Zusammenfassung der Ressource
Walking with Difficulty
- Anatomy of the spinal cord
- Spinal
nerve
- Tracts of the spinal cord
- Ascending(sensory) tracts
- Posterior Column Tract
- mediates fine touch and
conscious proprioception
- Spinothalamic tracts
- anterior
- mediates crude touch
and pressure
- lateral
- mediates pain and
temperature
- spinocerebellar tracts
- unconscious proprioception
- muscle tone and body posture
- Sensory assessment
- crude touch (cotton)
- pin prick
- vibration and
joint position
- done over the dermatomes
- Descending(motor) tracts
- Pyramidal tracts
- skilled voluntary movement
- extrapyramidal tracts
- involuntary movement
- reflexes
- tone
- balance
- descending autonomic
- Anatomy of the
skull
- Physiology of muscle tone
- maintained by static stretch reflex
- sensory receptor
- msucle spindle
- innervated by
- afferent
- type ll nerve fibers
- efferent
- gamma motor fibers
- UMNL and LMNL
- Motor assessment
- power
- tone
- reflexes
- GAIT
- 2 phases; stance and swing
- abnormal gait
- skeleton
- muscles
- nervous system
- spastic paraparesis
- scissots gait
- parkinson's disease
- shuffling gait
- cerebellar
- a drunken gait
- posterior column
- clumsy slapping down of the feet
- prefrontal lobe
- apraxic gait
- SYRINGOMYELIA
- cystic
degeneration of
the spinal cord
- C8-T1 usually
- compression
of nerve fibres
- symptoms
AND SIGNS
- detected on
neurological
examination
- CAUSES
- Tumor
- Trauma
- ischemia
- Chiari malformation
- types
- INVESTIGATION
- MRI
- MANAGEMENT
- type of surgery depends on the cause
- ACM
- bony decompression
+/- shunt/aspiration
- trauma
- aspiration
- hydrocephalus
- shunt
- tumor
- resection of tumor