-
asia scale, what to test for C5
elbow flexors
-
asia scale, what to test for C6
wrist extensors
-
asia scale, what to test for C7
elbow extensor
-
asia scale, what to test for C8
finger flexion
-
asia scale, what to test for T1
finger abd (pinky)
-
asia scale, what to test for L2
hip flex
-
asia scale, what to test for L3
knee ext
-
asia scale, what to test for L4
DF
-
asia scale, what to test for L5
hallux ext
-
asia scale, what to test for S1
PF
-
cerebral palsy basic def
- nonprogressive disorders
- 2/2 damage to CNS
- characterized by voluntary movement impairments
- exp common in premies
-
4 major causes of cerebral palsy
- hemorrhage below lining of ventricles
- hypoxic encephalophaty
- malformations
- trauma to CNS
-
describe spastic CP
- most common type of CP
- UMN problems --> spasticity --> hemi, para, or tetraplegia
- affected limbs have increased DTRs and muscle tone
- abnormal postures and movements with mass patterns of flex or ext
- weakness
- contractures
-
common gait deviations in spastic CP
-
athetoid CP results from __ involvement
basal gangli
-
athetoid CP presentation
- slow, writhing, invol movements in extremeties
- decreased muscle tone,
- poor functional stability in prox joints
- poor visual tracking
- speech delay
- oral-motor problems
- ATNR, STNR, tonic labyrinthine may persist
-
ataxic CP results from __ involvement
cerebellar
-
presentation of ataxic CP
- weakness
- poor coordination
- intention tremor
- unsteady
- WBOS
- difficulty with rapid or fine mvmnt
this is uncommon
-
what do you need to know about necks in Down's?
avoid forceful flexion and rotation bc of atlantoaxial ligamentous instability ... could sublux, could get SCI
-
Duchenne's Muscular Dystrophy - basic description
- genetic disease
- affects males
- destroys muscle cells
-
DMD presents how?
- prox to distal weakness
- boys 3-7 y/o
-
DMD gait issues
- waddling gait pattern
- toe walking
- lordosis
- falls
- Gower's sign
- problem w stairs due to weak gluts and quads
- contractures, deformities
- shorted heel cords
- kyphoscoliosis (afer 11 y/o)
-
exercising someone with muscular dystrophy?
don't do it at max level bc could injure muscle tissue
-
Becker muscular dystrophy
like DMD, but slower and later development
-
talipes equinovarus
- club foot / severe IR at ankle
- seen in spina bifida / myelomengingocele
-
Charcot-Marie-Tooth disease
aka __
describe
- peroneal muscular atrophy
- PNS disease
- hereditary disorder of peroneal and distal leg muscles
- foot drop, stork leg deformity (atrophy of calves)
- loss of sensation
- can be painful,
- can progress to involve vocal cords, hands, breathing, scoliosis, GI, tremor
-
legg-calve-perthes disease
describe
- idiopathic aseptic necroseis of femoral capital epiphysis, though it usually grows back
- usually unilateral
- boys 5-10 y/o
-
treatment for legg-calve-perthes
- prolonged bed rest
- mobile traction & slings
- casting
- hip abd orthosis
-
autonomic dysreflexia
happens in who?
most common cause
do what
- lesions above T6
- bladder distension (could also be rectal distension, pressure sores, urinary stones, infections, etc)
- bring pt to sitting an look for the trigger
-
what level SCI can live indep
what level can use a walker and KAFOs w/ supervision at home
indep household ambulators
community ambulators
- C6 (if very motivated)
- T6-8
- T9-12
- T12-L3
-
vital capacity, by percent, for C1-3, C3-4, C6-8, high thoracic, low thoracic
- <15%
- 15%
- 30%, up to 70% at DC
- 73%
- 100%
-
cough quality by level of injury
- C1-T3 weak or nonfunctional
- T4-8 weak
- T10 and below funcional
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