Question | Answer |
Unable to name or demonstrate use of common household items | visual agnosia |
Most effective way to teach person to normalize muscle movement | weight bearing through UE |
Best way to teach how to button shirt | start from bottom |
First positioning device for flaccid arm over w/c | arm trough |
Most effective sequence lft hemi, unilateral neglect | shirt on lap, lft hand, rt. Hand, shirt over heard |
CVA most likely for stabilization of potato | cutting board with nails |
CVA inpt. Rehab mina ADL, I BADL, return to work as cashier reccommended OT | Outpt. OT |
Best facilitation ADL for lft CVA, rt. Side hemi motor apraxia | provide individual detailed step by step commands for each task |
OT application for PNF | diagonal patterns ADLs |
Proprioceptive neuromotor facilitation believes in multisensory approach does not use | vestibular |
Sensorimotor tx. approach most appropriate | CVA |
According to Rood, tapping over muscle belly | increase muscle tone |
Icing, tapping, fast brushing | will facilitate muscle reactions |
Bobath NDT tx. emphasizes | normal movement patterns |
Bobath goal tx. to increase awareness of affected side during ADL or IADL | teach pt. to perform bilaterally |
Brunstrom first stage of motor recovery of hemiplegic arm | flaccid |
Pt. with CVA copy clock flat on Lft side | Lft unilateral neglect |
Laughing and crying throughout tx session | emotional lability |
Pt. emerged from coma, best guide to severity of diffuse damage | Ranchos Los Amigos Scale |
Person goes through routine robotic, still requires structure and supervision to ensure safety | RLA-VII |
Reacting inconsistently and nonpurposefully to stimuli, responses delayed | simplify vocab, slow rate of speech |
RLA level VII most appropriate intervention | card games |
RLA level VII | no decreased sensation below spinal level |
Anterior Cord Syndrome | paralysis, loss of pain/temp/ and sensation |
Autonomic dysreflexia | problem in people who have sustained cervical and high thoracic lesions |
Pounding headache, anxiety, perspiration, flushing, chills, goosebumps, HTN | autonomic disreflexia |
w/c positioning begins at pt.’s | pelvis |
first step | sit up |
lowest SCI level needing respirator | C3 |
wrist extension tenodesis, knobs on w/c | C6 |
spinal shock does not include | neurovascular shutdown |
no fitting for manual w/c | C4 |
portable respiratory for C4 | no |
d/c to private residence | yes |
tenodesis | C6 |
power w/c more convenient | C5 |