PTA 212 Exam Notes

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amills1
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262495
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PTA 212 Exam Notes
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2014-02-18 18:30:54
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PTA 212 Exam Notes
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PTA 212 Exam Notes based on study guide and PP and neuro book answers.
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  1. NDT aka ____ focuses on
    • bobath
    • key tactile points
    • normal movement pattern
    • neurodevelopment technique
  2. PNF aka___ focuses on
    • kobout, knalf, voss
    • normal synergy movements
  3. rood focuses on
    • controlled mobility
    • skill
    • stability
    • controlled mobility
  4. brunnstrom approach
    leave in patho's synergy and work thru its stages
  5. UE flexion synergy pattern
    • scap retraction and elevation
    • ER
    • abd 90
    • elbow flexion
    • supination
    • wrist and finger flexion
  6. T/F UE extension synergy is opposite at every joint compared to flexion synergy
    • False
    • fingers remain flexed in extension
  7. Le flexion synergy
    • hip flex
    • abd
    • ER
    • knee flexion to ~90
    • Df
    • inversion
    • toe extension
  8. what motion does LE flexion and extension synergies share
    inversion
  9. Brunnstrom stage 1
    flaccidity
  10. Brunnstrom stage 2
    spasticity begins to develop
  11. Brunnstrom stage 3
    spast peaks
  12. Brunnstrom stage 4
    begins to decrease
  13. Brunnstrom stage 5
    continues to decrease
  14. Brunnstrom stage 6
    essentially absent
  15. Brunnstrom stage 7
    return to normal function
  16. Glasgow scale is used to assess
    individual's level of arousal and function of the cerebral cortex
  17. decerebrate
    • UE IR
    • shoulder extension
    • elbow extension
    • pronated
    • wrist and finger flexion
  18. decorticate
    • UE add
    • IR
    • elbow flexion
    • pronation
    • wrist flexion
  19. stage 1 mobility components
    • initiation of movement
    • necessary availability of rom
  20. stage 2 stability components
    • ability to maintain a steady antigravity posture
    • tonic hold and co-contraction
  21. stage 3 controlled mobility components
    • weight shifting with in a posture
    • righting reactions
    • proximal stability with distal mobility
  22. stage 4 skill components
    • cortex level
    • ability to manipulate environment
    • locomotion
    • selective voluntary movement
  23. cognitive phase
    • new to learner
    • "what to do"
  24. associative phase
    • practice movement
    • errors decrease
    • "how to do"
  25. autonomous phase
    • refined movement
    • require lil thought
    • "how to succeed"
  26. L hemisphere deficits
    • movement sequencing
    • apraxia
    • aphasia
    • math
  27. R hemisphere deficits
    • inability to sustain activity
    • visuospatial issues
    • grasping large picture
  28. SNS intracranial pressure
    • decrease responsiveness
    • impaired consciousness
    • severe HA
    • vomiting
    • increase BP with decrease HR
  29. ACA SNS
    • LE hemiparesis
    • sensory loss
    • unilateral neglect
    • aphasia
    • agraphia
    • apraxia
  30. MCA SNS
    • hemi-paresis or plegia of face and arm more than leg
    • aphasia
    • anosognosia (denial/neglect of severity of problem)
    • apraxia
    • spatial disorganization
  31. PCA SNS
    • contra sensory loss
    • pain
    • memory deficit
    • homonymous hemianopia
    • visual agnosia (inability to recognize familiar objects or individuals)
  32. dysmetria
    • inability to controlled ROM with an action
    • (over or under reaching)
  33. asthenia
    lack of strength
  34. ataxia
    • uncoordinated movement
    • jerky
  35. dystonia
    • involuntary contractions
    • twisting repetitive motions
  36. What is coup and contra coup
    • Coup is the first contact of the brain against the skull
    • Contra is the second hit following the first.
  37. Ranchos Los Amigos Level I
    • no response
    • unresponsive to any stimuli
  38. Ranchos Los Amigos Level II
    • Generalized response
    • any sort of response to stimuli that are inconsistent and non-purposeful
  39. Ranchos Los Amigos Level III
    • localized response
    • pt responds inconsistently but specificly to stimuli
  40. Ranchos Los Amigos Level IV
    • confused-agitated
    • pt in heightened state of activity
    • bizarre non-purposeful behavior
    • unable to cooperate with treatment
    • lacks recall
    • very brief gross attention span
  41. Ranchos Los Amigos Level V
    • confused-inappropriate (max assist)
    • responds to simple commands fairly consistently
    • highly distractable
    • lack of ability to focus on specific task
    • unable to learn new info
  42. Ranchos Los Amigos Level VI
    • confused appropriate (Mod assist)
    • shows goal-directed behavior with external input or direction
    • short term memory problems persist
    • longer term memory improving
    • able to perform self-care
  43. Ranchos Los Amigos Level VII
    • automatic appropriate (Min assist)
    • appropriate/oriented in hospital and home settings
    • robot like performances of routine activities
    • slow rate of new learning
    • some short term recall
    • judgement remains impaired
  44. Ranchos Los Amigos Level VIII
    • Purposeful-appropriate (SBA)
    • short and long term memory
    • carry over for new learning
    • requires no supervision for known tasks
    • may show decreased ability compared to premorbid
  45. Ranchos Los Amigos Level IX
    • purposeful
    • appropriate
    • SBA on request
    • completes tasks accurately for at least 2 consecutive hours
    • uses memory aids
  46. Ranchos Los Amigos LevelĀ X
    • purposeful
    • appropriate
    • modified independent
    • able to multi task in all environments

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