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82 Cards in this Set
- Front
- Back
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What dermatome is at the nipple line?
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T4
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What is the zone of partial preservation?
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complete injury, intact sensory and motor above S5 and below level of injury
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In Brown Sequard Syndrome, what is lost contralateral?
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Pain
Temperature |
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In Brown Sequard Syndrom, what is lost ipsilateral?
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Reflexes
Proprioception Discriminitive Touch |
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What is the Ashworth Scale?
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Which tract deals with pain and temperature?
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Spinothalamic
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Which tract deals with loss of reflexes and a positive babinski sign?
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Corticospinal
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How long does spinal shock last?
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Several days to several weeks
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What type of injury results in autonomic dyreflexia?
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Complete and Incomplete
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What is not a symptom of autonomic dysreflexia?
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Tachycardia
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By which mechanism can a man with a complete spinal cord injury have an erection?
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Reflexogenic
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How high does the chest raise during inspiration?
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2.5-3 inches at the xyphoid
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How frequent is optimal pressure relief?
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10-15 seconds/10 minutes
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What is a, b, and c?
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a- Medial Lemniscus
b- Lateral Corticospinal c- Lateral Spinothalamic |
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What Brunnstrom stage has the following:
Absent Spasticity No movement |
Stage 1
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What Brunnstrom stage has the following:
Developing Spasticity Weak associated movement that when attempted is in synergy? |
Stage 2
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What Brunnstrom stage has the following:
Marked Spasticity All movements in synergy |
Stage 3
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What Brunnstrom stage has the following:
Decreasing Spasticity Some deviations from synergy. |
Stage 4
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What Brunnstrom stage has the following:
Further decrease in spasticity Almost free from all synergies |
Stage 5
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What Brunnstrom stage has the following:
Free of synergy, slightly awkward Spasticity only during active rapid movements |
Stage 6
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What is the most common stroke?
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Ischemic
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What is the 3rd leading cause of death?
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Stroke
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Does a hemorrhagic stroke have a higher or lower mortality than an ischemic stroke?
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Higher
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T/F History of CVA is modifiable
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False
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T/F Increased respiratory rate is a sign of ICP
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False
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What is defined as the transitional area surrounding the core and consists viable but metabolically lethargic cells.
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Ischemic Penumbra
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Following a stroke involving the middle cerebral artery, what is affected on the dominant side?
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Aphasia
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Following a stroke involving the middle cerebral artery, what is affected on the nondominant side?
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Unilateral Neglect
Anosognosia Spatial Disorganization |
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How long does a TIA last?
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Less than 24 hours
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What is the most common sight of a stroke?
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Middle Cerebral Artery
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T/F Lateral Medullary Syndrome will not have severe weakness
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True
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What is the position of the scapula with UMN syndrome?
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Rectracted and downwardly rotated
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Where does a stroke occur that causes Pusher Syndrome?
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Posterolateral Thalamus
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Where is Broca's Area?
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Left prefrontal cortex
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Where is Wernicke's Area?
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Left Lateral Temporal Lobe
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What affects proximal more than distal muscles, the head and trunk may be involved, emerges when the patient attempts to maintain a posture and may persist or worsen with goal directed movements of the limbs?
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Postural Tremor
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What is rhythmic oscillations of a limb about or on the way to the target. Usually perpendicular to the direction of movement and ceases on the target is reached?
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Intention Tremor
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What is: Speech flows smoothly but auditory comprehension is impared (auditory association cortex of the left lateral temporal lobe)
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Wernicke's
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What is: Flow of speech is slow, hesitant, vocabulary limited, syntax impaired (premotor area of the left frontal lobe)
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Broca's
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What are right brain injury characteristics?
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Visual-perceptual impairments
Quick, impulsive behavioral style • Often unaware of impairments • Poor judgment • Inability to self-correct; increased safety risk Rigidity of though Difficulty with abstract reasoning |
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What are left brain injury characteristics?
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Speech and language impairments
Low, Cautious behavioral style • Often very aware of impairments • Anxious about poor performance Difficulty with processing delays |
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T/F Shoulder pain with a CVA are not edemic
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True
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What is function gait speed?
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2.75 mph
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What is the ideal height of a stair?
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Less than 7 inches
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What is the ADA height for handrails?
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34-38 mph
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What is ADA grade for a ramp?
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1:12
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What is ADA compliant ramp width?
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36 inches
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Which is ADA compliant door width?
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32 inches
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What is the most dangerous area of the house for a wheel chair bound person?
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Bathroom
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Change in stance and swing becomes progressively ________ as speed slows.
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greater
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If a person has an excessive positional plantarflexion, what would you expect?
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Achilles contracture
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What would you expect with genu recurvatum?
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Flaccid/weak quad
Fixed ankle PF deformity |
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Hip hiking is compensating for what?
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Lack of knee flexion
Lack of DF Extensor spasticity of swing leg |
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What is the velocity needed to cross a street?
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3.8 ft/sec
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What is the normal width of base of support?
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1-5 inches
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What is the average walking velocity?
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3 mph
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What are the 2 goals with postural control systems?
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Stability and Function
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What do you test when testing coordination?
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Mobility
Stability Controlled Mobility Skill NOT Flexibility |
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What does the CNS feedback do?
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Monitor and adjust output
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What does CTSIB stand for?
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clinical test for sensory integration and balance
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Conditions 5 and 6 on the CTSIB deal with what?
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Vestibular
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What is factitious disorder by proxy?
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Munchausen
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What percent of hysteria end up showing organic causes?
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60%
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Does an intention tremor increase or decrease once the target is reached?
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Decrease
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What is the percentage of people in the clinic that present with conversion disorder?
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14%
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Depression and substance abuse is _____ times higher in people with disability.
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3
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What are common defense mechanisms?
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Humor
Acting Out Denial Intellectualization |
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What isn't a primary vital sign?
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PO2
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What will indicate variations in vital signs and physiological status?
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Aerobic activity
Endurance |
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Long term hypoxia results in what?
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Clubbing
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Input to effector organs is via what?
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Somatic and Autonomic nervous systems
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What controls thermoregulation?
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Vascular
Metabolic Skeletal Muscle Sweating NOT respiratory |
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What is normal HR?
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70
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How do you monitor HR?
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Volume
Rate Rhythm |
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What are parameters to observe/measure with respiration?
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Rate
Depth Rhythm Sound NOT forcefulness |
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What are the two components of BP?
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Cardiac Output
Peripheral Resistance |
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What factors influence BP?
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Volume
Arm Position Exercise Age NOT time of day |
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What percent of parkinson's patients manifest with tremors?
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70%
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What are the dominant symptoms of parkinsons?
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Tremor as main feature
Posture in stability and gait dynamics NOT bradykinesia |
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What is a composite impairment with parkinson's?
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Balance Disturbances
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What area is not affected by plaque from MS?
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Brain Stem
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What is the first line therapy for clinical treatment of MS?
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Symmetrel
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