Neuromuscular Part Twelve Flashcards Preview

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Flashcards in Neuromuscular Part Twelve Deck (50)
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1
Q

MOI anterior cord injury

A

flexion injuries of c-spine

2
Q

during weight bearing activities for Down Syndrome, what motions should be avoided

A

elbow hyperextension

knee hyperextension

3
Q

gender affected by DMD

A

males

4
Q

after a SCI, muscles must demonstrate what grade in order to indicate intact innervation

A

3+/5

5
Q

what deformity is present with Charcot-Marie-Tooth-Disease

A

stork deformity

equionovarus

6
Q

when cells of the spinal cord are traumatized, what ions accumulate in injured cells and what does that do

A

calcium ions accumulate

disrupts functioning and causes demyelination and destruction of the cell membrane and axonal cytoskeleton

7
Q

down syndrome affects the chromosomes how

A

extra chromosome 21

8
Q

kids with DMD will have difficulty with what functional task and why

A

climbing stairs

due to weak glutes and quads

9
Q

for babies with Down Syndrome, there will be difficulty with what functional task

A

eating

10
Q

after surgical closure of myelomeningocele and hydrocephalus is present, what is required and why

A

shunting of CSF to decrease intracranial pressure

11
Q

what is myelomeningocele

A

a defect in the vertebrae resulting in protrusion of the spinal cord and meninges

12
Q

difficulty standing up with DMD?

A

yes - Gower’s sign

13
Q

Down Syndrome AKA

A

Trisomy 21

14
Q

as DMD progresses, the child will develop _____ after age 11

A

kyphoscoliosis

15
Q

what is Legg-Calve-Perthes disease

A

idiopathic aseptic necrosis of the femoral capital epiphysis

16
Q

tight muscles with myelomeningocele

A

hip flexor

adductor

17
Q

how is head control with myelomeningocele

A

real not good

18
Q

age of boys affected by DMD

A

3-7

19
Q

for lower thoracic lesion with myelomeningocele, what type of walker can be used

A

swivel and rollator walker

20
Q

what type of orthoses can be used for myelomeningocele

A

standing frames

parapodia

21
Q

age of boys affected by legg calve perthes

A

5-10

22
Q

effects of central cord syndrome

A

UE sensation/motor function

LE is fine

23
Q

gait pattern with DMD

A

waddling

toe walking

24
Q

MOI wedge compression/burst fracture

A

flexion/vertical compression

25
Q

myelomeningocele AKA

A

spina bifida

26
Q

spinal shock usually resolves within…

A

24 hours of the injury

27
Q

what artery can be affected with anterior cord injury

A

anterior spinal artery

28
Q

Legg Calve Perthes unilateral or bilateral

A

unilateral

29
Q

foot deformity present with myelomeningocele

A

club foot/talipes equinovarus

30
Q

for down syndrome, what exercises should be avoided and why

A

avoid forceful neck flexion and rotation

bc atlantoaxial ligamentous laxity and potential for subluxation/SCI

31
Q

for upper lumbar lesion with myelomeningocele, what type of orthoses are appropriate

A

RGO

32
Q

direction of muscle weakness for DMD

A

proximal to distal

33
Q

what is spinal shock

A

temporary phenomenon that occurs after trauma to spinal cord in which the cord stops functioning below the LOI

34
Q

type of gait present with ataxic (cerebellar) CP?

A

wide-base

35
Q

type of orthosis used for legg calve perthes

A

a special hip abduction orthosis

36
Q

Brown-Sequard syndrome results in…

A

ipsilateral weakness, motor paralysis, loss of all corticol, decreased reflexes, clonus, spasticity

contralateral loss of superficial

37
Q

orthotic devices for Charcot-Marie-Tooth-Disease should aim to correct what deformity

A

equinovarus

38
Q

treatment for legg calve perthes

A

prolonged bed rest

mobile traction and slings

casting

39
Q

ataxic CP results in what part of the brain involvement

A

cerebellar involvement

40
Q

effects of anterior cord syndrome

A

loss of motor function

loss of pain

loss of temperature

41
Q

what reflexes return after spinal shock is done

A

anal

bulbocavernosus

42
Q

overall tone with myelomeningocele

A

low

43
Q

patient problems with Charcot-Marie-Tooth-Disease

A

foot drop

44
Q

for DMD, should exercise be performed at a maximal level? why or why not

A

not a maximal level

because heavy exercise may injure muscle tissue

45
Q

what is Charcot-Marie-Tooth-Disease

A

a hereditary disorder of the peroneal and distal leg muscles

46
Q

what is Gower’s sign and what disease is it associated with

A

DMD

child uses UE to walk up legs

47
Q

for upper thoracic lesion with myelomeningocele, what is appropriate for movement

A

adapted wheelchairs

48
Q

after surgical closure of myelomeningocele, what may become a problem

A

hydrocephalus

49
Q

central cord injury MOI

A

hyperextension with minor trauma to c-spine

50
Q

nontraumatic SCIs are most likely to occur with individuals…

A

with narrowing spinal canals

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