WEEK 6 PTA145 Managing Hyper/Hypo lab pt2

WEEK 6 PTA145 Managing Hyper/Hypo lab pt2

University

12 Qs

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WEEK 6 PTA145 Managing Hyper/Hypo lab pt2

WEEK 6 PTA145 Managing Hyper/Hypo lab pt2

Assessment

Quiz

Science

University

Hard

Created by

Diana Sanchez

Used 1+ times

FREE Resource

12 questions

Show all answers

1.

CLASSIFICATION QUESTION

3 mins • 1 pt

Managing HYPER/HYPO

Groups:

(a) Managing Hypertonicity

,

(b) Managing Hypotonicity

Resistance without overload

Weight beaing (hypo)

Tapping

Approximation

Weight bearing

Prolonged stretch

Quick stretch

Rhythmic rotation

Strengthening w/o overload

Positioning (hypo)

Prolonged icing

Inhibitory pressure

Neutral warmth

Modalities

Serial casting

2.

DROPDOWN QUESTION

1 min • 1 pt

Managing Hypertonicity

Prolonged Icing

-Reduce neurotransmission & spasticity

-Muscle spindles ​ (a)   to where there is no longer an excessive stretch reflex

-Effects can last ​ (b)  

-Most common method is LOCAL IMMERSION

-Useful w/hand ​ (c)   tone

Inhibitory Pressure

-Firm/moderate inhibitory pressure on ​ (d)  

-Manually and/or through devices such as splints or positioning (weight bearing)

Prolonged Stretching

-Inhibition of hyperactive muscle responses

-Active/passive stretching for prolonged time

​ (e)  

Neutral Warmth

Stimulates thermoreceptors and activates parasympathetic response

-10-20 minutes to produce an effect

-Wrapping body parts with towels, hot packs, tepid baths, paraffin, and SPLINTS

flexor
extensor
cooled
hot
1-2 hours
1-5 hours
TENDONS
BONE
-INHIBITORY SPLINTING/CASTING

3.

DRAG AND DROP QUESTION

1 min • 1 pt

Managing Hypertonicity CONT.

Rhythmic Rotation

-​ (a)   of a limb at a point where limitation is noticed

-As muscles relax the limb is SLOWLY and GENTLY moved into the range

-As new tension is felt, rhythmic rotation is repeated

-Active or Passive

-Voluntary relaxation when possible

Modalities

-Electrical Stimulation (NMES, TENS)

-On ​ (b)   muscle for reciprocal inhibition

Weight Bearing

-Prolonged inhibitory pressure

-Proprioceptive sensory feedback to ​ (c)  

Serial Casting

​ (d)  

-At risk for contractures

-Maintained pressure

​ (e)  

-Recast every 5-7 days as ROM progresses

Slow, repeated rotation
antagonist
agonist
CNS
-When other techniques fail
-Low load prolonged stretch

4.

DROPDOWN QUESTION

1 min • 1 pt

Managing Hypertonicity Cont.

Strengthening contraction (reciprocal inhibition)

-If quads are overactive due to extensor tone, strengthening/activation of HS will inhibit quads via ​ (a)  

-AAROM until AROM possible

-Let me move you, now help if you can

-Smooth, reciprocal short arc to long arc

-Minimize stress & effort initially

-Primary functional skills emphasized

-Family & patient training for maintenance

reciprocal inhibition
ok

5.

DRAG AND DROP QUESTION

1 min • 1 pt

Managing Spasticity

-Spasticity untreated ---> contractures, deformities, asymmetries

PRIMARY INTERVENTION: Stretching and positioning

Handling Skills

*Lengthen vis ​ (a)   repeated rhythmic rotation

-Maintain ​ (b)   position

-Resting splints

elongated
SLOW
FAST
shortened

6.

CLASSIFICATION QUESTION

3 mins • 1 pt

Decorticate vs Decerebrate Posturing

Groups:

(a) Decorticate

,

(b) Decerebrate

Elbows extended, legs extended and IR

MORE FLEXION

MORE EXTENSION

Elbows, wrist, and fingers flexed, legs extended and IR

MORE INDACTIVE OF SEVERE DAMAGE

7.

MULTIPLE SELECT QUESTION

45 sec • 1 pt

Loss of higher cortical activation, results in lack of Inhibition of these patterns= REEMERGENCE

Prolonged patterns lead to MUSCULOSKELETAL IMPAIREMENTS

Nervous system MUST be able to control both AGONISTIC & ANTAGONISTIC patterns & combinations of each for functional movement

DON'T FEED THE PATTERN!!!!!

MOST ARE PRE-PROGRAMMED INTO CNS

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