exam 2: UE management Flashcards
UE screening falls under the ______ ICF domain
UE exam/assessment falls under _____, _______, and ______ domain
- body structure function
- body structure and function, activity, participation
what are contributing factors to shoulder subluxation with hemiplegia? (3)
- weakness and weight of heavy arm
- unlocking mechanism of capsule is lost
- superiorly, capsule and coracohumeral ligament are taut
secondary adhesive capsulitis can be a result from shoulder pain due to ________
spasticity
proprioceptive loss and lack of muscle tone/strength reduce support of RTC to position humerus properly in glenoid cavity
this describes shoulder pain due to ______
flaccidity
3 causes of shoulder pain due to flaccidity:
1. prolonged periods of ________ from traction on soft tissues
2. malalignment during mobility causes ________
—> DO NOT use _______
3. poor ______ ________
- subluxation
- impingement ; pulleys
- patient handling
Functional Independence Measure (FIM):
- instrument used to measure ______ for _____ population
- some subtests relate to the functional use of ______ ________ —>
- disability for any
- upper extremity –> self care and transfers
Task specific analysis: ex- reach and grasp tasks:
- ICF domain:
- provides information on patient’s ability to _____, demonstrate ______ _____ ______, and functional UE _______
activity
move
anticipatory postural control
mobility
what are examples of task analysis?
stacking blocks, placing shapes in shape sorter, household tasks like folding clothes
Action Research Arm Test (ARAT):
- ICF domain:
- specific for:
- what are the 4 subscales?
- on a 0-3 scale, 3 means?
- ARAT has been found to be more responsive than ______ w/ increased UE function in chronic stroke
- body structure and function
- UE function in adults with neurologic dysfunction, including poststroke
- grasp, grip, pinch, gross movement
- 3 = performs test normally
- FMA-UE
9 hole peg test:
- ICF domain:
- what is it?
- what does it measure?
- normative values are made for _______ populations
- body function and structure and activity
- speed-oriented, move pegs into 9 holes. then remove them.
- finger dexterity
- non neurologic pop. (general pop)
Box and Blocks test:
- ICF domain:
- what is it?
- what does it measure?
- normative values are made for ____ pop.
- body function and structure and activity
- box with divider contains 150 colored blocks. move as many to the other compartment in 60 sec.
- manual dexterity
- general pop
Fugl-Meyer assessment of motor performance:
- ICF domain:
- _____ specific outcome measure
- used primarily for _____
- scores range 0-2. 0 = ___ 2 = _____ so ____ score is better
- max score for FMA-UE ______
- may demonstrate ceiling effects for fine motor skills in ________
- body function and structure
- stroke
- research
- 0 = cannot be performed. 2 = fully performed. high score is better
- higher functioning patients
Wolf Motor Function Test (WMFT):
- ICF domain:
- performance on ____ timed tasks and _____ strength measures
- tasks are arranged in order of _______
- rating scale 0-5. 0 = ? 5 = ?
- max rating of ____ points
- provides insight into _____
- body function and structure
- 15 ; 2
- complexity
- 0= no use of affected side ; 5= normal
- 75
- neural recovery mechanisms
Stroke impact scale (SIS):
- mainly used in ____ setting
- ICF domain:
- _____ specific outcome, ______ report
- ____ point scale. final item scale is ____ to ____
- not sensitive to _____ or _____ weakness of upper limb after stroke
- outpatient
- participation
- stroke, self
- ; 0-100
- mild or moderate
what are functional consequences due to maladaptive movement and multifactorial impairments? (4)
learned nonuse
learned bad use
forgetting to use
secondary consequences
learned _______:
does NOT learn to use more involved extremities due to movement ________ of less involved side
nonuse
substitution (compensation)
