NPTE Studycast | Physical Therapy

Neuro - Post-Polio Syndrome

Neuro - Bell's Palsy

Neuro - Erb's Palsy

Neuro - ALS Amyotrophic Lateral Sclerosis

Neuro - Multiple Sclerosis

Neuro - Cerebellar Disorders

Vestibular Disorders Host: Jimmy McKay, PT, DPT Featured Guest; Alicia Flach, PT, DPT, NCS Notes by Alexis Lancaster Vestibular Disorders   What is it? Disruption that can occur from vestibular apparatus (inner ear) through the cranial nerve to the CNS where the information is processed Any disruption along this path will cause a vestibular disorder   Anatomy Peripheral vestibular system...

Episode 20: Cauda Equina Syndrome Host Jimmy McKay Featured guest Bridget Ripa Notes Alexis Lancaster Cauda equina: “horse’s tail”   What is it? Injury to lumbar and sacral spinal nerve roots within the canal   Presentation Variable lower extremity paralysis Sensory loss Bowel and bladder dysfunction   Causes Trauma, pelvic crush (MVA), child birth could precede it   Differenti...

Episode 19: Central Cord Syndrome Host Jimmy McKay Featured guest Bridget Ripa Notes Alexis Lancaster What is it? Damage to the central portion of the spinal cord   How does it happen? Hyperextension of the cervical spine is the typical cause Inflammation or pressure on the cord centrally   Anatomy/Presentation Tricky Damages spinothalamic, corticospinal, and dorsal columns Upper extremi...

Episode 18: Brown Sequard Syndrome Notes by Alexis Lancaster, SPT What is it? Damage to one side of the spinal cord   Mechanism of injury: MVA, gunshot wound, stab wound   Impairments/presentation: Ipsilateral losses: proprioception, vibration, deep touch, discriminative touch, and voluntary motor control Contralateral losses: pain, temperature, crude touch   Differential diagnosis:...

Episode17: Posterior Cord Syndrome Notes by Alexis Lancaster, SPT What is it? Damage to the posterior cord itself Occlusion of posterior spinal artery Very rare   Differential diagnosis Any of the other spinal cord syndromes (anterior/brown sequard/central cord)   Clinical presentation Isolated loss of proprioception, vibration, & discriminative touch   Special tests Clinical pr...

16 - Neuro - Anterior Cord Syndrome

Episode 15- Autonomic Dysreflexia   What is it? Excessive autonomic nervous system activity triggered by afferent stimuli below the level of the spinal cord injury (usually level T6 and above) The stimulus can be noxious or non-noxious Usually it is a noxious stimulus Example: kinked catheter, tight clothing, overheating, UTI, bowel impaction, skin irritation Need to realize that the patient...

Episode 14: Huntington’s Disease Host Jimmy McKay Featured guest Bridget Ripa Notes by Alexis Lancaster What is it? Inherited, an autosomal dominant trait Causes degeneration to specific brain regions Huntington’s disease gene is on chromosome 4 and it produces the Huntington protein that’s found throughout the body   Signs/Symptoms Symptoms can present at any age Symptoms can include physica...

13 - Neuro - Guillain Barre

Episode 12: Orthostatic Hypotension NPTE Studycast Featured Expert Bridget Ripa, PT, DPT, NCS, CBIS, CSRS Notes by Alexis Lancaster, SPT What is it   * A decrease in blood pressure by ≥20mmHg systolic and ≥10mmHg diastolic when moving from a supine to upright position   Causes   * Cardiovascular system, BP, blood supply to the brain   Signs & Symptoms:   * Physical sig...

TIA – Transient Ischemic Attack Notes by Nick O'Hanlon, SPT What is it? The same underlying mechanism as an ischemic stroke; with the main difference being the duration of symptoms is significantly less In other words, a brief episode of neurological dysfunction caused by ischemia (lack of blood supply) to the brain No tissue death occurs Signs and Symptoms Clinically presents like a stroke, but c...

10- Neuro - Ischemic Stroke

9 - Neuro - Heterotrophic Ossificans

8 - Neuro - Spasticity

7 - Neuro - Traumatic Brain Injury

6 - Neuro - Hemorrhagic Stroke

5 - Orthopedics - UE Nerve Entrapment

4 - Orthopedics - Thoracic Outlet Syndrome

3 - Orthopedics - Frozen Shoulder