor patterns
    • Supine withdrawal
    • Segmental rolling
    • Pivot prone (prone extension)
    • Neck co-contraction
    • Supporting self on elbows
    • All fours movement patterns
    • Standing
    • Walking
  49. Measurement of Tone
    • 0+no response (flaccidity)
    • 1+decreased response (hypotonicity)
    • 2+normal response
    • 3+exaggerated response
    • 4+sustained response (severe hypertonia)
  50. Measurements of DTR
    • 0+absent
    • 1+tone change; slight and transient with no movement of extremity
    • 2+Visible movement of extremities
    • 3+exaggerated, full movement of extremities
    • 4+Obligatory and sustained movement, lasting for more than 30 seconds

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