Term
| what is arthrogryposis multiplex congenita |
|
Definition
| a neuromuscular syndrome in which multiple joint contractures are present at birth. Joint contractures are severe and are accompanied by muscle weakness and fibrosis |
|
|
Term
| is arthrogryposis multiplex congenita (AMC) rare? |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
| believed to be caused by reduced fetal movement during 1st trimester |
|
|
Term
| how many types of AMC are there |
|
Definition
|
|
Term
|
Definition
| upper and lower limbs are equally compromised but cognitive function is normal. |
|
|
Term
|
Definition
| limbs and other body parts are affected |
|
|
Term
|
Definition
| limbs and CNS are affected |
|
|
Term
|
Definition
| AMC type I: upper and lower limbs are compromised but cognitive funciton is normal |
|
|
Term
| which type of arthrogryposis multiplex congenita is most common |
|
Definition
| type I: upper and lower limbs both compromised but cognition is normal. Amyoplasia |
|
|
Term
| what is medical treatment/rehab for a baby with AMC |
|
Definition
| should begin in the first month of life. Consists of surgery, serial casting, and PT |
|
|
Term
| what kinds of family education is important in AMC |
|
Definition
| importance of positioning, stretching, and strengthening to prevent activity restrictions later in life |
|
|
Term
| do children with AMC perform normally on gross motor tests |
|
Definition
| No, they are usually below average because of lack of strength and ROM |
|
|
Term
| what are things to look for in children with AMC as they get to preschool/elementary school |
|
Definition
| proper orthotics fit; stretching throughout day; strength adequate for self-care; gait assistance and devices to promote independence and social skills; ability to access all school environments and interact with peers |
|
|
Term
|
Definition
| developmental coordination disorder |
|
|
Term
| what is the presentation of children with developmental coordination disorder |
|
Definition
| extremely clumsy: constantly tripping, trouble walking. Gross and fine motor deficiencies |
|
|
Term
| what is the science behind developmental coordination disorder |
|
Definition
| Not attributed to any known neurologic or medical disorder. DCD could be part of the continuum of CP, or it could be linked to cerebellar problems |
|
|
Term
|
Definition
|
|
Term
| how is developmental coordination disorder diagnosed |
|
Definition
| must be diagnosed by MD. Symptoms can't be attributed to other neurological disorder or severe mental retardation |
|
|
Term
| what are the aspects of treatment of DCD |
|
Definition
| PT, OT, support at school, support at home, speech therapy |
|
|
Term
|
Definition
|
|
Term
| what are other considerations for DCD besides gross/fine motor deficiencies |
|
Definition
|
|
Term
| what is idopathic hypotonia |
|
Definition
| congenital disorder marked by decreased muscle tone with or without weakness in the absence of neurological or physiologic abnormalities |
|
|
Term
| at what age is idiopathic hypotonia typically recognized |
|
Definition
| 1 year, after delay in motor milestones is noticed |
|
|
Term
| what are presenting characteristics of hypotonia |
|
Definition
| decreased strength, activity tolerance, and motor skill development. Rounded shoulder posture. Increased flexion |
|
|
Term
| psychosocial aspects of idiopathic hypotonia |
|
Definition
| learning disabilities, speech delays, clumsiness, decreased participation in activities, family-patient interaction, grief |
|
|
Term
|
Definition
| excessive and persistent accumulation of extracellular fluid and proteins in tissue space |
|
|
Term
| what is the primary function of the lymphatic system |
|
Definition
| collect and clear excess fluid from interstitial space and return to venous system |
|
|
Term
| is edema a natural part of healing |
|
Definition
|
|
Term
| is lymphedema a normal part of healing |
|
Definition
| no. occurs when lymphatic system isn't functioning properly |
|
|
Term
| what is congenital lymphedema |
|
Definition
| congenital malformation of lymphatic system |
|
|
Term
| what is secondary lymphedema |
|
Definition
| lymphedema caused by infection, obstruction, surgical dissection of lymphatic system or chronic venous insufficiency |
|
|
Term
| signs/symptoms of lymhpedema |
|
Definition
| increased limb size, complaints of swelling that comes and goes, sensory deficits, pain, heavy limb, pitting edema, decreased functional mobility in involved limb, delayed wound healing, frequent infections |
|
|
Term
| what is phase 1 lymphedema treatment |
|
Definition
| manual lymph drainage, bandaging, skin care, remedial exercise |
|
|
Term
| what is phase 2 lymphedema treatment |
|
Definition
| self manual lymph drainage, compression garment, skincare, exercise |
|
|
Term
| tips for exercise and lymphedema |
|
Definition
| monitor limb size, wear bandages or compression garment and keep limb elevated, progress slowly |
|
|
Term
| what are the 4 main patterns of MVA injuries |
|
Definition
| 1. upper anterior trunk and upper extremity pain; 2. head, posterior neck, upper posterior trunk pain; 3. low back pain; 4. lower anterior trunk and lower extremity pain |
|
|
Term
| what are the 3 stages of whiplash |
|
Definition
| acute phase, subacute phase, chronic phase |
|
|
Term
| how long does the acute phase of whiplash last |
|
Definition
|
|
Term
| how long does the subacute phase of whiplash last |
|
Definition
|
|
Term
| when does the chronic phase of whiplash begin |
|
Definition
|
|
Term
| how to treat acute phase of whiplash |
|
Definition
| STM, grade 1-2 mobilization, heat or ice, AROM |
|
|
Term
| what is the goal of treatment in acute whiplash |
|
Definition
|
|
Term
| how to treat whiplash subacute phase |
|
Definition
| stretching, joint mobilization, deep neck flexor and multifidi strengthening, proprioception/rhythmic stabilization |
|
|
Term
| what is the goal of treatment in subacute whiplash |
|
Definition
| restore flexibility of cervical muscles and facets |
|
|
Term
| what is the treatment of chronic phase whiplash |
|
Definition
| neck stability and strength; gentle repetitive stretching; mobilizations to extension and strengthen multifidi |
|
|
Term
| what is the goal of treatment in chronic phase whiplash |
|
Definition
|
|
Term
| what is parkinson's disease |
|
Definition
| a progressive neurodegenerative disease whose main pathology is decreased function of dopamine producing neurons in the substantia nigra leading to dopaminergic loss in the basal ganglia |
|
|
Term
| what factors cause parkinson's |
|
Definition
| genetics, environmental factors |
|
|
Term
| what are the motor symptoms of parkinson's |
|
Definition
| resting tremor, rigidity, bradykinesia, gait and balance problems |
|
|
Term
| what are the non-motor symptoms of parkinson's |
|
Definition
| fatigue, pain, dysphagia, depression/anxiety/apathy/dementia/psychosis |
|
|
Term
|
Definition
|
|
Term
| how is a clinical diagnosis of parkinson's made |
|
Definition
| presence of bradykinesia, resting tremor, rigidity, asymmetrical presentation all alleviated with dopaminergic treatment of Levodopa |
|
|
Term
| goals of PT for parkinson's pts |
|
Definition
| increase strength, mobility, and endurance and improve posture, balance, gait |
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