exam 2: stroke rehab interventions pt 3 (cont.) Flashcards

1
Q

what are the 3 types of electrotherapy for poststroke interventions?

A
  • EMGBF: record AP and present in visual and/or auditory mode
  • NMES: regaining muscle force, motor control & reduce spasticity
  • FES: muscle re-education (DF on cue to improve drop foot)
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2
Q

locomotor training leads to improvements in _____ _______. it is one of the most ______ tasks for a patient post-stroke

A

aerobic capacity
salient

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3
Q

what is overground training?
most or least common form of gait training?

A

PT facilitated gait training in reciprocal stepping fashion while advancing toward an end goal.
improves gait speed and endurance
most common

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4
Q

when can you start to initiate gait training with a post-stroke patient?

A

after proximal stability in standing and good postural awareness is met

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5
Q

what are examples of gait training progressions?

A

functional movements
task-specific skills
activities that involve coincident timing
dual-task activities

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6
Q

what does research say about gait training at these different phases of recovery?
- chronic:
- subacute:
- acute:

A
  • improve walking distance & walking ability but not balance
  • improve balance and walking ability but not distance
  • did not improve walking. too challenging
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7
Q

what is body weight supported TT (BWSTT)?
- open or closed loop training?

A

manual assistance can be provided by PT to normalize gait providing external tactile and verbal cues
- closed loop

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8
Q

how is BWSTT used and why is it a good way to introduce gait early to a patient in acute stage?

A

a harness is used to minimize weight, eliminate use of AD & allows PT to provide manual contacts
–> use it and improve it, repetition matters

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9
Q

research shows that there is no difference in TT vs. overground gait training, however, BWSTT improves _____ and ______

A

walking velocity and walking distance

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10
Q

what is the rationale for BWSTT?

A

intensive task-specific locomotor training that may facilitate cortical and subcortical reorganization following cerebral damage

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11
Q

what are the significant differences between treadmill walking and overground ambulation?
- swing phase:
- stance phase:

A
  • lifting up instead of pushing off
  • pulled backward instead of trunk advancing weight forward onto it
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12
Q

what are PT considerations for robotic-assisted gait training?

A

cost
set up time
research limited
carry over of gait without device

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13
Q

an AFO may be required when ________
- inadequate ankle _____ during swing
- _____ ankle instability
- insufficient _____ during late stance

A

persistent problems prevent safe ambulation
- DF
- mediolateral
- push-off

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