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2nd lecture
muscle tone lecture, campbell
24
Other
Graduate
03/01/2009

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Term
What is normal muscle tone?
Definition
- amount of resting tone in a muscle

- component of normal postural mechanism

- continuous mild contraction or mental preparedness in the muscle
Term
Flaccidity is associated with what motor neuron defect?
Definition
Lower motor neuron
Term
What are the characteristics of a flaccid tone?
Definition
- no deep tendon reflexes

- no active movement

- soft muscles

- no resistance to passive movement

- heavy extremity

- can't hold position when moved PROM
Term
Define Hypotonous.
Definition
- decreased muscle tone

- can be both an UMN/LMN lesion

- no deep tendon reflex
Term
Define Rigidity
Definition
- contraction of the agonist and antagonist

- no passive movement regardless of speed of force applied
Term
Define this type of rigidity:

constant resistance throughout the range
Definition
lead pipe
Term
Define this type of rigidity:

Cogwheel
Definition
A rhythmic give occurs in resistance throughout the range

Thought to be rigidity superimposed on tremor
Term
This rigidity occurs most often in TBI's, and the UE displays in flexion
Definition
decorticate
Term
What position is held in deceberate posturing?
Definition
extension
Term
what is spasticity?
Definition
velocity dependent stretch reflex
Term
Spasticity is associated with (UMN/LMN?) lesions
Definition
UMN
Term
How long does reflex hyperactivity remain post stroke?
Definition
up to 4-6 weeks
Term
True or False

Reflex Hyperactivity can be an adaptive response
Definition
TRUE.

Contracted muscles have an increase in reflex hyperactivity to prevent muscle shortening
Term
Both hypertonia and hypotonia cause the muscle to (lengthen or shorten).
Definition
Shorten
Term
What do the Ashworth Scale and Pendulum Test examine?
Definition
Both measure the resistance to movement but the Ashworth scale does not distinguish between reflex activity
Term
Which theories believed in associated movements (synkinesis)?
Definition
-Brunnstrom

-Bobath

-PNF
Term
Associated movements are associated with?
Definition
- primitive reflexes

- lack of skill with complex tasks

- difficulty with producing max muscle force
Term
What happens with an abnormal irridation (overflow)of muscle movement?
Definition
When the left side is flexed, the right side will flex as well.
Term
Is there a relationship between spasticity and associated reactions?
Definition
Research has not found any relationship.
Term
Which techniques reduce muscle spindle activity?
Definition
- prolonged, passive stretch

- serial casting

- weight bearing postures
Term
What are the pros and cons to spasticity?
Definition
PROS: maintained muscle mass, muscle mobility, increased LE circulation, decreased DVT

CONS: Weakness, incoordination (fine motor movements)
Term
With an UMN lesion, what happens to muscle recruitment, contraction, and agonist/antagonist muscles?
Definition
recruitment (movement initiation) is slowed

contraction is prolonged

agonist and antagonist timings are distrupted
Term
Myoplasticity results in:
Definition
muscle contracture, and atrophy
Term
What are some oral medications to treat spasticity?
Definition
Benzodiazepines

Dantrolene

Baclofen

Tizanidine
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