Neurological Physiotherapy: Charcot-Marie-Tooth Disease

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40 Questions

What is the most common inherited progressive peripheral neuropathy?

Charcot-Marie-Tooth Disease

What is the primary characteristic of Type I CMT?

Demyelinating condition that slows nerve conduction velocity

What is the primary cause of muscle weakness in CMT?

Abnormal peripheral myelin protein

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

First or second decade of life

What is the primary treatment approach for CMT?

Non-operative physical therapy and occupational therapy

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

Optimized glycemic control

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

Charcot-Marie-Tooth disease

What is a common symptom of lumbosacral plexopathy?

Low back and/or leg pain

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

Tricyclic antidepressants and anticonvulsants

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

Prevention and management of diabetic foot complications

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

Unilateral pain in the proximal thigh

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

MRI with/out gadolinium contrast

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

Radiation plexopathy

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

Abnormal, involuntary movements overlapped to normal motor activity

What is a potential complication of lumbar plexopathy?

All of the above

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

51%

What is a major risk factor for diabetic neuropathy?

Poor glycemic control

What is the most common type of diabetic neuropathy?

Distal symmetric polyneuropathy

What is a possible complication of diabetic neuropathy?

Lower limb amputation

What is the underlying cause of diabetic neuropathy?

Nerve inflammation caused by hyperglycemia

What is the characteristic of Myoclonus movements?

Sudden and brief

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

Body Distribution

How is Dystonia classified based on the body parts affected?

Focal, Segmental, Multifocal, and Generalized

What are the five major types of Hyperkinetic Movement Disorders?

Tremors, Chorea, Dystonia, Myoclonus, and Tics

What is Chorea characterized by?

Excessive, spontaneous, irregularly timed, non-repetitive, and abrupt movements

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

14-30%

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

Numbness

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

To assess sensory function

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

Autonomic neuropathy

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

N2b

What is the primary characteristic of tics?

Involuntary, rapid, abrupt, repetitive, recurrent, and nonrhythmic movements or vocalizations

What is dystonia characterized by?

Sustained muscle contractions and abnormal trunk, neck, face, arms, and legs postures

What is an important aspect of diagnosing movement disorders?

History and neurologic examination

What is a goal of management for movement disorders?

Gait re-education and balance retraining

What is a characteristic of tremors?

Rhythmic and oscillatory movements

What is important to consider when diagnosing movement disorders?

Both neurological and non-neurological conditions

What is another term for hyperkinetic movement disorder?

Chorea

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

All of the above

What is a feature of tics?

Involuntary, rapid, abrupt, repetitive, recurrent, and nonrhythmic movements or vocalizations

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

Respiratory function training

This quiz covers Charcot-Marie-Tooth disease, an inherited peripheral neuropathy, its causes, symptoms, and effects on the muscles and bones. Learn about the patho-anatomy of the disease and its impact on daily life.

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