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29 Cards in this Set
- Front
- Back
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What does increase tone help? (2) |
• Weight bearing (transfers, standing, gait)• Joint protection (shoulder subluxation 2° flaccidity) |
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Give the range of muscle tone |
Flaccidy->hypotonia->Normal->Spasticity->Rigidity |
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Give spacitic posturing in Upper motor neuron syndrom n LE (pelvis, hip, knee, foot, ankle, toes trunk, neck) |
Pelvis- retraction (hike)Hip - add, IR, exKnee- exFoot and ankle - PF, Inv, Equinovarus,Toes - Clawed (MP Ex, PIP flex, DIP ext), curled (PIP, DIP flex)Trunk- Lat Rot, concave rotationNeck - flexion |
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Describe the sitting posture of those with UE motor neurone syndrome |
Hip and Knee- flexion, sacral sittingExcess neck flexion, forward head |
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If you see right hemiplegia, what other impairment could you expect? |
Language difficulty (aphasia) |
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What does increase tone hinder (4) |
• Decreased ROM• Discomfort/pain• isolated movement and can affect function• Decreased QOL‐ peer interaction/social isolation |
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What does increase tone help? (2) |
• Weight bearing (transfers, standing, gait)• Joint protection (shoulder subluxation 2° flaccidity) |
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which muscles are affected with scapular spasticity? (1) |
Rhomboids |
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which muscles are affected with shoulder spasticity? (3) |
pec major,lat dorsi, subscap. |
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which muscles are affected with elbow spasticity? (3) |
BicepsBrachialisbrachiorad |
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which muscles are affected with forearm spasticity? (2) |
pronator terespronator quadratus |
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which muscles are affected with wrist spasticity? (1) |
f. carpi radialis |
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which muscles are affected with hand spasticity? (4) |
F. Dig profundus/superficialisAdd. pollicus bravesF pollicus brevis |
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Give UE components for flexion synergy |
Scapular retraction/elevation or hyper exshoulder abduction, ex rot.Elbow flexionForearm supinationwrist and finger flexion |
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What is the dominate movement in UE flexion synergy? |
elbow flexion |
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Give the components of extension synergy of UE |
Scapular protraction Shoulder add + IR Elbow exForearm pronation wrist and finger flexion |
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Which are the dominant movements in extension synergy of the UE? |
elbow flexion forearm pronation |
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give the flexion synergy of the LE |
Hip flex, abd and Ex Rot Knee flexion Ankle DF + inversion Toe DF |
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Give the extension synergy of the LE |
Hip ex, add + IR Knee Ex Ankle PF +Inversion Toe PF |
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Which is the dominant LE flexion synergy |
Hip flexion |
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Which are the dominant LE extension synergy movements(3) |
hip add knee ex ankle PF |
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Define association reactions |
Unintentional movements which accompany, but are not necessary for, voluntary movement– Stimulated by effortful voluntary movement in any part of the body OR activities such as sneezing, yawning, or coughing |
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When would you use Chedoke-McMaster over MMT? |
when pt cannot isolate movements |
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Give the progression of movements assumed by Brunnstrom stage of recovery (3) |
• Automatic movement ‐>• Volitional, patterned movement ‐> • Volitional, Isolated movement |
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Give the chedoke-McMaster scoring system (1-7) |
1-Flaccid, no reflexes, no active movement facilitated 2-Spasticity, no volitional movement, facilitated movement in synergistic patterns 3-Spasticity, volitional movement in synergistic, obligatory patterns (UE Flexion, LE extension)4-Spasticity, able to perform reverse synergistic patterns before going into dominant synergy5-Spasticity, able to perform reverse synergistic patterns after going into dominant synergy 6-Faulty coordination, timing of rapid or complete movements 7-Coordinated timing, strength of isolated movements |
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At what stage do pts move out of synergies |
Stage 5 |
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Give the general scoring principles of the Che-Mc (2) |
– If 2 items in the stage are performed correctly, then can move on to next stage– If 2 items in stage NOT performed, then move down |
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What must you bear in mind with shoulder ROM |
The shoulder should not be passively moved beyond 90 degrees of flexion and abduction unless the scapula is upwardly rotated and the humerus is laterally rotated |
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Give the ICC and concurrent validity o Cherokee-McMaster |
ICC 0.94-0.99CV with Fugl-Meyer =0.95. With Disability inventory of Adult =0.79 |
