KINESIOL 1Y03 Lecture Notes - Lecture 7: Immunosuppression, Scoliosis, Spasticity
31 Jul 2018
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Lyme disease from a bacteria, borrelia burgdorferi, through ticks. Mimics other diseases like ms, fibromyalgia, chronic fatigue syndrome, guillan barre. Stages: localized presentation erythema, flu-like: neuro (headache and neck stiffness) msk and cardiac (tachy, brady, arrythmia, myocarditis, may have bells palsy final stage long term neuro + arthritis(1/3) + cognitive deficits. Pt mgmt relieve pain: strength in deconditioned patients for home exs. Antibody mediated demyelination of schwann cells in pns from spinal nerves terminating fibres. May be in hospital for 6-8 mo. Causes immune disorder: 2/3 ppl had recent illness in last 30 days (flu vaccine) S/s: onset to peak 4 weeks rapid ascending motor weakness and distal sensory loss spreads to arms, trunk, and face stocking and glove pattern of loss, absent dtr, may require mechanical ventilation. Rx: medical plasmaphoresis, immunoglobin, pt: joint protection. Rom (usually opposite to als progression) strength. 49 infectious disease (bacterial or viral) can be fatal. Causes inflammation of meninges (all 3: pia, arachnoid, dura)
