Our Lady of Fatima U N I V E R S I T Y: Neurologic Conditions

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OUR LADY OF FATIMA

U COLLEGE
N I VOFEPHYSICAL
R S THERAPY
I T Y
Valenzuela • Quezon City • Antipolo

Pampanga • Nueva Ecija

NEUROLOGIC CONDITIONS

Name: CRUZ, JOHANN SEBASTIAN I. Year & Sec: PT4Y1-2 Date of Submission: 11/20/2018

Learning Objectives: • Review the signs and symptoms of the conditions given

• Identify the symptoms and prescribe an assessment and treatment to measure and treat the symptoms given

INSTRUCTION:

1. Give 3 symptoms for each condition.

2. Do not repeat any symptoms for all conditions.

3. Align the symptoms you determined for the condition and align an assessment, physical agent and exercise that will best measure and treat the symptoms you listed.

CONDITION SYMPTOMS ASSESSMENT PHYSICAL AGENT EXERCISE

Cerebrovascular disease Example:

Spasticity Modified Ashworth Scale Inhibition using cryotherapy Contract relax

1. Flaccidity 1. Modified Ashworth Scale 1. Neuromuscular Electrical 1. Neurodevelopmental


Stimulation treatment and
Brunnstrom approach

2. Impaired balance and 2. Tinetti POMA:


coordination Performance Oriented 2. Functional Electrical
Mobility Assessment Stimulation 2. Anticipatory control,
and Star Excursion static and dynamic
Balance Test balance training
OUR LADY OF FATIMA
U COLLEGE
N I VOFEPHYSICAL
R S THERAPY
I T Y
Valenzuela • Quezon City • Antipolo

Pampanga • Nueva Ecija

3. Impaired Gait and


locomotion
3. Functional Electrical
Stimulation
3. Observational Gait 3. Parallel Bar training
Analysis

Spinal Cord Injury 1. Sensory Impairment 1. ASIA Scale 1. Electrical Muscle 1. Strengthening/Resistance
Stimulation training

2. Motor Impairment 2. ASIA Scale


2. Neuromuscular Electrical 2. Arm Ergonometry
Stimulation

3. Impaired breathing 3. Breath sounds assessment


3. Passive breathing
3. Bronchodilator therapy exercises, Respiratory
muscle training and bed
mobility

Peripheral Nerve Injury 1. Pain 1. Visual Analogue Scale 1. Transcutaneous 1. Hold-relax


Electrical Nerve
Stimulation

2. Atrophy 2. Muscle bulk 2. Light- moderate


measurement Resistance training
2. Ultrasound
3. Limitation of motion
3. Goniometry (Range of 3. ROM exercises (PROM
motion assessment) 3. Functional Electrical and AROM)
OUR LADY OF FATIMA
U COLLEGE
N I VOFEPHYSICAL
R S THERAPY
I T Y
Valenzuela • Quezon City • Antipolo

Pampanga • Nueva Ecija

Stimulation

Parkinson’s Disease 1. Postural instability 1. Postural Analysis 1. Neuromuscular Electrical 1. Functional training and
Stimulation AROM exercises

2. Bradykinesia 2. Unified Parkinson's


Disease Rating Scale 2. Functional Electrical 2. Functional training
Stimulation

3. Rigidity
3. Modified Ashworth Scale 3. Contract-Relax
3. Cryotherapy

Progressive Muscular Dystrophy 1. Lordotic posture 1. Postural Assessment 1. Traction and Electrical 1. Klapp’s exercises
Muscle Stimulation

2. Scoliosis 2. Postural Assessment and 2. Stretching exercises


Lumbosacral Angle 2. Traction and Electrical
Muscle Stimulation

3. Muscle weakness 3. Hold-relax/ Contract-relax


3. Manual Muscle Test
3. Electromyographic
Feedback

Bell’s Palsy 1. Ipsilateral Facial 1. Facial Muscle Testing 1. Electrical Muscle 1. Mime Therapy and
weakness Stimulation using Facial Effleurage
OUR LADY OF FATIMA
U COLLEGE
N I VOFEPHYSICAL
R S THERAPY
I T Y
Valenzuela • Quezon City • Antipolo

Pampanga • Nueva Ecija

probe

2. Mime Therapy and Effleurage

2. Facial Asymmetry 2. House-Brackmann Scale 2. Neuromuscular Electrical


Stimulation

3. Effleurage

3. Ptotic Eyelid 3. Ice Test


3. Electrical Muscle Stimulation
using facial probe

Cerebral Palsy 1. Poor head control 1. Developmental milestone 1. Tilt table 1. Combination of Isotonics
and Rood’s technique

2. Contractures 2. Goniometry (ROM 2. Neuromuscular Electrical


Assessment) Stimulation 2. Positioning and Splinting

3. Hip Abductor weakness


3. Manual Muscle Test 3. Neuromuscular 3. Resistance Exercise
Electrical Stimulation

Spina Bifida 1. Back Pain 1. Postural Assessment 1. Hot Moist Pack and 1. McKenzie Extension
Transcutaneous exercise
Electrical Nerve
Stimulation
OUR LADY OF FATIMA
U COLLEGE
N I VOFEPHYSICAL
R S THERAPY
I T Y
Valenzuela • Quezon City • Antipolo

Pampanga • Nueva Ecija

2. Acquired Hip Dysplasia 2. Telescoping sign

2. Electrical Muscle Stimulation 2. ROM exercises

3. Kyphotic posture 3. Postural Assessment

3. Electrical Muscle Stimulation 3. Stretching Exercises and


and Tilt table Bracing

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