Term
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Definition
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Term
| Results from hyperextension injuries and presenting as more UE deficits vs. LE deficits |
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Definition
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Term
| Injury at L1, results in lower motor neuron lesion; flaccid paralysis, no spinal reflex syndrome |
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Definition
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Term
Ipsilateral spastic paralysis (Lateral Corticospinal)
ipsilateral loss of proprioception and discriminative touch (Dorsal Columns)
Contralateral loss of pain and thermal sense (Lateral Spinothalamic tract) |
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Definition
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Term
Injury to sacral cord and lumbar roots
Lower extremity sensory and motor loss
Reflexive bowel and bladder |
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Definition
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Term
Bilateral loss of motor function, pain and temperature below lesion
Often caused by flexion injuries |
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Definition
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Term
| ____ Motor Neuron lesions are caused by transection of corticospinal tract or destruction of the cortical cells of origin and result in _____ paresis/paralysis with this pyramidal sign _______ . |
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Definition
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Term
| _____ Motor Neuron Lesions are caused by damage to the motor neurons and result in _______ paresis/paralysis. |
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Definition
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Term
| Voluntary muscle control is affected. Can present initially as an UMN or LMN disease however both symptoms will develop as disease manifests.. |
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Definition
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Term
| Eye function, bowel and bladder control and sensation are spared. Cognition rarely affected. |
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Definition
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Term
This pathology usually appears 1-4 months post SCI injury. Symptoms are a warm, swollen extremity, fever and ROM limitations. |
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Definition
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Term
Individuals with injuries ___ or above may develop dangerously high blood pressure (>20mm Hg) in response to a noxious stimulus |
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Definition
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Term
| After stopping the activity and taking the patient's blood pressure the therapist should elevate or lower the pt's head if they are experiencing autonomic dysreflexia? |
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Definition
| Elevate the head. Avoid excessive bp to the breain |
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Term
| An OT can help prevent DVT by observing what in the pt's lower extremities: |
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Definition
| asymmetry in COLOR, SIZE, TEMPERATURE |
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Term
| What muscles are intact at a C5 level of injury? |
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Definition
| Deltoids, biceps (weak), supinators |
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Term
| When a pt with C5 injury regains bicep and deltoid strength of ____/____ they may discontinue the mobile arm supports. |
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Definition
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Term
| A patient with C5 tetraplegia requires devices to grasp and hold objects because their ____ and ___ are paralyzed. |
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Definition
| Wrist and hands are paralyzed. Orthotic stabilized wrist and U-cuff attached to palm. |
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Term
C5 selfcare activities
Assistance level for UE dressing:_____
Assistance for LE dressing:____ |
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Definition
Min-Mod
Dependent (lack trunk control) |
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Term
| This muscle group is innervated for a pt's with C6 SCI allowing for tenodesis grasp. |
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Definition
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Term
| True or false: C6 SCI has no bed mobility |
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Definition
| False: C6 SCI can roll in bed and their arms can cross midline more forcefully w/ the addition of the clavicular pectoralis |
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Term
| What muscle group functions for a C7 SCI? What are 3 things this functionally enables? |
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Definition
| Triceps; 1) Reaching overhead, 2) easier transfers, 3) push a manual wheelchair |
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Term
| A pt with C8 SCI has improved hand function however dexterity and strength are limited because ___ and ___ muscles are not innervated. |
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Definition
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Term
| C8 uses this prehensile pattern to grasp objects: |
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Definition
| Intrinsic minus/claw hand |
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Term
SCI Levels and Leisure Abilities:
Independently plays computer games
Uses an orthotic to turn pages, play board games and do some crafts. |
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Definition
C5: Able to flex, abduct, extend shoulders, Flex and supinate Elbow, Adduct/abduct Scapula
No elbow extension; wrist and hand paralysis |
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Term
Used tenodesis grasp to hold a phone, typing stick or a pen.
Can play some wheelchair sports.
Independently uses computer with a tenodesis grasp or U-Cuff to hold typing stick. |
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Definition
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Term
Uses mouth stick, head pointer or voice activation to access Internet or read.
Paints using mouthstick or head pointer |
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Definition
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Term
| Goal Setting for ALS in the early stages: |
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Definition
Optimize strength and ROM using HEP
Maintain ADL and IADL function through assistive/adaptive devices
Use of orthotics to manage PAIN and Fatigue in extremities
Joint Protection, energy conservation, work simplification |
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Term
| Goals setting later stages of ALS: |
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Definition
| Enable caregiver to assist the client safely and effectively. |
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Term
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Definition
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Term
| What stage of ALS does this describe: wheelchair-confined, almost independent, severe leg weakness? |
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Definition
Stage IV
Activities to maintain motor function include PROM and modest exercise in uninvolved muscles. |
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Term
| Hoehn and Yahr identified ___ Stages to Parkinson's Disease. |
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Definition
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Term
| At what stage is OT most often required during the course of Parkinson's Disease? |
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Definition
| Intermediate to later stages, Stages 3 to 5. |
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Term
| True or False: Rigidity is a common diagnostic feature of PD? |
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Definition
| False: Rigidity is not a diagnostic feature because it tend to occur at a more advanced stage |
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Term
| During the middle to later stages of PD what cognitive functions are most affected? (5) |
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Definition
Motor Planning
Abstract reasoning,
Concentration
Organizing
Sequencing |
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Term
| Identify the Stage of PD: Bilateral symptoms, Balance OK, Mild problems with trunk mobility and postural reflexes |
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Definition
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Term
| Identify the stage of PD: Postural instability worsening yet able to walk, Functional disabilities interfere with ADLs, Decreased manipulation and dexterity |
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Definition
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Term
| Loss of anal sphincter control, Sensory loss resulting in a lack of awareness of feces in bowels, Decreased or lost ability to self-initiate or control bowel movements |
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Definition
| Neurogenic Bowel (injuries about T6) |
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Term
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Definition
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Term
| What orthotic would you use post surgical release of a patient with Dupuytren's Disease? |
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Definition
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Term
| What purposeful and occupation-based tasks would be appropriate for a patient post Dupytren's release? |
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Definition
| Flexion (gripping) and Extension (release) |
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Term
| Protocol for Gamekeeper's Thumb: When can AROM and pinch strengthening begin when pt requires conservative tx? |
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Definition
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Term
| Post-op Protocol for Gamekeeper's Thumb: PROM can begin at ___ weeks and strengthening at ____ weeks. |
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Definition
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Term
| Post fracture, typically, when can a patient progress from AROM -> PROM? |
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Definition
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Term
| Protocol for which type of fracture often begins with PROM or AAROM v AROM? |
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Definition
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Term
| Flexor tendon protocols: ____ Protocol, passive flexion using rubber band traction and active extension to the hood of the splint |
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Definition
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Term
| Flexor tendon protocol using passive flexion adn extension of digit |
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Definition
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Term
| An injury to extensor tendon in Zone I and II presents as____. An extension orthotic should be used for up to _____ weeks |
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Definition
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Term
| Extensor injury to Zone III and IV presents as_____. The _____ IP joint is placed in extension for _______ weeks. AROM to DPC begins between _ -_ weeks. |
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Definition
| Boutonniere's; Proximal IP joint, 4 weeks. AROM begins 4-6 weeks |
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Term
| Extensor injuries in Zones V, VI and VII require a volar wrist splint with wrist in |
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Definition
| 20-30 degs ext; MCP 0-10 flx; IPs full extn (intrinsic plus) |
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Term
Zone V, VI, VII extensor tendon injury: when can patient begin MCP active flexion and extension? |
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Definition
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Term
| Zone V, VI, VII extensor tendon injury: when can patient begin active wrist ROM? |
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Definition
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Term
| Presentation: Weakness/paralysis of extensors to the wrist, MCPs, thumb; wrist drop |
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Definition
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Term
Presentation:
Clawing of index and middle finger
Ape hand (flattening of thenar eminence)-
Lumbricals I & II lost (no MCP flexion of digits II & III)
Abductor, opponens, and flexor pollicis brevis lost |
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Definition
| Low Median nerve laceration (at wrist) |
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Term
| Dorsal protect splint with wrist positioned in 30 degrees flexion (Elbow at 90 degrees flexion if high lesion) |
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Definition
| Orthotic positioning for Medial nerve laceration |
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Term
| Benediction sign: Loss of FDP to II/III digit; FPL flexion to DIP of I-III fingers; FCR, unable to flex radial aspect of wrist |
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Definition
| Upper Median Nerve Lesion |
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Term
| Post op for a median nerve injury; when should A/PROM of digits begin? |
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Definition
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Term
| Post op for a median nerve injury, when should wrist and or elbow AROM begin? |
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Definition
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Term
| Splinting for a median nerve laceration the therapist should consider including a C-Bar to prevent _______. |
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Definition
| Thumb abduction contracture |
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Term
| Sensory re-education should commence for nerve lacerations when the patient presents with diminished ____. |
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Definition
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Term
Presentation:
4th and 5th MCP joints hyperextended. Flexed at IPs (FDP intact)
Thumb flexed and abducted (FPB and AP lost)
Abd, Opposition and Flexion of V digit, Sensory loss ulnar 1/2 of 5th digit on palmar and dorsal surface |
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Definition
Low Ulnar Nerve Laceration |
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Term
Name the injury: Unable to flex tip of index and middle fingers and thumb (FDP,FPL lost), unable to radially deviate wrist (FCR lost) |
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Definition
| High Median Nerve Laceration at or proximal to the elbow |
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Term
| Clawing is more prominent in and UPPER or LOWER ulnar nerve laceration because which muscle is unaffected? |
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Definition
| Lower; Flexor Digitorum Profundus |
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Term
| True or False: Lower Ulnar nerve lesion experiences sensory loss |
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Definition
| False: Dorsal cutaneous branch is spared |
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Term
| + Froment's sign indicates |
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Definition
| Ulnar Nerve Lesion: Paralysis of adductor pollicis |
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Term
| What are the functional losses of a median nerve laceration? |
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Definition
| Loss of power grip, Sensory loss along digits I-IV, and decreased pinch strength (loss of thumb opposition) |
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Term
| A Radial nerve laceration at the forearm results in loss of (3) |
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Definition
Wrist extension (ECU)
MCP extension (EDC, EI, EDM)
Thumb extension (EPB/L, APL) |
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Term
| High lesion of Radial nerve results in motor loss of (2) |
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Definition
Brachioradialis
Triceps (at axilla) |
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Term
| A patient with radial nerve palsy would have difficulty with |
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Definition
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Term
Wrist drop often presents with |
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Definition
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Term
| T/F: AROM should be avoided especially in the inflammatory stage of RA |
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Definition
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Term
| How should grip strength be assessed for a patient with RA? |
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Definition
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Term
| What type of orthotic is recommended for a patient to wear during the acute stage of RA? |
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Definition
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Term
| When are Hot packs contraindicated for a patient with RA? |
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Definition
| During inflammatory stage |
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Term
| What activity should be avoided for a patient with rotator cuff tendonitis? |
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Definition
| Above shoulder level activities |
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Term
| : What type of ROM is used for a pt post-op for rotator cuff tear? |
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Definition
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Term
| Clawing of the index and middle fingers is typical of: |
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Definition
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Term
| Loss of FCU and FDP IV & V resulting in flexion towards ulnar wrist and flexion of DIPs of ring and little finger is typical of: |
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Definition
| High ulnar nerve lesion, wrist or above. |
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Term
| Claw hand, flattened metacarpal arch and + Froment's sign are typical of: |
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Definition
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Term
| The ring finger and pinky "claw" with a _____ Median nerve injury and the index and middle fingers "claw" with a _____ Median nerve injury. |
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Definition
High= pinky and ring; Benediction sign
Low= index and middle |
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Term
| Functional loss for Ulnar Nerve Laceration (loss of interossei and thumb) |
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Definition
Loss of Power Grip
Decreased Pinch Strength |
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Term
| Functional loss of Median Nerve Laceration* (loss of II and III lumbricals and thumb opposition/abduction) |
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Definition
Loss of thumb opposition
Decreased Pinch strength |
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Term
| What's the difference between the Kleinert and Duran Protocols? |
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Definition
Kleinart: Active flexion, Passive extension
Duran: Passive flexion Passive extension |
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Term
| Extensor Zone V, VI, VII: Shorten orthotic to allow flexion and extension of IP joints |
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Definition
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Term
| Zone V, IV and VII: When can a patient remove splint to begin MCP active flexion and extension? |
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Definition
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