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8 Cards in this Set
- Front
- Back
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What is ALS?
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Amyotrophic Lateral Sclerosis aka Lou Garhigs disease
Progressive degeneration of motor neurons of SC, brainstem, cortico spianl tracts (CNS) |
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What is the etiology for ALS?
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10% inherit, 90% unknown
Theories: slow active virus, autoimmune reactions to toxic metals, enzyme and hormone deficiencies. |
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What are the signs and symptoms of ALS?
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-Weakness, stiffness, hyperactive reflexes, twitching.
-Difficulty walking, w/fine motor tasks, swallowing, speaking, and breathing -MS become flaccid w/progression -Bowel, bladder, mental status and sensory remain in tact. |
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What is the course/progression of ALS?
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Muscles atrophy and waste away. Scarring and hardening happens due to atrophy; thus impulses can't be sent to the MS fibers for mvmnt.
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What is the Prognosis for ALS?
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50% live 3 yrs
25% live 5+ yrs 10% live 10+ yrs |
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What are the Medical Tx?
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NO Cure!
Meds (Rilutele) slows process and allows for higher func. Meds used to minimize drooling, depression, MS spasms, pain Trach and G-tube may be places |
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What are the precautions/ contraindications?
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Resperatory infections,
Choking Affects of illness cause pain |
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What is the OT goals, Tx, AE?
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Maint ROM and strenght
Prevent contractures Preserve indep w/AE Positioning in/out of bed Tx: PROM, mild aerobic exercise AE:Orthotic for stabilization and support splint for weak-hand MS Suspened sling or mobile arm support Lite weight build up handles, long handled utensils, universal cuff, scoop dish, -Commuication board, PC to communiate -Mobility: cane to walker to w/c (plan ahead!) W/C may needs to be reclined or motorized in the future |
