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| Basic components of traditional neurologic exam (7) |
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Definition
| review chart/get history, mentation/cognition, motor, sensory, reflexes, cranial nerve assessment, functinoal assessment |
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| Important note: Patients with paraplegia or quadriplegia will be unable to incorporate what into relearning mobility tasks |
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Definition
| previously learned motor programs |
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Definition
| shoulder retraction and/or elevation, ER, shoulder ABD or hyperextension, elbow flexion, supination |
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Definition
| shoulder protraction IR ADD, elbow extension, pronation |
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Definition
| hip flexion ABD ER, knee flex, dorsiflexion & eversion |
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Definition
| hip extension ADD IR, knee ext, pf and inversion |
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Term
| Why is the Brunnstrom stage of recovery not used anymore? |
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Definition
| emphasis on training synergistic patterns which only promotes greater use of synergistic patterns instead of isolated individual movements |
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Term
| Examples of patient history (9) |
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Definition
| CT scans, MRI, EEG, doppler, history, PMH, PSH, meds, Hx of present illness, family history, social history |
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| Examples of observation/cognition testing (4) |
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Definition
| assess mentation (A&Ox3 = person, place, time), long term vs short term memory, language (verbal fluency, dominant hemisphere), insight/judgement |
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| fasciculations are a result of which motor neuron disease? |
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Definition
| lower motor neuron disease |
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Definition
| facial, pharyngeal, laryngeal |
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Definition
| scapular elevation and adduction |
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Definition
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Definition
| pec major, radial wrist ext, serratus anterior |
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| peroneal longus and brevis, triceps surae (gastroc and soleus), hamstrings, glut max |
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| Motor Assessment: Coordination |
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Definition
| dysdiadochokinesia, dysmetria, tremor rest/intention, rebound phenomena |
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Term
| sensory assessment assesses which hemisphere |
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Definition
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Term
| tactile sense and kinesthetic sense are carried via what? |
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Definition
| large fiber and dorsal column function, posterior columns |
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Term
| Tests for primary sensory modalities |
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Definition
| Romberg test, finger to finger test |
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Term
| primary sensory modalities include what fiber/tracts |
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Definition
| large fiber, dorsal column, small fiber, spinothalamic |
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Term
| large fiber and dorsal columns carry what senses (3) |
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Definition
| tactile (touch, pressure), kinesthetic sense (position/movement) and vibration |
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Term
| large fiber and dorsal columns carry what senses (3) |
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Definition
| tactile (touch, pressure), kinesthetic sense (position/movement) and vibration |
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Term
| small fibers and spinothalamic carry what sensations |
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Definition
| light touch, pain/thermal sense |
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| ant spinothalamic carries what sense |
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Definition
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| lat spinothalamic tract carries what sense |
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Definition
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| spinocerebellar carries what sensations? |
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Definition
| muscle spindles, GTO's, joint receptors |
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Term
| 5 cortical sensory modalities |
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Definition
| stereognosis, graphesthesia, stimulus location, two point discrimination, extinction test |
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Term
| neglect is part of which sensory modality? |
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Definition
| cortical sensory modalities |
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Term
| Cortical sensory modalities: neglect usually affects which hemisphere |
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| MSR/DTR testing locations (6) |
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Definition
| biceps, triceps, brachioradialis, patella, achilles, jaw jerk |
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| brachioradialis spinal level |
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| the jaw jerk is an exaggerate contraction of masseter suggests what? |
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Definition
| bilateraly patholgy above the mid pons |
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| clonus is associated with what |
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| CN II assessment: what to assess |
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Definition
| visual acuity, field cuts |
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Term
| Cranial nerve assessment: other vision questions |
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Definition
| diplopia, conjugate gaze, nystagmus, dolls eyes |
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Term
| if the conjugate gaze at rest is toward the lesion, what level is the lesion? |
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Definition
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| if the conjugate gaze at rest is away from the lesion, where is the lesion |
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Definition
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| CN assessment of trigeminal nn |
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Definition
| jaw opening and closing, clench and palpate, jaw jerk |
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Definition
| eye closure, smile, forehead |
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Definition
| counters foot drop, high knee with foot slap |
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Definition
| wide base of support, irregular, staggering |
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Definition
| ataxic, wide base of support, uneven gait, high steps and slapping of foot to ground, decreased sensation, eyes glued to ground |
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Definition
| circumduction due to extension synergy in LE |
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Definition
| toes scraping, legs scissor |
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Definition
| waddling and lordotic posutre, proximal weakness |
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| describe parkisonian gait |
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Definition
| shuffling (fenistrated gait) |
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Definition
| feet appear glued to floor, can't execute the gait may lift and lower without advancing |
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| dancing, prancing, jerky, twitching |
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