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13 Cards in this Set
- Front
- Back
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MS
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results in hardened or sclerotic plaques that are the scar tissue resulting from autoimmune attacks on the central nervous system (e.g. axons and myelin covering) and that affect the brain and spinal cord
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Treatment for MS
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Fatigue and Energy conservation; weakness and exercise programs; cognition and compensatory techniques; pain management; spasticity management; tremor and ataxia management; dysphagia; adjustment to MS; equipment, behavior, and environmental modifications; employment modifications
adaptations- scoop plate, weighted utensil core stabilization, limit motion/joints, get rid of distractions while eating |
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Parkinson's
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results in loss of dopaminergic neurons of the substantia nigra, which provides input to the corpus striatum and modulates the thalamus and its connections to the motor cortex
typically defined by three signs- tremor rigidity bradykinesia |
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Parkinson's treatment
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similar to MS
Flare-up plan affected by stage of the disease |
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ALS
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Late onset fatal neurodegenerative disease of upper motor neurons and lower motor neurons
voluntary muscle control is affected and early manifestations indicating UMN or LMN disease vary with the site of the initial disease process |
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ALS treatment
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MAINTAIN
special treatment considerations- exercise, equipment, assistive tech, dysphagia management Appropriate to THEIR level |
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Guillain-Barre
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An inflammatory disease resulting in axonal demyelination of peripheral nerves
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Gillain-Barre Treatment
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Plateau phase: provide temporary modifications, modify telephone for hands-free access, modify lying and sitting positions for optimal function and comfort
Recovery Phase: train in modified self-care techniques and adapting other daily activities, adapt modes of communication according to client's priorities, modify and encourage engagement in routine activites as appropriate, adapt equipment and modify behavior in home, leisure, and work activities, instruct in energy-conservation and fatigue-management strategies, modify employment roles tasks and environments as appropriate |
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Functional Levels at C4
C5 C6 C7 C8 |
4Scapular elevation, diaphragm (phrenic nerve)
5Elbow flexors (biceps), deltoids 6Radial wrist ext.(ECR), scapular protractors 7Elbow extensors (triceps), wrist flexors 8Finger flexors (FDP) |
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Patients with C5 Tetraplegia
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Deltoids/biceps weak; mobile arm support; universal cuff grasp
Lack of trunk control; dependent with ADL’s |
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Patients with C6 Tetraplegia
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Wrist extension ECR; tenodesis grasp
More complete UE strength; rolling for function with addition of pectoralis |
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Patients with C7 Tetraplegia
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Triceps active; tenodesis grasp
Reach over head and able to push manual W/C |
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Patients with C8 Tetraplegia
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Extrinsic hand muscles; finger/thumb flexors; intrinsic minus claw grasp
Hand function means everything to function and independence! |
