Difficulty breathing in positions other than upright sitting and standing. Can’t breathe properly in supine position.
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Pyrexia
Increased body temperature; fever
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Valsalva Maneuver
An attempt to exhale forcibly with the glottis, nose, and mouth close; causes increased intrathoracic pressure, slowing of the pulse; decreased return of blood to the heart, and increased venous pressure
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Anorexia Nervosa
Eating disorder characterized by low weight, fear of gaining weight, and a strong desire to be thin.
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Normal Breathing Pattern
12-20 CPM
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Tachypnea
Increased rate in breathing. Common in patients with pneumonia, pulm edema, acidosis, septicemia. >20
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Bradypnea
Decreased rate in breathing. Increased intracranial pressure (ICP).
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Strain
Deformation to a material subject to loading, that is stress; can cause lengthening or shortening of the structure.
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Stress
The internal load produced in a structure by an external force.
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Arthrokinematics
The intrinsic, usually intracapsular, articular motion occurring between adjacent joint surfaces; a prerequisite to normal; pain free osteokinematics.
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Osteokinematics
Movement occurring between bones.
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Tensile Stress & Compressive Stress
Types of stress.
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Dysdiadochokinesia
Impaired ability to perform rapid alternating movements.
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Dysmetria
Impaired ability to judge the distance or range of a movement. Finger to nose test.
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Hemiballismus
Sudden, jerky, forceful, wild, flailing motions of one side of the body.
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Tremor
An involuntary oscillatory movement resulting from alternate contractions of opposing muscle groups.
Rhythmic, oscillatory movement of the eyes. Horizontal, vertical, and tortional.
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Akinesia
An inability to initiate movement; seen in the late stages of parkinsonism.
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Jendrassik Maneuver
Method used to facilitate eliciting the deep tendon reflexes of the lower extremities; the patient hooks together the fingers of the hands and attempts to pull them apart. While the pressure is maintained, the reflex is tested.
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Rigidity
Stiffness; inability to bend or be bent.
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Spasticity
Increased tone or resistance of muscle causing stiff awkward movements; the result of an upper neuron lesion.
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Tone (muscle)
The resistance of muscles to passive elongation or stretch.
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Decerebrate Rigidity
Extension posturing. Extension of the upper and lower extremities
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Decorticate Rigidity
Abnormal flexion. Flexion of the upper extremities but extension of lower extremities.
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Nuchal Rigidity
Rigidity at the neck as it resists passive flexion.
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Hermiplegia, Diplegia, and Quadriplegia
Types of spastic cerebral palsy.
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Hemiplegia
Type of spastic cerebral palsy wherein arm, body, and leg affected on one side.
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Diplegia
Type of spastic cerebral palsy wherein lower extremities are more affected than upper.
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Quadriplegia
Type of spastic cerebral palsy wherein whole body is equally affected.
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Spastic Gait
A walking abnormality related to certain medical conditions in which a person may appear to walk by dragging stiff leg due to spasticity.
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(1) Flaccidity (2) Spasticity (3) Recovery
Stages of recovery in stroke patients.
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Hypotonia
Decreased muscle tone.
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- Glottis - Nose - Mouth
What is closed in the Valsalva Maneuver?
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- Increased intrathoracic pressure - Slowing of the pulse - Decreased return of blood to the heart - Increased venous pressure
What does Valsalva Maneuver cause?
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Quiet breathing or resting respiratory rate
What is Eupnea sometimes known as?
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Force/Cross-sectional Area
What is stress a quotient of?
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Huntington's disease
What is Chorea a clinical feature of?
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Choreiform movements
Synonym of Chorea
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- Chronic wasting disorders - Sleep disorders - Chronic disorders of the heart, lung, or kidneys - Diseases in the adrenal gland
When does general Asthenia occur?
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Cerebral Palsy
What is Athetosis a clinical feature of?
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Athetoid Movements
Synonym of Athetosis
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- Horizontal - Vertical - Tortional
Types of Nystagmus movement
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The late stages of Parkinsonism
Where is Akinesia seen?
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The deep tendon reflexes of the lower extremities.
What does the Jendrassik maneuver facilitate?
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An upper motor neuron lesion
What causes spasticity?
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Extension posturing
Another term for decerebrate rigidity
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Abnormal flexion
Another term for decorticate rigidity
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Intracranial pressure
What does bradypnea increase?
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In patients with pneumonia, pulmonary edema, acidosis, septicemia.
When does tachypnea commonly occur?
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Strain
Injury of muscles and tendons (tendons connect muscle to bone)
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Sprain
Injury of ligaments (ligaments connect bones to bones at joints)
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Skilled Nursing Facility
SNF
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Flaccidity
A stage of stroke characterized by a lack of voluntary movement.
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Spasticity
A stage of stroke characterized by a feeling of unusually stiff, tight, to pulled muscles. It is caused by a damage from a stroke to nerve pathways within the brain or spinal cord that control muscle movement.
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Recovery
A stage of stroke in which function gradually returns.
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Voluntary UMN innervation of the arm 'overflows' to increase the excitability of the LMN pool of the lower extremities making it easier to elicit the reflex.