Term
| common perceptual and cognitive deficits |
|
Definition
| unilateral neglect/inattention, spatial relations deficit, apraxia |
|
|
Term
| general considerations for dx perceptual and cognitive deficits |
|
Definition
| extensive observation, differentiation between primary sensory deficit and pereptual deficit |
|
|
Term
| adaptation through vision: bottom of pyramid (3) |
|
Definition
| oculmotor control, visual fixation, acuity |
|
|
Term
| adaptation through vision: middle of pyramid (3) |
|
Definition
| pattern recognition, scanning, attention |
|
|
Term
| adaptation through vision: top of pyramid (2) |
|
Definition
| visuocognition, visual memory |
|
|
Term
| most common visual field deficit |
|
Definition
|
|
Term
| visual field deficits are a result of a lesion along what tract? |
|
Definition
|
|
Term
| visual field deficits: loss of sight in one eye is called... |
|
Definition
|
|
Term
| visual field deficits: unilateral field loss could be a result of... |
|
Definition
| left optic nerve compression |
|
|
Term
| visual field deficits: loss of sight in the lateral portions of both eyes |
|
Definition
|
|
Term
| visual field deficits: bitemporal hemianopia could be a result of what... |
|
Definition
| chiasmal compression from pituitary tumor |
|
|
Term
| visual field deficits: loss of vision in the lateral portion of one eye and the medial portion of the other |
|
Definition
|
|
Term
| visual field deficits: homonymous hemianopia could be a result of what |
|
Definition
| left cerebrovascular event |
|
|
Term
| homonymous hemianopsia could be confused with what? |
|
Definition
|
|
Term
| treatment for homonymous hemianopsia |
|
Definition
| client education, compensation |
|
|
Term
| unilateral neglect is also known as these 3 things |
|
Definition
| hemi-inattention, visual-spatial neglect, visual neglect |
|
|
Term
| Unilateral neglect (2 definitions) |
|
Definition
| deficit of attention. Failure to report, respond, orient, to meaningful stimuli prsented to the side opposite the brain lesion, when this failure cannot be attributed to sensory or motor defects |
|
|
Term
| Unilateral neglect may result from what |
|
Definition
| infarct to inferior parietal lobe of either hemisphere. |
|
|
Term
| most frequent junction responsible for unilateral neglect |
|
Definition
| temporoparietal-occiptal junction |
|
|
Term
| which side is more common and more severe for unilateral neglect |
|
Definition
| left neglect d/t R hemisphere damage |
|
|
Term
| Hypothesis for Unilateral Neglect: right hemisphere is dominant for what? |
|
Definition
|
|
Term
| Hypothesis for Unilateral Neglect: right hemisphere is responsbile for knowledge of and attends to... |
|
Definition
| both R/L body schema and extra personal space |
|
|
Term
| Hypothesis for Unilateral Neglect: left hemisphere is responsible for knowledge of and attends to what |
|
Definition
| R body schema and extra-personal space |
|
|
Term
|
Definition
| personal/body neglect, extra-personal neglect, motor neglect |
|
|
Term
| manifestations of personal-body neglect (6) |
|
Definition
| does not wash left side of body, does not comb left side of head/hair, does not shave left side of face, does not dress left side of body, does not use/incorporate left side into bed mobility, severe cases do not recognize the L side of their body |
|
|
Term
| manifestations of near extra personal neglect (3) |
|
Definition
| not eating food on L side of plate, unable to find items on L, unable to read |
|
|
Term
| manifestations of far extra personal neglect (3) |
|
Definition
| difficulty locating clock on wall, difficulty negotiating doorways, difficulty watching TV |
|
|
Term
| manifestations of motor neglect (3) |
|
Definition
| relatively intact movement when encouraged to use contralesional limb, no or little involvement of the contralesional limb in bimanual task, dropping/forgetting about items in L hand |
|
|
Term
| Neglect Treatment: General Concept |
|
Definition
| provide graded sensory stimulation from the neglected hemispace to the neglected side of the body |
|
|
Term
| Neglect Treatment: general concepts: example of treatment |
|
Definition
| approach from L (auditory and visual), tactile (touch pt on L), proprioceptive Wt. bear on affected side, move into neglected space, move neglected side of body into neglected space |
|
|
Term
| Neglect Treatment: specific evidence based interventions (8) |
|
Definition
| trunk rotation and scanning, limb activation and spatio-motor cueing (find the affected limb and move in neglected hemi-space), mental imagery, video feedback, FES/TENS, classical music, prism adaptation, partial visual obstruction |
|
|
Term
| Neglect Treatment: adaptations: where should phone be? |
|
Definition
|
|
Term
| Neglect Treatment: adaptation: where should w/c brake extension be? |
|
Definition
|
|
Term
| Neglect Treatment: adaptations: where should nurse call button be |
|
Definition
|
|
Term
|
Definition
| a visual field deficit and inattention |
|
|
Term
| visual spatial perception disorders are a result of what |
|
Definition
| damage to parietal lobe of R hemisphere |
|
|
Term
| presence of visual-spatial deficits associatd with what? |
|
Definition
| a significant increase in falls, and decreased performance in basic ADL and mobility |
|
|
Term
| Typical deficits with visual/spatial perception disorders (3) |
|
Definition
| depth perception (steropsis), figure-ground discrimination, interpreting spatial relationships or position in space |
|
|
Term
| difficulty percieving/understanding the relative orienation of an object in relation to the self. difficulty understanding the position of objects in relation to each other |
|
Definition
| spatial relations deficits or position in space |
|
|
Term
| Spatial relations/position in space deficits (4) |
|
Definition
| difficulty orienting clothing to body to get dressed, orienting dentures/glasses to apply, maneuvering self (w/c or amb) around obstacles, position w/c and self for safe transfer |
|
|
Term
| Tx of spatial relation/position in space deficits |
|
Definition
| ID the spatial requirements of a task, decrease spatial requirements of tasks, then gradually increase spatial requirements, use cognition and backwards chaining to reteach spatial relationships, minimal visual cues, maximize verbal cues |
|
|
Term
| deficit in execution of learned movement that cannot be accounted for by either weakness, incoordination, or sensory loss, or by incompreshension or inattention to commands |
|
Definition
|
|
Term
| apraxia may result from damage to what (3) |
|
Definition
| left inferior parietal lobe, prefrontal cortex, premotor cortex |
|
|
Term
| examples of ideational/conceptual apraxia (4) |
|
Definition
| pt no longer understand the concept of the task, breakdown in knowledge of what is to be done to complete the task, loss of the mental respresentation of what needs to be done, disturbance in the conceptual organization of the task |
|
|
Term
| Ideational/Conceptual Apraxia Manifestations (4) |
|
Definition
| inappropriate use of tools (toothbrush), does not use objects (eats with fingers), sequences task steps inaccurately (underwear over pants), decreased initations perseveration |
|
|
Term
|
Definition
|
|
Term
| what is understood in motor/ideomotor apraxia |
|
Definition
| idea and purpose of the task |
|
|
Term
| motor/ideomotor apraxia: difficulty with what? |
|
Definition
| execution phase, carrying out the required movements |
|
|
Term
| motor/ideomotor apraxia: loss of what? |
|
Definition
| access to kinesthetic memory patterns |
|
|
Term
| motor/ideomotor apraxia manifestations (3) |
|
Definition
| clumsy or awkward movements, difficulty crossing midline to complete a task (adjusting hairbrush, toothbrush), difficulty orienting upper extremity to pick up an object |
|
|
Term
| General Considerations for Ideational/Motor apraxia (2) |
|
Definition
| increased complexity of task increases erros, learning new tasks is extremely difficult (transfers, ambulation aids, hemi-dressing) |
|
|
Term
| tx of ideational/motor apraxia (4) |
|
Definition
| decrease complexity of task initially and gradually increase, use hand over hand assistance/minimal verbal instruction, practice at level of task not component parts, cognitive strategy training compensatory techniques to complete ADL |
|
|
Term
| assessment of stroke that is long, not clinic friendly. has 3 categories: motor sensory, and balance with motor used the most |
|
Definition
|
|
Term
|
Definition
|
|
Term
| this MS scale assess pyramidal signs, cerebellar signs, brainstem, sensory function, bowel and bladder, visual, and cerebral |
|
Definition
|
|
Term
| assessments for Parkinson's (2) |
|
Definition
| Hoehn and Yahr, Unified Parkinson's Disease Rating Scale |
|
|
Term
| scale for head injury (2) |
|
Definition
| glasgow coma scale, rancho los amigos scale |
|
|
Term
| assessments for stroke (2) |
|
Definition
| NIH stroke scale, fugl meyer |
|
|
Term
| general disability scales: one that reimbursement is based off of |
|
Definition
| functional independence measure |
|
|
Term
| general disability scale which can be converted into a FIM score |
|
Definition
|
|
Term
| scale for impairment: tone |
|
Definition
|
|
Term
| scale for coordination (2) |
|
Definition
| 9 hole peg, box and blocks |
|
|
Term
|
Definition
| berg balance scale, tinetti, dynamic gait index |
|
|
Term
| quality of life standard scales (2) |
|
Definition
|
|
Term
| quality of life standard scale: assessment derived from SF 36 |
|
Definition
|
|
Term
| standard scales used for other functions (4) |
|
Definition
| time walk, 25' timed walk, gait speed/distance/time, timed up and go |
|
|
Term
| good score for the 25' timed walk |
|
Definition
|
|
Term
| good score for the elderly for the timed up and go |
|
Definition
|
|
Term
| good score for the healthy in the timed up and go |
|
Definition
|
|
Term
| drugs used to control tone |
|
Definition
| baclofen(lioresal), zanaflex |
|
|
Term
| side effects of drugs used to control tone |
|
Definition
|
|
Term
| why is oral baclofen not as effective as the pump? |
|
Definition
| oral is absorbed in brain instead of SC |
|
|
Term
| common antidepressants prescribed (4) |
|
Definition
| prozac, zoloft, paxial, wellbutrin |
|
|
Term
| prozac, zoloft, paxil, and wellbutrin are what type of antidepressants |
|
Definition
|
|
Term
| most commonly prescribed antidepressant |
|
Definition
|
|
Term
| serotonin replacements have this side effect |
|
Definition
|
|
Term
| 5 (7) drugs prescribed for pain management |
|
Definition
| morphine, darvocet/darvon, demerol, dilaudid, percocet/oxycontin |
|
|
Term
| pain management: ms contin |
|
Definition
|
|
Term
| pain management: propoxyphene (2) |
|
Definition
|
|
Term
| pain management: meperidine |
|
Definition
|
|
Term
| pain management: hydromorphone |
|
Definition
|
|
Term
| pain management: oxycodone (2) |
|
Definition
|
|
Term
| anticonvulsant commonly used for trigeminal neuralgia |
|
Definition
|
|
Term
| common anticonvulsants prescribed (3) |
|
Definition
| carbmazepine (tegretol), gabapentin (neurontin), klonopin (clonazepam) |
|
|
Term
| the anticonvulsant klonopin (clonazepam) is what drug type? |
|
Definition
|
|
Term
| anticonvulsants: carbamazepine (tegretol) side effect |
|
Definition
| ptnts KTFO, turns them into zombies |
|
|
Term
| anticonvulsants: this drug helps to decrease nn pain, help with peripheral nn recovery, may be prescribed to pt's with LBP c radicular symptoms |
|
Definition
|
|
Term
|
Definition
|
|
Term
| infusion for MS, potentially best treatment for MS |
|
Definition
|
|
Term
| tysabri is an infusion for MS, and may potentially be the best treatment but can result in this side effect |
|
Definition
| develop a massive brain lesion |
|
|
Term
|
Definition
| tecfidera, gilenya, aubagio |
|
|
Term
| drug used for MS flare ups |
|
Definition
| methylpredisolone IV steroid |
|
|
Term
| 3 other drugs used in tx of MS |
|
Definition
| baclofen, zanaflex, ampyra |
|
|
Term
| MS drug: dalfampradine brand name |
|
Definition
|
|
Term
|
Definition
| K+ channel blocker in axon, enhances AP propogation |
|
|
Term
| MS drug known as the walking drug |
|
Definition
|
|
Term
| Parkinson's drug for dopamine deficiency |
|
Definition
|
|
Term
| Parkinson's drug which is added if Levodopa is not enough |
|
Definition
|
|
Term
| Drug for parkinson's which was orignally an antiviral drug |
|
Definition
|
|
Term
| If Parkinson's pt can not tolerate side effect (excessive movement) or drugs no longer work, what is the final option |
|
Definition
|
|
Term
| Myasthenia gravis is a result of what |
|
Definition
| problem in neuromuscular junction |
|
|
Term
|
Definition
|
|
Term
| myasthenia gravis is trated with neostigmine, what is the action of this drug |
|
Definition
| neostigmine prevents AcHase from working, allowing AcH in NM junciton to continue working |
|
|
Term
|
Definition
|
|
Term
| commonly recommended treatments for tone management (3) |
|
Definition
| baclofen, zanaflex, botox |
|
|
Term
| what is the pitfall of using botox for tone management |
|
Definition
| weakens the muscle even more |
|
|
Term
| how is sensory information carried to higher centers generally? |
|
Definition
|
|
Term
| how is sensory information carried to higher centers specifically (2)? |
|
Definition
| medial lemniscal system, anterolateral spinalthalamic tract |
|
|
Term
| what sensation is carried on teh dorsal column medial lemniscal system (3) |
|
Definition
| touch, proprioception, kinesthesia |
|
|
Term
| how to test if the dorsal column medial lemsniscal system is intact |
|
Definition
| localization, proprioception, kinesthesia |
|
|
Term
| What sensation is carried on the anterolateral spinalthalamic tract (3) |
|
Definition
| pain and temp, light touch |
|
|
Term
| What does the spinocerebellar tract carry and how do we tests the integrity of this tract? |
|
Definition
| fine coordination of posture and kinesthetic sense of limbs |
|
|
Term
| many ptnt's with perceptual deficits have a lesion where |
|
Definition
|
|
Term
| frontal lobe is involved in what processes (3) |
|
Definition
| planning, abstract reasoning, and foresight |
|
|
Term
| frontal lobe contains what cortices |
|
Definition
| premotor, supplemental motor, and primary motor cortices |
|
|
Term
| patient's with a frontal lobe lesion will include (11) |
|
Definition
| problems in starting (appearing lazy), problems in stopping (impulsive, habitual, continually forgets to lock w/c), difficulties in making metal or behavioral shifts (appears inflexible), lack of selfawareness (doesn't recognize errors), concrete thinking problems (lacks insight, takes everything at face value), memory loss (short term or immediate recall), lack of attention, distractability, dipolopia, homonymous hemianopsia, aphasia |
|
|
Term
| basic awareness of stimuli such as touch, pain, identificaiton of body parts |
|
Definition
|
|
Term
| ability to organize, process, and interpret incoming visual, tactile-kinesthetic, or both in order to act appropriately based on teh information recieved |
|
Definition
|
|
Term
| lesions affecting perception are most often seen where? |
|
Definition
|
|
Term
| describe figure ground deficit |
|
Definition
| white shirt on unmade med, spoon in crowded drawer, ptnt can't differentiate |
|
|
Term
| describe depth perception deficit |
|
Definition
| ptnt can't tell relative distance between objects or surfaces (stairs, curbs) |
|
|
Term
| describe spatial relations deficit |
|
Definition
| problems with spatial orientation of objects, navigates thru doorway c WC and may strike door |
|
|
Term
| describe position in space deficit |
|
Definition
| can't understand in/out, up/down, front/back |
|
|
Term
| describe topographical disorientation |
|
Definition
| inability to understand and remember relationships of places to one another, directions |
|
|
Term
|
Definition
| lack of awareness of body structure and recognize own body parts, right-left discrimination |
|
|
Term
| describe visual and tactile agnosia |
|
Definition
| inability to recognize objects, visually or c touch |
|
|
Term
| describe dressing, ideomotor, and ideational apraxia |
|
Definition
| inability to carry out purposeful movement on command and mroe seriously cant perform sequenced motor tasks, problems in planning movement and initiating |
|
|
Term
| Patient's with unilateral neglect present with this difficulty during ambulation |
|
Definition
|
|
Term
| how is pusher's syndrome treated |
|
Definition
| bombard intact side of body with other types of sensory information |
|
|
Term
| a lesion of the left hemisphere may result in these (5) clinical problems |
|
Definition
| aphasia, ideomotor and ideational apraxias, number alexia, right-left discrimination, slow in organizaiton and perforamnce |
|
|
Term
| Left Hemisphere Lesion: aphasia clinical example |
|
Definition
|
|
Term
| Left Hemisphere Lesion: ideomotor and ideational apraxias clinical example |
|
Definition
| can not plan and execute serial steps in performances |
|
|
Term
| Left Hemisphere Lesion: number alexia clinical example |
|
Definition
| can not recognize symbols to do simple computations |
|
|
Term
| Left Hemisphere Lesion: slow in organizaiton and performance clinical example |
|
Definition
| can not remember what they intended to do next |
|
|
Term
| Right hemisphere clinical problems (9) |
|
Definition
| visuospatial, left unilateral neglect, body image, dressing apraxia, constructional apraxia, illusions of shortening of time, number concepts/spatial types, rapid organization and perforamnce, depth of language skills |
|
|
Term
| Right Hemisphere Lesion: visuospatial clinical example |
|
Definition
| can not orient self to changes in environment in moving from plae to place |
|
|
Term
| Right Hemisphere Lesion: left unilateral neglect clinical example |
|
Definition
| unaware of objects to the left and of self, propels w/c into them |
|
|
Term
| Right Hemisphere Lesion: body image clinical example |
|
Definition
| distorted awareness and impression of self |
|
|
Term
| Right Hemisphere Lesion: dressing apraxia clinical example |
|
Definition
| applies sweater to R but unable to do L side application |
|
|
Term
| Right Hemisphere Lesion: constructional apraxia clinical example |
|
Definition
| can't transpose 2-D into 3-D |
|
|
Term
| Right Hemisphere Lesion: illusions of shortening of time clinical example |
|
Definition
|
|
Term
| Right Hemisphere Lesion: number concepts/spatial type clinical example |
|
Definition
| unable to align columns and rows of digits |
|
|
Term
| Right Hemisphere Lesion: rapid organizaiton and performance clinical example |
|
Definition
| errors from haste, may cause accidents |
|
|
Term
| Right Hemisphere Lesion: depth of language skills clinical example |
|
Definition
| may mention task related to prestroke occupation but can not go into details of it |
|
|
Term
| lesion in pusher's syndrome is thought to be where |
|
Definition
|
|
Term
| right cva is more likely to have what deficits |
|
Definition
| sensory deficits but decent motor |
|
|
Term
| left cva is mroe likely to have what deficits |
|
Definition
| motor loss but have decent sensory |
|
|
Term
|
Definition
| head forward, hips and knees bent, walking on the balls of feet, anterior weight shift |
|
|
Term
| the human anatomy is designed to do what |
|
Definition
|
|
Term
| which is the larger muscle group: front of shoulder or back of shoulder? |
|
Definition
|
|
Term
| which is the larger muscle group: inside of thighs (adductors) or outside of thighs (gluteus medius) |
|
Definition
|
|
Term
| which is the larger muscle group: hamstrings or quards |
|
Definition
|
|
Term
| muscular imbalane with neurologic disease, what happens in terms of atrophy |
|
Definition
| smaller muscles atrophy sooner than larger muscles |
|
|
Term
| muscular imbalance with neurologic disease: what happens to the shoudlers |
|
Definition
| internally rotate and adduct |
|
|
Term
| muscular imbalance with neurologic disease: what happens to the trunk |
|
Definition
|
|
Term
| muscular imbalance with neurologic disease: why do the knees flex |
|
Definition
| hamstrings trigger knee flexion |
|
|
Term
| muscular imbalance with neurologic disease: the hamstrings trigger knee flexion which results in what? |
|
Definition
| weight shift forward on the balls of the feet |
|
|
Term
| muscular imbalance with neurologic disease: what happens to the hip adductors |
|
Definition
|
|
Term
| muscular imbalance with neurologic disease: what happens to the hip abductors |
|
Definition
|
|
Term
| Parkinson's Posture: forward weight shift causes what to happen to the gastroc |
|
Definition
| eccentric firing of the plantar flexor |
|
|
Term
| Parkinson's Posture: forward weight shift causes eccentric firing of the gastroc resulting in what |
|
Definition
| decreases ability to clear the foot and reduces the step length |
|
|
Term
| Parkinson's Posture: what happens as a result of the hips and knees being bent (hamstrings and iliopsoas) |
|
Definition
| increases the amount of energy needed to move |
|
|
Term
| Parkinson's Posture: what happens to chin? |
|
Definition
| comes forward to achieve horizontal gaze |
|
|
Term
| Parkinson's Posture: what happens to stance |
|
Definition
| narrows (scissoring and cross over) |
|
|
Term
| Parkinson's Posture: shoulder become internally rotated and adducted which does what? |
|
Definition
| reduces ability to swing arms |
|
|
Term
| the ability to maintain our center of gravity over our BoS |
|
Definition
|
|
Term
| occurs when the center of gravity is outside the BoS |
|
Definition
|
|
Term
| Parkinson's Posture: how does this posture effect balance |
|
Definition
| smaller BoS (shorter steps narrower steps), CoG forward (flexed posture brings weight forward), increases chance of falling |
|
|
Term
| #1 referral for parkinson's |
|
Definition
|
|
Term
| the real problem for a parkinson's patient with gait and balance issues is what |
|
Definition
| activating appropriate movement for gait and balance |
|
|
Term
| gait deviations for a parkinson's patient (5) |
|
Definition
| small steps, shuffling, freezing, can't stop, can't turn |
|
|
Term
| clinial hallmarks of parkinson's that contribute to gait deviation (6) |
|
Definition
| akinesia, bradykinesia, set shifting (difficulty switching between coordination patterns), rigidity (arms, legs, trunk), postural instability, pathologic tremor |
|
|
Term
| it has been proposed that this structure is implicated in two main roles in the control of movements primarily through their interaction with the supplementary motor area |
|
Definition
|
|
Term
| it has been proposed that the basal ganglia are implicated in two main roles in the control of movements primarily through their interaction with what |
|
Definition
|
|
Term
| Role 1 of the basal ganglia in the control of movement |
|
Definition
| internal cue or trigger to enable well learned movement sequences to be carried out without attention and carried out automatically |
|
|
Term
| Role 2 of the basal ganglia in the control of movments |
|
Definition
| contribution to cortical 'motor set'. Basal ganglia aid in preparation and maintenance of motor plans in a state of readiness for action, enabling motor functions to be carried out functionally and appropriately |
|
|
Term
| why is teh basal ganglia implicated in the stride length deficiency evident in Parkinson's disease |
|
Definition
| deficiencies are more likely related to a disorder of the motor set |
|
|
Term
| PT Evaluation of Parkinson's pt should include (5) |
|
Definition
| posture and aligmnment, functional mobility, gait, stairs inclines curbs uneven surface, impairments |
|
|
Term
| Functional mobility includes |
|
Definition
| bed mobility, sit to stand, static and dynamic standing, bathroom hygiene. is it safe and independent? |
|
|
Term
| analysis of gait should include what |
|
Definition
| gait in home and community. how they move; initiation of gait, turning, step and stride length |
|
|
Term
| impairments to be assessed for parkinson's ptnt |
|
Definition
| mm imbalances, joint limitations, strength, recpriocal movements, pain |
|
|
Term
| where would pain most likely be located for a parkinson's pt |
|
Definition
|
|
Term
| PT Tx for Parkinson's: Tx of functional limitations |
|
Definition
| functional training, gait training for home mobility, training for daily activities |
|
|
Term
| PT Tx for Parkinson's: tx for community participation |
|
Definition
| gait training (speed, head scanning, uneven surface), curbs, inclines |
|
|
Term
| PT Tx for Parkinson's: exercises should be for what? |
|
Definition
| stretching and strengthening all muscles, relaxation and deep breathing exercises, mobility (BIG) |
|
|
Term
| PT Tx for Parkinson's: what is BIG in reference too? |
|
Definition
| the patient's movements are exaggerated so that when they go into public the movements become normalized |
|
|
Term
| PT evidence for rehabilitation of Parkinson's |
|
Definition
| improves performance in ADL's, enhances walking (gait speed, stride length) |
|
|
Term
| PT Tx for Parkinson's: task specific training improved what? |
|
Definition
| postural control and balance |
|
|
Term
| importance of task specific training in Parkinson's disease |
|
Definition
| task does not transfer over to similar tasks |
|
|
Term
| in parkinson's pt task sepcific training does not transfer over to similar tasks therefore... |
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Definition
| tasks should be desgined to specific funcitonal limitations in teh home enivornment |
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Term
| take home message for pt's with parkinsons and task specific training |
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Definition
| imperative to ID tasks that challenge each individual and train to that task |
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Term
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Definition
| multiple repetitions, intensity, complexity of movement |
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Term
| What symptoms are impacted when treating with BIG? |
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Definition
| hypokinesia and bradykinesia |
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Term
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Definition
| 4x/week for 4 weeks. 1 hour sessions. Include stretching, strengthening, and functional tasks. Emphasis initially on amplitude of movement |
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Term
| Exercise for posture alignment, CoG and balance for parkinson's. general idea |
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Definition
| use lower level posture to impact proximal muscles |
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Term
| exercise for posture alignment, CoG, and balance for parkinson's pt use lower level postures to impact proximal muscles. What positions? |
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Definition
| prone on elbows (arm reach), quadruped (unilateral extremity lift to bird dogs, BIG), tall kneel (ball lifts, ball toss, BIG), half knee (same as tall kneel), standing activities |
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Term
| what types of cues are useful for gait in parkinson's pts |
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Definition
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Term
| Static and dynamic visual cues are able to improve what aspects of gait pattern for individual's with Parkinson's disase |
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Definition
| hypokentic spatiotemporal |
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Term
| why should a parkinson's pt use visual cues in movement? |
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Definition
| to regulate movement amplitude reducing their reliance on kinesthetic feedback |
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Term
| long term management of parkinson's includes what |
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Definition
| emphasis on maintaining mobility, muscle activation in as normal a movement pattern as possible |
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