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chapter 4
nervous system
168
Pathology
Undergraduate 2
06/25/2015

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Term
are bundles of individual neurons which are capable of transmitting electrical impulses from one place to another
Definition
nerves
Term
transmits info from the body to the brain and carries sensation
Definition
sensory function
Term
transmit info from the brain to the body and causes muscles to contract
Definition
motor function
Term
sensory function also known as
Definition
acending
Term
motor function also known as
Definition
decending
Term
if peripheral nerve is damaged s/s
Definition
burning, n/t, pain, muscle weakness
Term
peripheral nerve is located from
Definition
spinal cord to where ever in the body
Term
material that speeds the nerve conduction along the fiber
Definition
myelin
Term
outer covering of special cells that can help regenerate damaged tissue
Definition
neurilemma
Term
peripheral nerves run close to the _____and is ______ but some areas are considered endangerment example
Definition
bone
protected
behind the knee
Term
peripheral nerve damage has a generally good prognosis because the ____properties provided by the _____
Definition
regenerative
neurilemma
Term
neurological problems stemming in brain or spinal cord do not
Definition
regenerate
Term
major cautions for massage therapist
Definition
numbness
verbal communication
medication
Term
progressive degenerative disorder of the brain causing memory loss, personality changes, and eventually death
Definition
alzheimers disease
Term
alzheimers affects what gender the most
Definition
males
Term
alzheimers disease in a family only _____ a persons chance of getting it unless what is found
Definition
increases
specific gene marker
Term
TX of alzheimers
Definition
drugs to affect the neurotransmitter problems
drugs to affect the plaques
nsaids
antioxidants
Term
massage alzheimers?
Definition
yes
Term
als stands for
Definition
amyotrophic lateral sclerosis
Term
als also known as
Definition
Lou Gehrigs disease
Term
progressive disease which destroys motor neuron in the spinal cord, leading to atrophy of voluntary muscles
Definition
Lou Gehrigs disease
Term
s/s of ALS
Definition
stiffness
weakness
one side of their body is affected
stiffness will affect the muscles for breathing
Term
Tx of ALS
Definition
drugs to slow down progression but no cure death within 2-10 years
Term
massage ALS?
Definition
yes
Term
progressive degenerative disease of the CNS that is terminal
Definition
huntingtons disease
Term
with huntingtons disease the genetic mutation altars behavior of ________in brain causing ___ ___ and irreversible and progressive loss of ___ ___
Definition
certain neurons
cell death
brain function
Term
can you massage huntingtons
Definition
yes depending on severity
Term
damage to the peripheral nerves(sensory and motor)
Definition
peripheral neuropathy
Term
can be caused by chronic conditions like
Definition
diabetes, alcoholism, lupus, and mechanical pressure
Term
s/s of peripheral neuropathy
Definition
damage to sensory neurons cause burning pain, tingling in hands and feet damage to motor causes weakness and atrophy
Term
massage peripheral neuropathy?
Definition
case to case basis- may sooth or exacerbate symptoms
Term
is a movement disorder which can include repetitive involuntary and sometime sustained contraction of the skull to muscle
Definition
dystonia
Term
who is more likely to get dystonia
Definition
anyone can get it but females more likely
Term
s/s of dystonia
Definition
involuntary contractions
Term
tx of dystonia
Definition
medication/botox-blocks acetylcholine receptors in a affected muscle
Term
massage dystonia
Definition
yes but no long term changes
Term
shaking disorder involiving the progressive degeneration of nerve tissue and decrease in neurotransmitter production (dopamine)
Definition
parkinsons
Term
who is more likely to get parkinsons
Definition
males
Term
during parkinsons what is the basal ganglia deprived of
Definition
dopamine
Term
cause of parkinsons
Definition
no one cause
Term
primary s/s
Definition
1 resting tremor - pill rolling
2 bradykinesia - difficulty in imitating or sustaining movements
3 rigidity - flexor muscle become hypertonic
4 poor postural reflexes
Term
secondary symptoms of parkinsons
Definition
shuffling gait
changes in speech
changes in handwriting
sleep disorder
depression
mental degeneration is questionable
Term
massage parkinsons?
Definition
yes but work with doctor
Term
rhythmic, involuntary movement
Definition
tremors
Term
two types of tremors
Definition
resting and postural
Term
massage tremors?
Definition
yes but only if cleared first
Term
is a infection of the brain and spinal cord
Definition
encephalitis
Term
encephalitis is spread by what?
Definition
a infected mosquitos
Term
mild s/s of encephalitis
Definition
fever headache drowsiness, irritability
Term
severe s/s of encephalitis
Definition
drowsiness to stupor to coma, double vision, confused sensation,impaired speech or hearing,partial to full paralysis
Term
massage encephalitis
Definition
no
Term
viral infection of the nervous system causing fluid filled blisters on skin
Definition
herpes zoster-shingles
Term
s/s of shingles
Definition
pain for months,unilateral, trunk and buttocks mostly affected,
Term
massage shingles?
Definition
local contraindication
Term
inflammation fo the membrane that surrounds the brain and spinal cord
Definition
meningitis
Term
types of meningitis
Definition
bacterial - strep
viral
Term
s/s of meningitis
Definition
high fever,chills headache, stiff neck,
bacterial- long term CNS damage, mental retardation
Term
massage meningitis?
Definition
contraindication acute phase
Term
virus that destroys motor nerve cells
Definition
polio
Term
you get polio by
percentage
Definition
contaminated water
99% exposed will die
Term
massage polio?
Definition
yes
Term
progressive muscular weakness that develops anywhere from 10-40 years after the initial infection
Definition
post polio syndrome
Term
massage post polio syndrome
Definition
yes
Term
mental disorder with exaggerated irrational fear and extensive efforts to avoid or control them
Definition
anxiety disorder
Term
massage anxiety disorder?
Definition
yes with relaxation techniques, breathing exercises, and biofeedback, also with safe touch
Term
disorder resulting in difficulties with attention,movement, and impulse control
Definition
ADHD
Term
s/s of ADHD
Definition
inattentiveness, hyperactivity, and impulsivity, easily distracted, forgetting things
Term
massage with ADHD
Definition
yes
Term
group of mental disorders characterized by problems connecting with other people
Definition
autism (ASD)
Term
s/s autism
Definition
deficits in verbal and nonverbal communication, lack of social interaction, repetitive behavior or movement
Term
disorder with impairment in communication skills,poor social interactions and restricted, repetitive pattern of movement
Definition
difficulty with socializing but language skills and mental development are after normal or above normal
Term
when a child exhibits several ASD signs but doesnt meet the dx criteria for any other label
Definition
pervasive development disorder
Term
massage autism
Definition
yes unless touch is perceived harmful
Term
use of material in methods or dosages that result in damage to the user and people whom the user contacts
Definition
chemical dependency
Term
risk factors for chemical dependency
Definition
genetics
other mental illness raises the risk
environmental factors
age
medical reasons
Term
once becoming dependent on a substance, it takes ____substance to achieve the desire and to ___ can cause physical response that are daunting and contemplate
Definition
more
stop
Term
complications of chemical dependency
Definition
paranoid delusion,coma,death and bad judgment
Term
complications from alcoholism
Definition
irritating stomach, decrease force of cardia contraction-irregular heart beat,memory loss, slurred speech, slow reactions, pneumonia,decrease sex drive,
Term
massage chemical dependency
Definition
yes but be aware of secondary problems
Term
term which covers a number of mood disorders
Definition
depression
Term
depression is greater in what gender
Definition
females
Term
causes of depression
Definition
genetics, enviroment,personality traits,chronic illness, hypothyroidism, smoking alcohol, medication side effects
Term
s/s of depression
Definition
sadness, less enjoyment, sense of guilt, feeling of hopelessness, irritability,change in sleep habits,weight changes, decrease energy
Term
types of depression
Definition
major depressive disorder
bipolar disease
seasonal affective disorder
postpartum depression
Term
major depressive disorder also known as
Definition
clinical depression
Term
bipolar disease also known as
Definition
manic depression
Term
massage with depression
Definition
yes precautions of touch
Term
eating disorder caused by fasting severly restricted eating and or participating in activities to drastically reduce number of calories
Definition
anorexia nervosa
Term
eating disorder caused by normal or highter than normal caloric consumption, followed by compensatory activities to prevent the absorption of those calories
Definition
bulimia nervosa
Term
involves the consumption ofn food for reasons other than hunger
Definition
compulsive overeating
Term
causes of a eating disorder
Definition
people with high expectation of themselves, eager to please,over achievers, deprived touch, may cause physical barrier, unattractiveness
Term
massage eating disorder?
Definition
yes if stable
Term
damage or impairment of CN VII
Definition
bells palsy
Term
what nerve is CN VII
Definition
facial nerve
Term
s/s bells palsy
Definition
decrease facial expression, weakness, or paralysis of face
Term
complications of bells palsy
Definition
corneal ulcers- d/t decrease blinking
Term
massage bells palsy
Definition
yes
Term
where does the facial nerve exit the face
Definition
behind earlob and slightly opening the mouth
Term
chronic pain condition in which an initial trauma causes pain that is more severe and longer than is reasonable to expect
Definition
complex regional pain syndrome (reflex sympathetic dystrophy syndrome)rsd
Term
cause of complex regional pain syndrome
Definition
when stuck in fight or flight and not able to go through the normal cycle
Term
stage 1 of RSD
Definition
severe burning pain, muscle spasm, excessive hair and nail growth, sweaty skin
Term
stage 2 of RSD
Definition
hair stops growing, nails are brittle
Term
stage 3 of RSD
Definition
irreversible changes to affected structure,bones thin and brittle, joint immobile, muscle contracture
Term
stage 4 of RSD
Definition
pain sensation is a self sustaining phenomenon
Term
massage RSD
Definition
local ontraindication
Term
paraplegic is what body parts
Definition
waste down
Term
quadriplegic is what body parts
Definition
neck down
Term
signs and symptoms of spinal cord injury
Definition
determined by what part of spinal cord is damaged
Term
anterior aspect of cord carries
Definition
motor function
Term
posterior aspect of cord carries
Definition
sensory function
Term
lateral aspect of cord carries
Definition
pain and temperature
Term
complications of spinal cord injuries
Definition
decubitus ulcers, dvts, uti,cardiovascular disease
Term
massage spinal cord injury
Definition
yes but know complications of the person
Term
when brain undergoes oxygen deprivation
Definition
stroke
Term
stroke also known as
Definition
cva-cerebral vascular accident
Term
mini stroke with no lasting damage
Definition
TIA-transient ischemic attack
Term
risk factors of stroke that can be controlled
Definition
htn
atherosclerosis/hyperlipidemia
obesity
smoking
diabetes
overall stress
Term
risk factors of stroke not controlled
Definition
age
gender- 25% more men than women
women have more severe cvas 60% all people who die of cvas are women
race- blacks
fam hx
previous stroke
Term
massage stroke?
Definition
yes but know cardiovascular health
Term
external force: direct blow or rapid deceleration of the brain
Definition
traumatic brain injury
Term
causes of brain injury
Definition
diffuse axomal injury
anoxia brain injury
hypoxic brain injury
hemorrhage
edema
Term
massage brain injury
Definition
yes check with doc first
Term
irritation of CN V, more likely in women over 50, caused by idiopathic or mechanical pressure on it
Definition
trigeminal neuralgia
Term
s/s of trigeminal neuralgia
Definition
sharp electrical stabbing or burning on one side of face, pain can last 10-60 seconds
Term
massage trigeminal neuralgia
Definition
local contraindication
Term
the vertebral arch fails to close over the spinal cord
Definition
spinal bifida
Term
most common spina bifida where spinal cord protrudes through the vertebral arch
Definition
spina bifida myelomeningocele
Term
s/s of spinal bifida
Definition
no symptoms to paralysis
Term
massage spinal bifida
Definition
must determine sensation level of function first
Term
injury to the brain either during gestation,at birth, or early infancy
Definition
cerebral palsy
Term
types of cp
Definition
athetoid cp
spastic cp
ataxia cp
mixed cp
Term
s/s of cp
Definition
depends on the location of the brain damage, hyper/hypotonicity, decreased coordination, decreased muscle control, weakness, random movements
Term
tx of CP
Definition
no cure
Term
massage CP
Definition
yes only precaution is if they cant talk to you
Term
it is a group os s/s that involve chronic pain in muscles, tendons, ligaments and other soft tissue
Definition
fibromyalgia
Term
affects what gender
Definition
85% of females of all ages
Term
s/s of fibromyalgia
Definition
tender points
widespread pain in shifting location
stiffness after rest
low stamina
sensitive to cold
Term
3 criteria to having fibromyalgia
Definition
chronic pain for at least 3 months
11 of 18 trigger points
tender points in all quadrants of the body
Term
massage fibromyalgia
Definition
yes
Term
pain in head caused by any number of sources
Definition
headache
Term
types of headaches
Definition
tension,vascular,chemical, traction-inflammatory
Term
a headache that was triggered by mechanical stress
Definition
tension headache
Term
some triggers causing tension headache
Definition
muscle tension,whiplash,cervical vertebrae irritation, trigger points,eyestrain
Term
headache triggered by food hormonal shifs alcohol
Definition
vascular headaches
Term
migraine headaches affects what gender the most
Definition
females
Term
migraines happen when ________happens followed by _____causing pressure on vessel walls and meninges
Definition
vasoconstriction
vasodilation
Term
s/s of migraines
Definition
pain,blurred vision, flashing lights, nausea, vomiting
Term
massage headaches
Definition
yes
Term
group of signs/symptoms that center on the inner ear dysfunction, leading to vertigo, tinnitus, and hearing loss
Definition
meniere disease
Term
s/s of meniere disease
Definition
hearing loss, tinnitus, sense of fullness in ear, rotational vertigo
Term
massage meniere disease
Definition
no direct contraindication but certain things could trigger one
Term
any condition that causes seizures
Definition
seizure disorders
Term
what causes a seizure
Definition
interconnecting neurons in the brain stimulated in a certain way tremendous burst of excess electricity may stimulate the neighboring neurons
Term
massage with seizure disorder
Definition
yes only if not having one
Term
stage 1 of sleep disorders
Definition
light sleep and easily awakened
Term
stage 2 of sleep disorders
Definition
eyes stop moving,brain waves slow down
Term
stage 3 of sleep disorders
Definition
slow brain waves
Term
stage 4 of sleep disorders
Definition
body secretes hormones for new growth for children adolescents and repair and regeneration in adults
Term
lack of sleep
Definition
insomnia
Term
air passage of a sleeper is temporarily shut down depriving person of oxygen
Definition
sleep apnea
Term
constant feeling of crawling, prickling tingling sensation in the lower extremities
Definition
restless leg syndrome
Term
sleep attacks with sudden loss of muscle tone
they go l
Definition
narcolepsy
Term
massage with sleep disorders
Definition
yes
Term
problem affecting the vestibulocochlear nerve causing vertigo
Definition
yes
Term
s/s of vestibular balance disorder
Definition
vertigo,dizziness,nausea, vomiting
Term
massage vestibular balance
Definition
yes
Term
an acute inflammation and destruction of the myelin sheath of the peripheral nerve
Definition
guillain-barre syndrome
Term
massage guillain barre syndrome
Definition
yes
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