neuro 3

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  1. stages 1-3 of stroke (per Brunnstrom)
    • 1: flaccid, no limb movement
    • 2: synergies may appear, spasticity begins to develop, minimal vol mvmnt
    • 3: spasticity increases and may become severe, vol control ov mvmnt synergies appears
  2. stages 4-7 of stroke (per Brunnstrom)
    • 4: starts to break out of synergies, and spasticity declines
    • 5: synergies no longer dominate, and mvmnt becomes more complex
    • 6: spasticity is gone, coordination and mvmnt approach normal
    • 7: normal
  3. UE flexion synergy
    • scap: elevation and retraction
    • shoulder: abd and ER
    • elbow: flexion
    • forearm: supination
    • wrist: flexed
  4. LE flexion synergy
    • hip: flex, abd, ER
    • knee: flex
    • ankle: DF, inv
    • toe: DF
  5. UE ext synergy
    • scap: depress and protract
    • shoulder: add and IR
    • elbow: ext
    • forearm: pronate
    • wrist: flex
  6. LE ext synergy
    • hip: ext, add, IR
    • knee: ext
    • ankle: PF, inv
    • toe: flex
  7. treatment techniques for hypotonicity
    • avoid joint hyperext
    • jt compression/approximation and facilitation to help normalize tone
    • use resistance and isometrics on functioning muscles to increase activation of inactive muscles
    • facilitation techniques (quick stretch, tapping, high freq vibration, light touch, quick icing, fast spinning or rolling, approximation)
  8. how to treat hypertonicity
    • work to inhibit reflex activity via postures, positions, relaxation
    • reciprocal inhibition
    • inhib techniques (static muscle stretch, inhibitory casting, slow rocking or rolling, low freq vibration, reflex inhibiting postures, limb movements emphasizing rotation, slow stroking, neutral warmth, prolonged icing, deep pressure to tendons)
  9. severe PF leads to what in knee?
  10. stroke in which hemisphere causes  problems with spatial rels and hand-eye coordination?
    R hemisphere (left hemiparesis)
  11. stroke in which hemisphere causes irritability, short attention span, can't retain info, difficulty learning individual steps
    R hemisphere (left hemiparesis)
  12. stroke in which hemisphere causes poor judgment affecting personal safety, quick and impulsive
    R hemisphere (left hemiparesis)
  13. stroke in which hemisphere causes diminished body image and 1 sided neglect
    R hemisphere (left hemiparesis)
  14. Homer Simpson has a crayon in which hemisphere
  15. stroke in which hemisphere causes apraxia
    L hemisphere (R hemiparesis)
  16. stroke in which hemisphere causes difficulty starting and sequencing tasks
    L hemisphere (R hemiparesis)
  17. stroke in which hemisphere causes perseveration
    L hemisphere (R hemiparesis)
  18. perseveration def
    repetition of a particular response, such as a word, phrase, or gesture, despite the absence or cessation of a stimulus, usually caused by brain injury or other organic disorder
  19. stroke in which hemisphere causes easy frustration w high levels of anxiety
    L hemisphere (R hemiparesis)
  20. stroke in which hemisphere causes inability to communicate verbally
    L hemisphere (R hemiparesis)
  21. stroke in which hemisphere causes pt to be cautious and slow
    L hemisphere (R hemiparesis)
  22. how to communicate with pt with
    receptive aphasia
    expressive aphasia
    global aphasia
    • R/W: word repetition, manual cues
    • E/B: speak normally but ask for y/no responses
    • G: use symbolic gestures
  23. Rancho Los Amigos levels of Cognitive Functioning
    levels 1-2
    • 1: no response to any stim
    • 2: inconsistent and nonspecific responses
  24. Rancho Los Amigos levels of Cognitive Functioning
    levels 3-4
    • 3: localized response - reacts inconsistently but specifically to stim
    • 4: confused, agitated, bizarre nonpurposeful behavior, poor recal and attention span
  25. Rancho Los Amigos levels of Cognitive Functioning
    levels 5-6
    • 5: confused-inappropriate - can respond to simple commands, can't do complex tasks, memory impaired, verbalization inappropriate
    • 6: confused-appropriate -- dependent on external input but can perform consistently, memory is improved
  26. Rancho Los Amigos levels of Cognitive Functioning
    levels 7-8
    • 7: automatic appropriate -  can perform automatically and appropriately in structured environments, judgment still impaired
    • 8 - purposeful-appropriate -- acts appropriately but not perfectly, may still have problems in stressful/unusual conditions
  27. Rancho scale 1-8, just titles
    • 1: no response
    • 2: generalized response
    • 3: localized respone
    • 4: confused/agitated
    • 5: confused-inappropriate
    • 6: confused-appropriate
    • 7: automatic appropriate
    • 8: purposeful-appropriate
Card Set:
neuro 3
2014-06-18 19:59:22
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