Pt 7326 neuroanatomy case study v
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PT 7326 Neuroanatomy Case Study V. Will Herritage Brittany Montgomery Ryan Griggs. Examination. Mrs. Margarita 45 y/o Professor at University of Texas Recovering Alcoholic Stopped by Austin Police Dept for staggering gait after football game Saturday night. Examination Cont.

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Pt 7326 neuroanatomy case study v

PT 7326 NeuroanatomyCase Study V

Will Herritage

Brittany Montgomery

Ryan Griggs


Examination
Examination

Mrs. Margarita

45 y/o

Professor at University of Texas

Recovering Alcoholic

Stopped by Austin Police Dept for staggering gait after football game Saturday night.


Examination cont
Examination Cont.

Physical Examination

A&O x 3

Muscular, well nourished, well hydrated and appears stated age

BP, HR, and respirations slightly elevated

Peripheral pulses intact

Sober


Examination cont1
Examination Cont.

Neurologic Examination

  • Sensations- WNL

  • Memory & Cognition- WNL

  • Cranial Nerves Intact

    • CN III, IV, VI- Normal

      • Rule Out Wernicke-Korsakoff


Examination cont2
Examination Cont.

Motor Exam

  • All LE strength 2/5

  • All UE strength 4/5

  • LE exhibits hypotonia

  • Reflexes

    L3/L4- Diminished

    S1/S2- Diminished

    UE- WNL


Examination cont3
Examination Cont

Neuromuscular Exam

(+) Dysdiadochokinesia of LE

(+) Dysmetria of LE

(+) Ataxia

(+) Romberg


Pathology
Pathology

Anterior Lobe Syndrome

Impacts vermis & intermediate zones of cerebellum

Chronic alcoholics

Broad-based, staggering gait

General ataxia of leg movements, even when the trunk is supported.


Evaluation disablement model
Evaluation: Disablement Model

Pathology – Anterior Lobe Syndrome

Impairment – Ataxic gait

Functional Limitation – pt unable to amb safely to office, classroom, house

Disability – pt unable to perform work, home, & social responsibilities


Prognosis
Prognosis

The prognosis is fair. The gait disturbance usually develops over several weeks, but may be relatively mild for some time. Continued alcohol consumption will worsen the condition.


Goals
GOALS

  • LTG 1: Pt. will amb ↕ 15 stairs s ataxic gait to access office in 6 wks.

    • STG: Pt. will amb ↕ 8 stairs s AD in 3 wks.

  • LTG 2: Pt. will amb 150 ft on level surfaces s AD to get to AA meetings in 6 wks.

    • STG: Pt. to amb 75 ft on level surface c AD in 3 wks.


Apta practice pattern
APTA Practice Pattern

5E: Impaired Motor Function and Sensory Integrity Associated With Progressive Disorders of the Central Nervous System


Pt intervention
PT Intervention

  • Gait & locomotion training

  • Balance, coordination, and agility training

  • Body mechanics & postural stabilization

  • Flexibility exercises

  • Aerobic and endurance conditioning

  • Pt and family education

    • AA meetings, sponsor, home evaluation

      • Very Important



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