Neuro Module Questions by Jim

Detail

2024-04-30 13:12:23 UTC

How much detail do we need to know the basal ganglia pathways in (direct/indirect)?

Lower motor neurons

2024-05-01 08:14:02 UTC

Do lower motor neurons innervate peripheral nerves which innervate skeletal muscles or do lower motor neurons innervate muscles directly? Thank you

discussion or clinical reasoning

2024-05-01 20:31:24 UTC

how can I speak to the examiner about any specific assessment or facilitation techniques? can you give an example please. Thank you

Is there a mock exam video of the neuro exam on the Blackboard site? Similar to the CVR exam video, so that we can see how the exam will be.

2024-05-02 18:05:38 UTC

"Is there a mock exam video of the neuro exam on the Blackboard site? Similar to the CVR exam video, so that we can see how the exam will be. Thanks."

how to speak about neuroplasticity, proprioception, motor control, etc. can you give me an example please. thank you

2024-05-03 17:59:00 UTC

Movement Analysis Table

2024-05-04 13:17:22 UTC

Is there a completed gait movement analysis sheet available?

Balance

2024-05-05 11:27:53 UTC

are we required to talk about balance (in relation to posture) when analysing the movement on the video compared to 'normal' movement?

detail

2024-05-05 17:04:14 UTC

do we need to know how the Corpus Callosum works?

function

2024-05-05 18:23:47 UTC

how does the midbrain do the same functions as the frontal lobe and sensory cortex.

do they both do the same thing?

is the somatosensory cortex part of the frontal or Parietal lobe?

2024-05-06 12:42:03 UTC

Exam notes - CVA

2024-05-08 09:33:51 UTC

With the notes for the CVA case study, can I write down which lobes are supplied by which cerebral artery? Or is that a bit too close to writing about CVA? Thank you 🙂

Plumb line

2024-05-08 11:40:34 UTC

Is the plumb line only relevant in standing, or can it be used when analysing sitting? If so, where does the line run through in sitting (eg. does it only run through the trunk)? Thanks

Cycle of reaching

2024-05-08 12:33:02 UTC

Where would i find the entire cycle of reaching? (To help with the analysis for the stroke video)

PD & MS video

2024-05-08 14:00:44 UTC

Hi, should we analyse the PD & MS patients posture in sitting or standing, or is this our choice?

Movement Analysis Table

2024-05-08 21:51:04 UTC

Is there a completed upper limb reaching movement analysis sheet available ?

‘Normal/ Ideal’ Posture Analysis table

2024-05-08 21:53:37 UTC

Is there an ‘Normal/ Ideal’ Posture analysis table for the upper limb reaching, sit to stand and gait cycle ? Thank you.

Facilitation Toe off to heel strike in gait

2024-05-08 23:22:41 UTC

What is the different between Gait - facial at foot and facial at LL? Both like same to since both using 1 hand placing at the biceps.

Static sitting posture

2024-05-09 12:40:27 UTC

I am going to concentrate on the normal and abnormal sitting posture for the static part of the assessment. However, I can find a lot of information relating to abnormal and normal standing posture in previous slides but not on normal sitting posture. Just wondering if I am overlooking something? If it is not covered in the slides can you recommend any external sources for details on this?

Facilitation toe off to heel strike in gait

2024-05-09 14:45:32 UTC

There are two videos, which are facilitated at foot and facilitated at LL. For facilitate at foot. The patient is standing, and the physiotherapist sits on the roll chair and places one of her hands on the biceps and the other holding the medial border of the foot. And for the facilitate at LL. The patient is standing, and the physiotherapist sits on the roll chair, squeezing the patient's biceps while holding the medial border of the foot. I wondered if the difference between facilitating at the foot and facilitating at LL is placing the hand on the bicep and squeezing the biceps.

Head/Neck muscles

2024-05-09 17:42:11 UTC

Which muscles produce anterior head tilt and lateral flexion of the head? is it just Sternocleidomastoid that we need to know or are there others?

Walking aids

2024-05-09 20:39:29 UTC

do I need to mention walking aids in the assessment, if so, how can can I link it?

CVA CNS

2024-05-10 08:49:54 UTC

Explain process of movement and CNS structures involved?

Should I discuss specific cerebral arteries like the basilar artery and vertebral arteries, as well as the posterior communicating artery (PCoA), anterior cerebral artery (ACA), or other relevant structures when explaining this process?

motor control application

2024-05-10 20:04:46 UTC

isn't tendon reflex a proprioceptors?

in some causes they say its a mechanoreceptor

massaging techniques

2024-05-11 07:12:53 UTC

Hi , Do I need to mention massaging techniques in exam.

thanks

is there a connection between ascending and descending pathways with afferent and efferent pathways? are they interconnected? or are they the same thing?

2024-05-11 19:09:07 UTC

are all afferent systems, sensory pathways? and are all efferent systems, motor pathways?

2024-05-12 17:25:46 UTC

exam A4 paper

2024-05-12 19:14:56 UTC

What would you recommend to learn off by heart that we can not write on the A4 paper specifically?

Lower limb massage

2024-05-12 20:10:19 UTC

Hi, I'm a little confused on the calf massage/mobilisation. Does the calf massage include effleurage/kneading/picking up & ringing, or is it just the soft tissue mobilisations & SIMS? Thank you

2024-05-13 11:46:39 UTC

Where can I find the videos for possible assessment techniques?

Muscle power assessment

2024-05-13 12:23:44 UTC

When demonstrating the assessment for muscle power, would you talk through all 6 levels on the scale and demonstrate each?

what's the difference in facilitating and handling

2024-05-13 12:55:42 UTC

Massage of the upper / lower

2024-05-13 15:26:41 UTC

If we asked to demonstrate the massage technique of upper and lower limb, do we have to demonstrate 3 of them or just choose 1 out of 3 ?

gait cycle

2024-05-13 15:56:21 UTC

are we expected to know every joint, GRF, and muscle action involved in each phase?

Spasticity/stretch reflex

2024-05-13 20:57:53 UTC

Can I just double check my understanding, please? Muscle spindles detect stretch in a muscle, afferent nerves carry the signals from muscle spindles to the spinal cord. Gamma motor neurons control the excitability of muscle spindles (so how easily the stretch reflex is activated). Alpha motor neurons innervate muscle fibres to contract and renshaw cells inhibit alpha motor neurons to help control the contraction.

So when a stretch at speed is applied and spasticity is present, this is because muscle spindles are too excitable (due to the gamma motor neurons) and there's reduced inhibition (from the renshaw cells)? Thanks in advance!

sensation assessment

2024-05-13 21:49:44 UTC

if I got a lower or upper limbs assessment, do I need to assess the whole limb?

Notes sheet

2024-05-13 22:08:59 UTC

Are we allowed to bring a printed A4 instead of handwritten one?

Thank you

Treatment Options

2024-05-14 09:48:58 UTC

Are we required to talk about and go into depth of possible treatment options for our patient from the case study we get?

MS Case Study

2024-05-14 11:24:16 UTC

Are we required to analyse the MS patient's transfer and stand to sit as well as the initial sit to stand?

is stand to sit just sit to stand in reverse? cant find anything suitable for it

2024-05-14 12:15:33 UTC

Subjective assessment

2024-05-14 13:52:01 UTC

Are we required to perform the subject assessment with the model in the second part?

notes

2024-05-14 15:38:52 UTC

can I write about motor control pathway and relevant anatomy about it when analysing movement?

in the first analysis video for ms do we asses posture while standing or sitting

2024-05-14 16:14:42 UTC

Neuroplasticity

2024-05-14 16:29:02 UTC

During our practical when should I mention anything referring to neuroplasticity?

Assessing muscle power of upper/ lower limb

2024-05-14 19:25:12 UTC

Do we have a to assess all the movement of upper/ lower limb if the examiner didn’t asked to demonstrate a specific muscle group?

Muscles

2024-05-15 08:32:03 UTC

Hi ,

what are the main muscles do we need to revise for the exam and are we allowed to write the muscles affected in the video on the A4 Notes paper.

is there a analysis movement sheet for reach and grasp

2024-05-15 10:11:02 UTC

Hello, I can remember going through assessing sensory proprioception in a practical lesson using a sharp and blunt object. However I can't find the slides or any information about it in the lesson materials. Am I missing something? Thanks a lot

2024-05-15 13:11:23 UTC

Anterior pelvic tilt

2024-05-15 15:59:17 UTC

Is it the iliopsoas, rec fem and erector spinae that are responsible for anterior pelvic tilt? Thank you

should we learn about nigrostriatal pathway?

2024-05-15 16:58:56 UTC

upper and lower motor neurons

2024-05-16 11:26:38 UTC

Is there any information about upper and lower motor neurons? If so, where can I find this?

ACA

2024-05-16 13:13:04 UTC

does ACA LL weakness > UL weakness means lower limb is weaker than upper limb

What relevance does the patient info have to our assessment?

2024-05-16 14:28:59 UTC

in the terminal stance some articles say that the ankle is in gradual dorsiflexion and others say its in planterflexion which one is it?

2024-05-16 14:50:53 UTC

one the completed gait movement analysis sheet on bb it says ankle is in knee extension

Neuron tracts

2024-05-16 14:59:17 UTC

Are we allowed to include information on the different tracts and neurons on our A4 sheet

comparing norms

2024-05-16 15:58:32 UTC

when i was comparing posture from head to toe , i could not find any info about normal hip joint, knee,feet. where can i speciically access this info? As in the practiocal 1 - posture slide their was info on most upper body

First part of exam

2024-05-16 16:09:47 UTC

when talking about normal to ideal posture , do i just explain how a normal posture looks like and then explain what the patient in the video is doing? Will that be enough?

For example, shoulder

normal shoulder level shoulder not be elevated or depressed

from observing the patient it looks like his right shoulder is elevated while left shoulder is depressed

what more do you advice me to compare?

key muscles/bony landmark

2024-05-16 16:17:34 UTC

how much about key muscles/bony landmark do we have to talk about when discussing the normal ideal posture?

Muscle tone

2024-05-16 16:28:33 UTC

When testing for muscle tone do we test for both rigidity and spasticity. As we only went over spasticity in the revision session

movement

2024-05-16 16:28:36 UTC

how do we effectively compare a patient move throughout each phase compared to normal?

what's the difference between zona compacta and pars compacta

2024-05-16 22:01:13 UTC