Neurological Physiotherapy: Charcot-Marie-Tooth Disease

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What is the most common inherited progressive peripheral neuropathy?

Charcot-Marie-Tooth Disease (correct)

Lumbar Plexopathy

Diabetic Neuropathy

Hyperkinetic Movement Disorder

What is the primary characteristic of Type I CMT?

Axonal death caused by Wallerian degeneration

Abnormal peripheral myelin protein

Demyelinating condition that slows nerve conduction velocity (correct)

Direct axonal death caused by Wallerian degeneration

What is the primary cause of muscle weakness in CMT?

Axonal death caused by Wallerian degeneration

Demyelination of nerve fibers

Muscle atrophy

Abnormal peripheral myelin protein (correct)

What is the typical age of onset for Type I CMT?

First or second decade of life Signup and view all the answers

What is the primary treatment approach for CMT?

Non-operative physical therapy and occupational therapy Signup and view all the answers

What is the primary goal of medical management for type 1 DM in the context of diabetic polyneuropathy?

Optimized glycemic control Signup and view all the answers

Which of the following is NOT a potential cause of lumbosacral plexopathy?

Charcot-Marie-Tooth disease Signup and view all the answers

What is a common symptom of lumbosacral plexopathy?

Low back and/or leg pain Signup and view all the answers

What type of medications are commonly prescribed for neuropathic pain in diabetic polyneuropathy?

Tricyclic antidepressants and anticonvulsants Signup and view all the answers

What is the primary goal of multidisciplinary team management in diabetic polyneuropathy?

Prevention and management of diabetic foot complications Signup and view all the answers

What is the primary symptom of patients with pregnancy-related postoperative plexopathy?

Unilateral pain in the proximal thigh Signup and view all the answers

What is the best diagnostic test for evaluating the lumbar-sacral plexus?

MRI with/out gadolinium contrast Signup and view all the answers

Which type of plexopathy often presents without pain, only with weakness and sensory changes?

Radiation plexopathy Signup and view all the answers

What is the characteristic of Hyperkinetic Movement Disorders (HMDs)?

Abnormal, involuntary movements overlapped to normal motor activity Signup and view all the answers

What is a potential complication of lumbar plexopathy?

All of the above Signup and view all the answers

What is the estimated percentage of patients with diabetes that are affected by diabetic neuropathy?

51% Signup and view all the answers

What is a major risk factor for diabetic neuropathy?

Poor glycemic control Signup and view all the answers

What is the most common type of diabetic neuropathy?

Distal symmetric polyneuropathy Signup and view all the answers

What is a possible complication of diabetic neuropathy?

Lower limb amputation Signup and view all the answers

What is the underlying cause of diabetic neuropathy?

Nerve inflammation caused by hyperglycemia Signup and view all the answers

What is the characteristic of Myoclonus movements?

Sudden and brief Signup and view all the answers

What is the term for Hyperkinetic movement disorders classified according to body distribution?

Body Distribution Signup and view all the answers

How is Dystonia classified based on the body parts affected?

Focal, Segmental, Multifocal, and Generalized Signup and view all the answers

What are the five major types of Hyperkinetic Movement Disorders?

Tremors, Chorea, Dystonia, Myoclonus, and Tics Signup and view all the answers

What is Chorea characterized by?

Excessive, spontaneous, irregularly timed, non-repetitive, and abrupt movements Signup and view all the answers

What percentage of diabetic neuropathy cases are asymmetrical or focal syndromes?

14-30% Signup and view all the answers

What is a common symptom of diabetic neuropathy in the hands or feet?

Numbness Signup and view all the answers

What is the purpose of testing gross light touch and pinprick sensation in diabetic neuropathy diagnosis?

To assess sensory function Signup and view all the answers

What is the classification of diabetic neuropathy that affects the autonomic nervous system?

Autonomic neuropathy Signup and view all the answers

What is the staging of diabetic neuropathy characterized by severe symptomatic polyneuropathy and inability to heel walk?

N2b Signup and view all the answers

What is the primary characteristic of tics?

Involuntary, rapid, abrupt, repetitive, recurrent, and nonrhythmic movements or vocalizations Signup and view all the answers

What is dystonia characterized by?

Sustained muscle contractions and abnormal trunk, neck, face, arms, and legs postures Signup and view all the answers

What is an important aspect of diagnosing movement disorders?

History and neurologic examination Signup and view all the answers

What is a goal of management for movement disorders?

Gait re-education and balance retraining Signup and view all the answers

What is a characteristic of tremors?

Rhythmic and oscillatory movements Signup and view all the answers

What is important to consider when diagnosing movement disorders?

Both neurological and non-neurological conditions Signup and view all the answers

What is another term for hyperkinetic movement disorder?

Chorea Signup and view all the answers

What is a goal of management for movement disorders related to gait?