Neurological Physiotherapy: Charcot-Marie-Tooth Disease

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Questions and Answers

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?

<p>First or second decade of life (D)</p> Signup and view all the answers

What is the primary treatment approach for CMT?

<p>Non-operative physical therapy and occupational therapy (B)</p> Signup and view all the answers

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

<p>Optimized glycemic control (A)</p> Signup and view all the answers

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

<p>Charcot-Marie-Tooth disease (B)</p> Signup and view all the answers

What is a common symptom of lumbosacral plexopathy?

<p>Low back and/or leg pain (A)</p> Signup and view all the answers

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

<p>Tricyclic antidepressants and anticonvulsants (D)</p> Signup and view all the answers

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

<p>Prevention and management of diabetic foot complications (A)</p> Signup and view all the answers

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

<p>Unilateral pain in the proximal thigh (B)</p> Signup and view all the answers

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

<p>MRI with/out gadolinium contrast (B)</p> Signup and view all the answers

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

<p>Radiation plexopathy (D)</p> Signup and view all the answers

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

<p>Abnormal, involuntary movements overlapped to normal motor activity (C)</p> Signup and view all the answers

What is a potential complication of lumbar plexopathy?

<p>All of the above (D)</p> Signup and view all the answers

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

<p>51% (C)</p> Signup and view all the answers

What is a major risk factor for diabetic neuropathy?

<p>Poor glycemic control (C)</p> Signup and view all the answers

What is the most common type of diabetic neuropathy?

<p>Distal symmetric polyneuropathy (A)</p> Signup and view all the answers

What is a possible complication of diabetic neuropathy?

<p>Lower limb amputation (C)</p> Signup and view all the answers

What is the underlying cause of diabetic neuropathy?

<p>Nerve inflammation caused by hyperglycemia (D)</p> Signup and view all the answers

What is the characteristic of Myoclonus movements?

<p>Sudden and brief (B)</p> Signup and view all the answers

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

<p>Body Distribution (A)</p> Signup and view all the answers

How is Dystonia classified based on the body parts affected?

<p>Focal, Segmental, Multifocal, and Generalized (B)</p> Signup and view all the answers

What are the five major types of Hyperkinetic Movement Disorders?

<p>Tremors, Chorea, Dystonia, Myoclonus, and Tics (A)</p> Signup and view all the answers

What is Chorea characterized by?

<p>Excessive, spontaneous, irregularly timed, non-repetitive, and abrupt movements (C)</p> Signup and view all the answers

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

<p>14-30% (B)</p> Signup and view all the answers

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

<p>Numbness (B)</p> Signup and view all the answers

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

<p>To assess sensory function (B)</p> Signup and view all the answers

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

<p>Autonomic neuropathy (D)</p> Signup and view all the answers

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

<p>N2b (C)</p> Signup and view all the answers

What is the primary characteristic of tics?

<p>Involuntary, rapid, abrupt, repetitive, recurrent, and nonrhythmic movements or vocalizations (A)</p> Signup and view all the answers

What is dystonia characterized by?

<p>Sustained muscle contractions and abnormal trunk, neck, face, arms, and legs postures (A)</p> Signup and view all the answers

What is an important aspect of diagnosing movement disorders?

<p>History and neurologic examination (C)</p> Signup and view all the answers

What is a goal of management for movement disorders?

<p>Gait re-education and balance retraining (D)</p> Signup and view all the answers

What is a characteristic of tremors?

<p>Rhythmic and oscillatory movements (D)</p> Signup and view all the answers

What is important to consider when diagnosing movement disorders?

<p>Both neurological and non-neurological conditions (D)</p> Signup and view all the answers

What is another term for hyperkinetic movement disorder?

<p>Chorea (A)</p> Signup and view all the answers

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

<p>All of the above (D)</p> Signup and view all the answers

What is a feature of tics?

<p>Involuntary, rapid, abrupt, repetitive, recurrent, and nonrhythmic movements or vocalizations (D)</p> Signup and view all the answers

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

<p>Respiratory function training (B)</p> Signup and view all the answers

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