Cranial Nerves, scales, and Synergies

chandlerrice's version from 2016-12-19 19:23

Cranial Nerves

Question Answer
CN I (1)Olfactory (smell)
CN II (2)Optic (sight, pupillary reflexes)
CN III (3)Oculomotor (moves the eye and elevates upper eyelid)
CN IV (4)Trochlear (moves eye down and in)
CN V (5)Trigeminal (mastication and sensory nerve for the head)
CN VI (6)Abducens (abducts the eye via nerve supply to the lateral rectus muscle)
CN VII (7)Facial (facial expression, speech articulation, winking, ingestion of food and drink, taste, salivary and nasal secretions)
CN VIII (8)Vestibulocochlear (maintenance of equilibrium, hearing)
CN IX (9)Glossopharyngeal (elevates pharynx, salivary secretion, taste)
CN X (10)Vagus (phonation, visceral sensations and reflexes, cardiac depressor, bronchoconstrictor, GI tract peristalsis and secretion)
CN XI (11)Accessory (shrug shoulders)
CN XII (12)Hypoglossal (movements on tongue)

Glasgow Coma Scale

Question Answer
What does the Glasgow coma scale test for?eye opening, verbal response, and motor response
Glasgow coma scale (mild brain injury)13-15
Glasgow coma scale (medium brain injury)9-12
Glasgow coma scale (severe brain injury)< or equal to 8

Modified Ashworth Scale

Question Answer
Modified Ashworth Scale 0no increased tone
Modified Ashworth Scale 1 or 1+slight increase in tone
Modified Ashworth Scale 2moderate increase in tone
Modified Ashworth Scale 3PROM is difficult
Modified Ashworth Scale 4affected joints are non-moveable (ankylosed)


Question Answer
Deep Tendon Reflexes (Biceps)C5-C6
Deep Tendon Reflexes (Triceps)C7-C8
Deep Tendon Reflexes (Brachioradialis)C5-C6
Deep Tendon Reflexes (Hamstrings)L5-S3
Deep Tendon Reflexes (Quadriceps)L2-L4
Deep Tendon Reflexes (Achilles)S1-S2

Abnormal Synergies

Question Answer
Abnormal Synergies Scapula (flexion)Retraction & Elevation
Abnormal Synergies Scapula (extension)Protraction
Abnormal Synergies Shoulder (flexion)Abduction & ER
Abnormal Synergies Shoulder (extension)Adduction & IR
Abnormal Synergies Elbow (flexion)Flexion
Abnormal Synergies Elbow (extension)Extension
Abnormal Synergies Forearm (flexion)Supination
Abnormal Synergies Forearm (extension)Pronation
Abnormal Synergies Wrist/Fingers (flexion)Flexion
Abnormal Synergies Wrist/Fingers (extension)Flexion
Abnormal Synergies Hip (flexion)Flexion, Abduction, ER
Abnormal Synergies hip (extension)Extension & Adduction
Abnormal Synergies Knee (flexion)Flexion
Abnormal Synergies Knee (extension)Extension
Abnormal Synergies Ankle (flexion)DF & Inversion
Abnormal Synergies Ankle (extension)PF & Inversion
Abnormal Synergies Toe (flexion)DF
Abnormal Synergies Toe (extension)PF

Ranchos Los Amigos Scale

Question Answer
Ranchos Los Amigos INo Response, total assistance (no observable change in behavior when presented with any kind of sensory or painful stimuli)
Ranchos Los Amigos IIGeneralized Response, total assistance (reflex to painful stimuli, responds to repeated stimuli with generalized movements)
Ranchos Los Amigos IIILocalized Response, total assistance (slow to respond to all stimuli, verbalizes and moves away from noxious stimuli, responds inconsistently to simple commands)
Ranchos Los Amigos IVConfused-Agitated, maximal assistance (attempts to remove restraints, tubes, may sit, reach walk without purpose, may cry or scream, aggressive or flight behavior, cannot cooperate with treatment)
Ranchos Los Amigos VConfused-Inappropriate, non-agitated, maximal assistance (wanders randomly, not oriented, impaired recent memory, cannot learn new information, can converse on social level for brief periods)
Ranchos Los Amigos VIConfused-Appropriate, moderate assistance (inconsistency oriented to person, time place, can do familiar tasks, recognizes some staff, unaware of disability, consistently follows simple directions)
Ranchos Los Amigos VIIAutomatic-Appropriate, minimal assistance for ADLs (oriented to person and place consistently, can do highly familiar tasks, demonstrates carry-over of new learning, awareness of condition, unrealistic planning)
Ranchos Los Amigos VIIIPurposeful and Appropriate, stand-by assistance (oriented to person, place and time, independently does familiar task for 1 hour in distracting environments, can recall past and recent events, aware of impairments, depressed, irritable, self-centered, aware of inappropriate social behavior)

Section 7

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