NPTE Neuro study guide
2023
somatosensory receptors - provide information about touch, pain, pressure,
temperature, and the position of muscles and
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Proprioceptive and tactile input from - knees
ankles
hips
neck
challenge the somatosensory system by - changing the surface they are standing on
vestibular system - three semicircular canals that provide the sense of balance, located
in the inner ear and connected to the brain by a nerve
-feedback regarding position of head
Dix-Hallpike maneuver - Rapidly moving the pt from a sitting position to the supine
position with the head turned 45 degrees to the Right. After waiting apx. 20-30 sec, the
pt is returned to the sitting position. If no Nystagmus is observed, the procedure is then
repeated on the Left side.
Vestibuloocular reflex (VOR) - head/eye movement coordination
vestibulospinal reflex (VSR) - helps while the head is moving along with coordination of
the trunk
during hip strategy - hips move in opposite direction of head
suspensions strategy - knee flexion, squatting, crouching
maximum score of Berg Balance test - 56
Fugl-Meyer Assessment - used to measure balance following CVA
max score: 14
functional reach 20-40 years - 17 inches
functional reach 41-69 years - 15 inches
functional reach 70-87 years - 13.5 inches
TUG test 20 seconds - limited in functional independence
TUG test 10 seconds - normal
TUG test 30 seconds - high fall risk
Tinetti maximum score - 28
Berg Balnce uses ____ point scale - 5
(0-4)
postural stability - ability to control the COG in relationship to the BOS
small anterior perturbation elicits - PF
Agnosia - inability to interpret information
dysarthria - slurred speech
hemisphere most dominant in language - Left
neologism - substitution within a word that is so severe it makes the word
unrecognizable
conduction aphasia - speech interruption due to difficulty finding words
Alexia - inability to read
Broca's area - An area in the left cerebral hemisphere that serves as the motor area for
speech
apraxia - inability to perform particular purposive actions, as a result of brain damage.
cranial nerve 1 - Olfactory (smell)
cranial nerve 2 - Optic - vision
cranial nerve 3 - Oculomotor (eye movement)
cranial nerve 4 - Trochlear (eye movement down & in)
crossed eyes
cranial nerve 5 - Trigeminal (face sensation & jaw)
cranial nerve 6 - Abducens (eye abduction movement)
cranial nerve 7 - Facial (close eyes tight, smile with teeth showing, whistle, tastes)
cranial nerve 8 - Vestibulocochlear (hearing and balance)
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