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CVA tx Flashcards

1
Q

Based on the AHA/ASA rehab exercise program recommendations, which mode of exercise should you do the most?

a. aerobic
b. strength and endurance
c. flexibility
d. neuromuscular

A

aerobic

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2
Q

This type of exercise is used to increase functional capacity for walking and ADL’s, reduce motor impairment and improve cognition

a. aerobic
b. strength and endurance
c. flexibility
d. neuromuscular

A

aerobic

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3
Q

This type of exercise is used to increase the ability to perform ADL’s, leisure, and occupational activities, to reduce cardiac demands during lifting and carrying activities

a. aerobic
b. strength and endurance
c. flexibility
d. neuromuscular

A

strength and endurance

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4
Q

This type of exercise is used to prevent contractures, increase function and ADL’s

a. aerobic
b. strength and endurance
c. flexibility
d. neuromuscular

A

flexibility

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5
Q

This type of exercise is used to improve skill acquisition, mobility, and QOL, improve safety in ADL’s and decrease fear of falling

a. aerobic
b. strength and endurance
c. flexibility
d. neuromuscular

A

neuromuscular

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6
Q

Which type of exercised based on the AHA/ASA rehab exercise program recommendations should be done the least?

a. aerobic
b. strength and endurance
c. flexibility
d. neuromuscular

A

flexibility

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7
Q

Intervention approaches for stroke should be

a. targeted
b. functional
c. only one mode
d. multi-modal

A

multi-modal

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8
Q

What intervention has the strongest evidence?

A

task-oriented approach/task

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9
Q

NDT is better than PNF for stroke patients (true/false)

A

false

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10
Q

What is the requirement for using constraint-induced therapy?

A

active finger and wrist extension

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11
Q

Some interventions are better than others (true/false)

A

false

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12
Q

Intervention to treat CRPS in stroke patients addresses which pillars

a. impairment
b. strategy
c. impairment and strategy

A

impairment and strategy

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13
Q

Examples of tasks to desensitize the arm and hand to touch

A

rubbing their hand, pillow, wedge, wraps, gloves

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14
Q

to treat CRPS eliminate

A

painful exercises

hand edema

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15
Q

How do you reintroduce pain free arm movements in a patient with CRPS?

A

reestablishing scapular mobility first

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16
Q

Treating edema is addressing which pillar

a. impairment
b. strategy
c. impairment and strategy

A

impairment

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17
Q

Stage I edema:

a. gelatinous and pitting
b. hard and lumpy
c. soft and fluid

A

soft and fluid

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18
Q

Stage II edema

a. gelatinous and pitting
b. hard and lumpy
c. soft and fluid

A

gelatinous and pitting

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19
Q

Stage III edema

a. gelatinous and pitting
b. hard and lumpy
c. soft and fluid

A

hard and lumpy

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20
Q

Which treatment should be done to treat edema in the first stage?

a. compression
b. retrograde massage and elevation
c. active exercise
d. all of the above

A

all of the above

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21
Q

Which treatment should be done to treat edema in the second stage?

a. compression
b. transtissue massage and elevation
c. active exercise
d. all of the above

A

transtissue massage and elevation

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22
Q

Which treatment should be done to treat edema in the third stage?

a. compression
b. transtissue massage and elevation
c. active exercise
d. all of the above

A

compression

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23
Q

Using strategies to improve sensory and perceptual function addresses which pillar

a. impairment
b. strategy
c. impairment and strategy

A

impairment and strategy

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24
Q 
Safety education
tactile and thermal stimulation 
weight-bearing and approximation 
intermittent or deep pressure
active visual scanning
cues to involved side and to cross midline 
these strategies address 
a. flexibility 
b. joint integrity 
c. sensory and perceptual function
d. tone
A

sensory and perceptual function

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25
Positioning, active motion, ROM and mobilization are used to address a. flexibility and joint integrity b. joint integrity c. sensory and perceptual function d. tone
flexibility and joint integrity
26
Improving flexibility and joint integrity is addressing which pillar a. impairment b. strategy c. impairment and strategy
impairment
27
Positioning goals to increase flexibility and joint integrity
``` provide support normalize tone prevent shortening of tissues around the joint promote symmetry provide normal sensory input relieve pain and provide comfort ```
28
What is the goal of supine positioning? a. promote symmetry b. relieve pain and provide comfort c. most therapeutic position d. normalize tone
improve symmetry
29
What is the most therapeutic position for improving flexibility and joint integrity? a. supine b. sidelying on involved side c. sidelying on uninvolved side d. sitting
sidelying on involved side
30
Why is sidelying on the involved side the most therapeutic?
deep pressure and weight-bearing helps promote recovery - sensory and messages to brain
31
Early active movement as an intervention is used to address which pillars? a. impairment b. strategy c. impairment and strategy
impairment and strategy
32
Casts should be used on patients with low tone (true/false)
false
33
``` Early, active movement positioning weight-bearing through long bones daily stretching and ROM splints casts rotation these are interventions to treat a. flexibility b. abnormal tone c. joint integrity d. poor posture ```
abnormal tone
34
To implement a long-lasting effect on abnormal tone, the intervention must address
weakness and/or improper activation
35
What is the best intervention for treating abnormal tone?
active engagement from the patient
36
What intervention can be used to temporarily reduce high tone?
rotation of lower trunk with the patient lying supine
37
Rotation to decrease tone is addressing which pillar a. impairment b. strategy c. impairment and strategy
impairment
38
Isolated strengthening exercises carry over to function (true/false)
false
39
Strengthening as an intervention addresses which pillar a. impairment b. strategy c. impairment and strategy
impairment
40
Motor control and relearning address which pillars a. impairment, strategy and adaptation b. strategy c. impairment and strategy d. adaptation
impairment, strategy, and adaptation
41
Using motor control and relearning as an intervention should promote (3)
postural control voluntary movement functional use of extremities
42
Promoting postural control
anticipatory control requires hands free
43
To promote voluntary movement for motor control and relearning it is key to
move out of synergy
44
Priming for the intervention
primes for neuroplastciity increases BDNF high-intensity aerobic training
45
Aerobic exercise alone does not promote neuroplasticity. It enhances the environment to promote neuroplasticity when doing functional training (true/false)
true
46
What are important walking recovery concepts?
patient motivation to walk task-specific time matters
47
What are locomotor training principles?
maximize weight bearing on the legs optimize sensory cues optimize kinematics for each motor task maximize recovery strategies, minimize compensation strategies
48
This locomotor training uses an assistive device and often an inefficient pattern, uses multiple therapists potentially a. conventional PT b. bodyweight support treadmill training c. BWS overground
conventional PT
49
This type of locomotor training allows very early whole part practice, can focus on gait pattern and there is less physical demand on the therapist a. conventional PT b. bodyweight support treadmill training c. BWS overground
body weight support treadmill training
50
This type of locomotor training reduces the fall risk, no device is needed, most functional and least demand on the PT a. conventional PT b. bodyweight support treadmill training c. BWS overground
BWS overground
51
the most functional locomotor training method is a. conventional PT b. bodyweight support treadmill training c. BWS overground
BWS overground
52
What is the recommended locomotor training intensity and timing?
12 sessions of BWSTT 2x/week for 6 weeks 20-30 mins at 2.0 mph 60 min total PT session
53
What concept is key with locomotor training?
intensity and time
54
Locomotor training produces long term changes in walking _ and _
velocity | distance
55
List 4 areas of progression for locomotor training
endurance speed weight-bearing independence
56
General physical activity post stroke can prevent
future cardiovascular episode | post-stroke depression
57
_ is not required for general physical activity post stroke
task-specific
58
Bimanual movements is defined as
when both upper limbs move simultaneously
59
Which bimanual movement should be done first? a. hands separated, symmetrical movements b. hands separated, asymmetrical movements c. hands clasped, arms move together
hands clasped, arms move together
60
When can you start having a patient complete bimanual UE movements?
once they can self-assist
61
What is the benefit of bilateral UE movements in comparison to unilateral?
increase in muscle activation and longer post-training carry over of improvement with repetitive task
62
Equipment can be used for a. as compensation b. adaptation c. only for safety reasons d. remediation assistance, safety or compensation
remediation assistance, safety or compensation
63
When using a sling, avoid one that puts the arm into
IR and adduction
64
Which type of AD should be avoided in a stroke patient?
quad cane
65
What needs to be considered for an orthotic with a stroke patient?
``` rate or phase of recovery prognosis hypertonicity sensory loss and boney structure dexterity to don/doff orthosis + shoe ```
66
Early mobilization to prevent complications and learned nonuse is a goal for which setting
acute care
67
The evidence is in favor of which interventions
NDT PNF constraint-induced therapy gait/locomotor training
68
A patient experiencing contraversive lateropulsion may also show signs of _ neglect
spatial and sensory neglect
69
To get a long lasting effect on improving abnormal tone, it is important to address what underlying cause?
weakness and/or improper activation
70
atypical movement patterns develop because
as a consequence of primary and secondary impairments

Neuro II (11 decks)

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