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Central Nervous System Trauma and Disease

Central Nervous System Trauma and Disease

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Published by: thwiseman on Nov 19, 2009
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PHYSICAL THERAPY PRINCIPALS & METHODS
PTP&M:0004 Revision: 01 Page:
1
of
56
 
MANAGEMENT OF CENTRAL NERVOUS SYSTEMTRAUMA AND DISEASE
 
NOTICE: This specification, and the subject matter disclosed therein, embody proprietary information which is the confidential property of MullsonsHealth & Wellness, which shall be copied, reproduced, disclosed to others, published, and could be used in whole or part, for any purpose,without the express advance written permission of a duly authorized agent of the Company. This specification is subject to recall byMullsons Health & Wellness at any time.
Medicine: It’s a noble profession, it serves humanity
.
1
MANAGEMENT OF CENTRAL NERVOUS SYSTEM TRAUMA AND DISEASE
 
SPEC. BY
: Abdulrehman S. Mulla
DATE
: 03/21/2009
REVISION HISTORYREV. DESCRIPTION CN No. BY DATE
01 Initial Release PT0001 ASM 03/24/2009
 
PHYSICAL THERAPY PRINCIPALS & METHODS
PTP&M:0004 Revision: 01 Page:
2
of
56
 
MANAGEMENT OF CENTRAL NERVOUS SYSTEMTRAUMA AND DISEASE
 
NOTICE: This specification, and the subject matter disclosed therein, embody proprietary information which is the confidential property of MullsonsHealth & Wellness, which shall be copied, reproduced, disclosed to others, published, and could be used in whole or part, for any purpose,without the express advance written permission of a duly authorized agent of the Company. This specification is subject to recall byMullsons Health & Wellness at any time.
Medicine: It’s a noble profession, it serves humanity
.
2
TABLE OF CONTENTS PAGE
1.0 NERVOUS SYSTEM DISEASES:.............................................................................................................................................................31.1 THE CENTRAL NERVOUS SYSTEM:......................................................................................................................................31.1.1 BRAIN:......................................................................................................................................................................41.1.2 THE SPINAL CORD:.................................................................................................................................................72.0 SPINAL CORD TRAUMA:.......................................................................................................................................................................112.1 DEFINITION:...........................................................................................................................................................................112.2 CAUSES:.................................................................................................................................................................................112.2 SYMPTOMS:...........................................................................................................................................................................132.3 CERVICAL (NEAR THE NECK) INJURIES:...........................................................................................................................142.4 THORACIC (CHEST-LEVEL) INJURIES:...............................................................................................................................152.5 LUMBAR SACRAL SHOWN IN PICT:17 (LOWER-BACK) INJURIES...................................................................162.6 PHYSICAL THERAPY FOR SPINAL CORD INJURY:............................................................................................................192.6.1 RESPIRATORY CARE:..........................................................................................................................................192.7 RANGE OF MOTION:.............................................................................................................................................................212.7.1 INCREASED STRENGTH:.....................................................................................................................................222,8 MUSCLE STRENGTHENING:................................................................................................................................................222.9 COORDINATION AND BALANCE EXERCISES:...................................................................................................................232.9.1 AMBULATION EXERCISES:..................................................................................................................................242.9.2 GENERAL CONDITIONING EXERCISES:.............................................................................................................252.11 TRANSFERS:.........................................................................................................................................................273.0 HEAD INJURY:........................................................................................................................................................................................293.1 PATHOPHYSIOLOGY:...........................................................................................................................................303.1.1 HEAD INJURY:.......................................................................................................................................................303.1.2 BRAIN INJURIES:...................................................................................................................................................313.2 INTRACRANIAL PRESSURE (ICP):.......................................................................................................................................333.2.2 PROGRESSIVE LEVELS OF INTRACRANIAL PRESSURE:................................................................................353.2.3 ANOXIC BRAIN INJURY:.......................................................................................................................................384.0. SPECIFIC TYPES OF HEAD INJURY:...................................................................................................................................................394.1 SCALP WOUNDS:..................................................................................................................................................................394.2 SKULL INJURIES:...................................................................................................................................................................404.2.1 SIGNS/SYMPTOMS OF SKULL INJURIES:...........................................................................................................404.2.2 TREATMENT FOR SKULL FRACTURE:................................................................................................................415-0 GENERAL ASSESSMENT OF HEAD TRAUMA:....................................................................................................................................435.1 RESPIRATION:......................................................................................................................................................................435.2 BLOOD PRESSURE:..............................................................................................................................................................445.3 PULSE:..................................................................................................................................................................445.4 GENERAL EXAMINATION:....................................................................................................................................................445.5 SPECIAL CONSIDERATIONS. BE AWARE THAT:...............................................................................................................455.6 NEUROLOGICAL EXAMINATION:.........................................................................................................................................456.0 JUDGING LEVEL OF SEVERITY OF HEAD INJURY:...........................................................................................................................467.0 LEVELS OF HEAD INJURY:..................................................................................................................................................................467.1 THE GLASGOW COMA SCALE:............................................................................................................................................467.3 POINTS ASSIGNED RESPONSES ON THE GLASGOW COMA SCALE:...........................................................................477.3.1 EYE OPENING:......................................................................................................................................................477.3.2 VERBAL RESPONSE:............................................................................................................................................477.3.3 MOTOR RESPONSE:.............................................................................................................................................477.3.4 MEANING OF TOTAL POINTS ON GLASGOW COMA SCALE:...........................................................................488.0 GENERAL MANAGEMENT OF HEAD TRAUMA:..................................................................................................................................498.1 PHYSICAL THERAPY:............................................................................................................................................................498.2 PARKINSON'S SPECIFIC PROGRAMMING:........................................................................................................................498.3 PHYSICAL THERAPY FOR PARKINSON'S ADDRESSES:..................................................................................................508.4 PHYSICAL THERAPY FOR INDIVIDUALS WITH PARKINSON’S DISEASE:.......................................................................508.4.2 CURRENT APPROACHES TO EXERCISE IN PD:................................................................................................528.5 VESTIBULAR THERAPY:.......................................................................................................................................................549.0 PREVENTION STRATEGIES:................................................................................................................................................................56
 
PHYSICAL THERAPY PRINCIPALS & METHODS
PTP&M:0004 Revision: 01 Page:
3
of
56
 
MANAGEMENT OF CENTRAL NERVOUS SYSTEMTRAUMA AND DISEASE
 
NOTICE: This specification, and the subject matter disclosed therein, embody proprietary information which is the confidential property of MullsonsHealth & Wellness, which shall be copied, reproduced, disclosed to others, published, and could be used in whole or part, for any purpose,without the express advance written permission of a duly authorized agent of the Company. This specification is subject to recall byMullsons Health & Wellness at any time.
Medicine: It’s a noble profession, it serves humanity
.
3
1.0 NERVOUS SYSTEM DISEASES:
Diseases of the central and peripheral nervous system. This includes disorders of the brain, spinalcord, cranial nerves, peripheral nerves, nerve roots, autonomic nervous system, neuromuscular junction, and muscle.
1.1 THE CENTRAL NERVOUS SYSTEM:
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