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Flashcards in tone Deck (27)
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1
Q

mm tone

A

the resistance to stretch in resting mm

2
Q

how is mm tone modified

A

nervous system conscious and unconscious control

3
Q

___ dampens down hyper excitable spinal reflexes

A

descending corticospinal influence

4
Q

T/F humans have range of mm tone

A

t

5
Q

longstanding flacidity PNS or CNS

A

PNS LMN

6
Q

rigidity vs spasticity

A

rigiity is velocity INDEPDENT

spasticity is DEPDEND

7
Q

rigidity features

A

bidirectional resistican to stretch

velocity independent

8
Q

righty is hyperreflexia always evident

A

not always

9
Q

decerebrate rigidity characterized

A

both U/LE in Ext

10
Q

decorticate rigidity characterized

A

UE in flex

LE in ext

11
Q

spasticity

A

velocity dependent inc in tonic stretch reflex
exaggerated tendon jerks
hyperexcitabilty
UMN

12
Q

can spasticity impact pts alertness

A

yes

13
Q

hyperreflexia UMN or LMN

A

UMN

14
Q

hyporeflexia UMN or LMN

A

LMN

15
Q

when is stretch reflex not normal

A

grade 0, 4+ and 5+

16
Q

clonus

A

involuntary sustained mm contraction in response to stretch

17
Q

exaggerated cutaneous proprioceptive reflexes

A

exaggerated cutaneous reflex

spasm out of chair etc..

18
Q

possible causes for increase in spasticity

A

infection, ingrown toe nail, fatigue, discomfort, stress, SCI

19
Q

spasticity can lead to

A

pain, contractures, limited ROM

postural changes, fear, decreased sitting balance

20
Q

when to leave spasticity

A

when it increases function

when its a mm we want tightening

21
Q

when to intervene spasticity

A

joint limitation
decrease functional ability
altered joint biomechs

22
Q

tone assessment subjective what might you ask

A

UTI, cold/flu

23
Q

evaluation for tone

A

modified ash worth scale

24
Q

pt intervention for increased tone ROM

A

stretch
active/functional moves
positioning program
WB

25
Q

PT intervention tone

A
maintiain ROM
manual therapy for joint mobility
biomechanics 
promote functional exercise program 
create balance/posture
hydrotherapy
modalities
address factors contributing to tone 
orthotics
equipment
medical
26
Q

T/F need greater angle of DF where is clonus is triggered

A

t

27
Q

general treatment

A

promote active movement
desensitize
pre warn individual stimulus