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PTAP 210 Exam 2
ped disabilites, theories, CVA, TBI
27
Other
Undergraduate 2
02/27/2019

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Term
spastic CP
Definition
increased tone, hyperreflexia, clonus, positive Babinski, abnormal posture upper & lower extremities, abnormal timing muscle activation, 75% of all CP
Term
hypotonic CP
Definition
decreased tone, excessive joint ROM, postural instability,may be precursor to spastic or athetosis
Term
dyskinetic/athetoid CP
Definition
damage to basal ganglia, mixed tone, impaired postural control, increased latency of movement, oral-motor dysfunction leading to dysphagia & dysarthria, 20% 0f all CP
Term
ataxic CP
Definition
damage to cerebellum, decreased tone, dysfunction in coordination & timing of movement, gait, postural control
Term
down syndrome
Definition
presence of extra chromosome on #21, instability atlantoaxial joint, hypotonic/joint hypermobility, congenital heart defects, intellectual disability,
Term
fetal alcohol syndrome
Definition
small stature, microcephalic, strabismus, short fingers, low set ears, hyperactive, short attention span, intellectual disability, due to little to excessive alcohol use during pregnancy
Term
muscular dystrophy
Definition
rapidly progressive muscle weakness starting in legs & pelvis, later whole body; calf & thigh muscles initially enlarge, eventually replaced by fat & connective tissue
Term
spina bifida oculta
Definition
vertebral arches unfused but no herniation or displacement of meninges
Term
spina bifida cystica meningocele
Definition
vertebral arch unfused, no herniation of meninges, part of cord or nerve may be in a sac, function mildly involved or normal
Term
myelomeningocele
Definition
most common type of spina bifida, usually in lumbosacral region, vertebral arches unfused, herniation usually present, disruption/displacement of nerve or cord
Term
thrombus
Definition
blood clot impairs blood flow, depriving brain of O2 & nutrients, leading to tissue death
Term
embolism
Definition
traveling bits of matter (blood clot or plaque) formed elsewhere are released into bloodstream & lodge in central arteries, producing occlusion or infarction
Term
hemorrhagic stroke
Definition
rupture or trauma to cerebral blood vessels, causing abnormal bleeding
Term
transient ischemic attack
Definition
temporary interruption of blood flow to the brain caused by occlusive episodes, emboli, reduced cerebral perfusion or cerebrovascular spasm; significant clinical presursor to cerebral or myocardial infarction
Term
hemiplegia
Definition
paralysis in part of the body
Term
hemiparesis
Definition
weakness in part of the body
Term
fluent aphasia
Definition
Wernicke's (receptive) aphasia
Term
non-fluent aphasia
Definition
Broca's (expressive) aphasia
Term
anterior cerebral artery occlusion
Definition
more uncommon, usually presents with lower extremity more affected than upper or face, extensive frontal lobe infarction=significant behavioral changes
Term
middle cerebral artery occlusion
Definition
most common site, internal carotid supplies lateral aspects cerebral hemispheres (frontal, temporal, parietal), may cause homonymous hemianopsia (visual field defect), Wernicke's, Broca's or global aphasia, or apraxia (disorder of voluntary learned movement)
Term
posterior cerebral artery occlusion
Definition
arises from basilar artery, supplies occipital, medial & inferior temporal lobes, upper brainstem, midbrain, posterior diencephalon, most of thalamus
Term
Upper extremity flexion synergy pattern
Definition
scapular retraction, elevation, shoulder abduction external rotation, elbow flexion, forearm supination, wrist & finger flexion
Term
upper extremity extension synergy pattern
Definition
scapular abduction, shoulder adduction, internal rotation, elbow extension, forearm pronation, wrist & finger flexion
Term
lower extremity extension synergy pattern
Definition
hip extension, adduction & internal rotation, knee extension, plantarflexion & inversion, toe flexion
Term
lower extremity flexion synergy pattern
Definition
hip flexion, abduction & external rotation, knee flexion, dorsiflexion & inversion, great toe extension, flexion toes 2-5
Term
decerebrate posture
Definition
inhibition of reticular formation & vestibular nuclei lost, high extensor tone (brainstem damage)
Term
decorticate posture
Definition
damage to corticospinal tract, high flexor tone of upper extremities
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