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Neurophysdis
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24
Other
Post-Graduate
10/05/2013

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Term
3 types of muscle spindle fibers
Definition
Nuclear Chain Fibers (Static length of muscle)

Static Nuclear Bag fibers (Static length of muscle)

Dynamic Nuclear Bag fibers (velocity) of muscle.
Term
Group Ia afferents
Definition
Provide information about both length and velocity.
Term
Group II afferents
Definition
Signal information about muscle length only.
Term
role of the myotatic reflex
Definition
maintenance of posture
Term
Properties of Normal muscle tone
Definition
Effective co-activation
Ability to move against gravity
Balance btw Agonist&antagonist
shift from stability to mobility & back
use mm. in groups or selective
Slight resistance in response to passive stretch
Term
CNS damage from stroke, TBI results in these following problems.
Definition
Problems Both sides of the body
Balance and coordination
Sensory perception and spatial orientation
memory and cognition
Term
What are the physical signs of abnormal muscle tone?
Definition
Flaccidity
Hypotonus: absence of deep tendon reflex
Hypertonia
Term
Variables that Influence Motor
Control (internal)
Definition
Motivation
Arousal level
Complexity of task
Sensation
Perception
Biomechanical factors
Term
Variables that Influence Motor
Control (External)
Definition
Spatial and Temporal features of the environment.
Term
Characteristics of Abnormal Muscle Tone
Definition
Unable to isolate movement
increased effort
Neglect of stimuli on affected side
Term
Characteristics of Cerebellar lesions
Definition
Intention tremor
Dysmetria
Dyssynergia
Dysdiachokinesia
Term
4 types of rigidity
Definition
Lead pipe
Cogwheel
Decorticate
Decerebrate
Term
Characteristics of Lower Motor Neuron Disorder
Definition
Loss of reflexes
Atrophy
Flaccid paralysis
Filbrillations & Fasciculations
Term
Characteristics of Upper Motor Neuron Disorder
Definition
Babinski sign
Abnormal cutaneous reflexes
Abnormal timing of muscle activation
Spasticity
Paresis
Term
What are the Assessments for muscle tone?
Definition
Response to passive stretch
Modified Ashworth Scale
Fugl-Meyer Assessment
Term
Techniques to inhibit spasticity include?
Definition
Slow sustained stretches which activates GTO
Splinting
Serial casting
Seating and positioning
Term
Pharmacological treatment for Spasticity include?
Definition
Baclofen
Botox
Term
How to facilitate Low tone?
Definition
Light touch
Fast Brushing
Thermal stimuli
Resistance
Special senses (olfactory stimulation)
Proprioceptive stimuli
Heavy joint compression
Term
Problems with Low Tone include?
Definition
Joint subluxation:
Term
How to inhibit high tone?
Definition
Warm thermal stimulation
Prolonged stretch
Joint approximation
Tendon pressure
Term
Reflex‐Hierarchical Model of Motor 
Control Premise
Definition
Mo#va#on to move 
Long term memory is searched 
Program is developed 
Program is executed, monitored and adapted 
Knowledge of results is received and corrected 
Program is stored in memory for future use
Term
Challenges of Reflex‐Hierarchical Model
Definition
How can CNS control degrees of freedom for each movement
Specific motor programs for each activity and variations
Storage problem
Term
What is the premise of Neuromaturational theory?
Definition
As neural structures mature then create change in motor function.
Development progresses from cephalic to caudal and proximal to distal
Term
What are the 3 premises of Dynamical Systems Theory?
Definition
Behaviors emerge from interaction of many systems.

Heterarchical: no inherent ordering of systems or subsystems.

Postures and movements are 
coordinative structures capable of 
adapting to changing 
circumstances
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