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Nuero Quiz 1 Part 2
Nuero Quiz 1 Part 2
89
Health Care
Professional
04/11/2012

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Term
Agnosia
Definition
Iniability to interpret sensory information
Term
Agraphaethesia
Definition
Inability to recognize written symbols
Term
Agraphia
Definition
Loss of ability to write
Term
Aphasia
Definition
Impairment of ability to communicate through speech, writing due to dysfunction of brain
Term
Apraxia
Definition
Inability to perform learned movements although there is no sensory or motor impairment
Term
Asterognosia
Definition
Inability to recognize objects by touch
Term
Ataxia
Definition
Defective muscle coordination, manifesty when voluntary muscle movements are attempted
Term
Athetosis
Definition
Involuntary movements combined with instability of posture. Peripheral movement occurs without central stability.
Term
Broca's Aphasia
Definition
Infarct in brain which produces inability to verbally communicate. Speech is difficult, comprehension is normal.
Term
Chorea
Definition
Movements are sudden random and involuntary
Term
Constructional Apraxia
Definition
Person cannot reproduce geometric figures and designs. Unable to analyze how to perform a task
Term
Dysarthria
Definition
Slurred and defective speech due to impairment of tongue or other muscles essential to speech.
Term
Dystonia
Definition
Larger axial muscles have involuntary movements
Term
Dysdiadochokinesia
Definition
Inability to perfrom rapid alternating movements.
Term
Dysmetria
Definition
Inability to control range of a movement and force of movement.
Term
Expressive aphasia
Definition
Language and communication are greatly reduced with ready writing and speaking.
Term
Extinction
Definition
Inability to differentiate between two different stimulii
Term
Global aphasia
Definition
Both expressive and receptive deficits
Term
Hemianopsia
Definition
Loss of half of field of vision
Term
Hemiballismus
Definition
Involuntary violent movement of large body parts
Term
Ideational Apraxia
Definition
Inability to formulate initial motor plan. Proprioceptive Input for movement is impaired.
Term
Ideomotor apraxia
Definition
Person knows what they want to do but can't do it.
Term
Perservation
Definition
Repeatedly performing the same segment of a task and saying the same word/phrase.
Term
Receptive aphasia
Definition
Inability to comprehend normal speech
Term
Wernickes aphasia
Definition
Infarct to brain which affects level of comprehension. Usually able to verbalize but nonfunctional
Term
Order of Neurodevelopmental Postures
Definition
Prone on elbows, Quadruped, Bridging, Sitting, Kneeling/Half Kneeling, Modified Plantigrade, Standing.
Term
Put in Order.... Stability, Controlled Mobility, Mobility, Skill.
Definition
Mobility, Stability, Controlled Mobility, Skill.
Term
Mobility
Definition
Ability to initiate sufficient motor unit activity and have the availability of a function ROM
Term
Stability
Definition
Cocontractions around a joint
Term
Skill
Definition
Highly coordinated ability to move out of a posture and manipulate the environment with extremities while trunk remains upright.
Term
Discrete Movement has what
Definition
Beginning and End
Term
Continuous Movement has what
Definition
No beginning and end
Term
Serial has what
Definition
Series of discrete movements
Term
Traditional PT systems approach
Definition
Looks at all body systems with emphasis on nervous system
Term
Developmental Sequence approach
Definition
Strong emphasis on reflex testing, asseses ADL's and perceptual motor performance
Term
Lethargy
Definition
General slowin of motor processes, speech and movement. No awareness of environment
Term
Obtundation
Definition
Difficult to arrouse, confused when arroused.
Term
Stupor
Definition
Semi conciousness, lacks responsiveness
Term
Coma
Definition
Unresponsive, Eyes closed, will not respond.
Term
Glasgow Coma Scale
Definition
Level of conciousness, Severity of injury, drops after 1 week.

13-15 Mild brain injury
9-12 Medium brain injury
8 or less- Coma
Term
Ranchos Los Amigos Hospital Stages of Cognitive Function
Definition
Outlines sequence of cognitive and behavioral recovery in TBI.
Term
Declaritive Memory
Definition
Concious recollection of facts/events
Term
Motor/Procedural Memory
Definition
Recall of motor information
Term
Immediate memory
Definition
Seconds
Term
Recent Memory
Definition
Day to day events
Term
Remote memory
Definition
Years ago
Term
Post traumatic Amnesia
Definition
Ability to learn new material following a brain injury. Longer amnesia, move severe.

Less than 5 mins. very mild
5-60 mins. mild
1-24 hours. moderate
1-7 days. severe
1-4 weeks. very severe
4 weeks+. extremely severe
Term
Spastic Dysarthria
Definition
Slow, monotonus, UMN lesion. CP
Term
Flaccid Dysarthria
Definition
Slow, Breathy phonation, decreased muscle strength and tone
Term
Ataxic Dysarthria
Definition
MS
Term
Hypokinetic Dysarthria
Definition
Slow, pauses, long syllables, Parkinsons
Term
Hyperkinetic Dysarthria
Definition
Prolonged sounds, Monotonus, Loud, Huntingtons
Term
Confabulation
Definition
Memory gaps are filled with fabricated stories or fantasies. Sign of frontal lobe damage
Term
Factors that influence blood pressure
Definition
Blood volume, elasticity of arteries, cardiac output, exercise, valsalva manuever, orthostatic hypotension, arm position
Term
Factors that influence temperature
Definition
Time of day, age, stress, exercise, menustrual cycle, pregnancy, warm or cold foods.
Term
Factors that influence heart rate
Definition
Age, gender, stress, exercise, meds, pulse sites
Term
Factors that influence respiration
Definition
age, body size, exercise, position, environment, srress, meds
Term
Pulse ratings
Definition
0- absent or no pulse
1+ Thready, barely perceptible, fades in and out
2+ Weak Difficult to palpate
3+ Normal Easy to palpate
4+ Bounding Very strong, hyperactive
Term
Blood pressure stages
Definition
Normal 120/80
Pre hypertension 120-139/80-89
Stage 1 140-159/90-99
Stage 2 160/100
Term
Guidelines for sensory testing
Definition
1. Comfortable position
2. Occlude vision
3. CHeck superficial to deep and prox to distal
4. Go in random order
Term
Coordination
Definition
Ability to execute smooth accurate movements with appropriate speed direction and timing
Term
Gross motor involves
Definition
Large muscles, posture and balance
Term
Fine motor involves
Definition
Small muscles
Term
Non equillibrium tests are usually in what position
Definition
Sitting
Term
Equillibrium tests are usually in what position
Definition
Standing
Term
Age related changes affecting coordination
Definition
Decreased strength, slowed reaction time, Postural changes, impaired balance
Term
Nonequillibrium coordination tests
Definition
Finger to nose, Finger to finger, Finger oppostion, pronation/supination, heel on shin, drawing a circle
Term
Equillibrium tests
Definition
Standing, Standing feet together, tandem position, Walking straight line, Step over obstacles, March in place, Perturbations
Term
Coordination Grading
Definition
4- normal
3- Movement accomplished with slight difficulty
2- Moderate difficulty, performance worse at higher speeds
1- Severe difficulty
0- Unable to do activity.
Term
Tone
Definition
Resistance felt when a muscle is elongated or stretched passively while individual attempts to maintain muscle relaxation
Term
Hypotonus
Definition
Flaccidity, Indicates LMN lesion
Term
Hypertonus
Definition
Spasticity, Indicates UMN lesion
Term
Clasp knife response
Definition
During rapid movement, high resistance may be felt by sudden letting go of muscle in response to stretch
Term
Clonus
Definition
Spasmodic alteration of muscle contraction and relaxation in response to stretch.
Term
Rigidity
Definition
hypertonic state uniformed by increased resistance which persists throughout entire ROM..Basal ganglia dysfunction
Term
Leadpipe Rigidity
Definition
High resistance throughout all ROM with sudden letting go
Term
Cogwheel Rigidity
Definition
Ratchet like response to passive movement with alternating letting go of resistance
Term
Decorticate Rigidity
Definition
Flextion posturing of arms and extension with adduction of legs and feet. Cant break tone passively
Term
Decerebate Rigidity
Definition
Upper extremitys are in extension and internal rotation and lower extremity are in extension and adduction.
Term
Reactions
Definition
Term used for reflexes which are not integrated
Term
Balance Grades
Definition
Normal- balance without support, accepts max challenge
Good-Balances without support, moderate challenge
Fair- ballances with handheld support, tolerates min challenge
Poor- requires support to maintain balance
Term
Synergy
Definition
Cooperative action of muscles working together to product movement
Term
Flexion synergy UE
Definition
Scapula elevates and retracts
Shoulders abducts and ER
Elbow flexes
Forearm supinated
Wrist flexes
Finger flex and adduct
Seen when patients lifts arm to reach
Term
Extension Synergy UE
Definition
Scapula protracts and pushes down
Shoulder IR and adducts
Elbow extends
Forearm pronates
Wrist extends
Fingers flex and adduct
Term
Abnormal synergies occur when
Definition
Higher centers have impaired control over motor control
Term
As CNS recovers, what happens to abnormal synergistic patterns
Definition
Change and possibly only be evident under stress/fatigue
Term
Flexion syngergy is in which extremities more often
Definition
Upper Extremity
Term
With extension activity you will see which synergy
Definition
Extension Synergy.
Term
With flexion syngergy, you will see whcih synergy
Definition
FLexion Synergy
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