Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

Neuromuscular > Eval, Assessment and Management of Brain Injury > Flashcards

Eval, Assessment and Management of Brain Injury Flashcards

1
Q

Model of Clinical Practice

A

-Exam: measuring
-Eval: taking the exam and implications (ICF)
-Diagnosis
-Prognosis: ICF, co-morbidities, environment
-Intervention: treat, education
-Outcomes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Internal Classification of Function

A

Health Condition: Stoke

Body Function and Structure: weakness, sensory, pain, location, tone, apraxia, executive function, BS issues

Activity: walking, sitting, speech, ADLs, IADLs

Participation: job, hobbies, ADLs, social

Environmental: home, stairs, bathroom, kitchen access

Personal Factors: insurance, support, money, depression

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

ANPT Neuro Core Measures

A

-Berg Balance
-Functional Gait Assessment
-Activities-Specific Balance Confidence Scale
- 6MWT
-10 Metter Walk Test
-5STS

-not always great for non-ambulatory
-should observe score and quality/compensations
-score on the lowest

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

ANTP Stroke Outcome Measure Recs

A

-StrokEDGE Recs: FIM, Fugl-Meyer, Postural Ass Scale for Stroke, Stoke Impact Scale, Trunk Impairment Scale
-Traumatic Brain Injury EDGE Recs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Stroke Impact Scale

A

-SIS
-subjective experience of stroke impact on life
-quality of life, impairments, activity limitation

-strength, memory, mood, communication, ADLS. mobility, hobbies, work

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Postural Assessment Scale for Stroke Patients

A

-PASS
-maintaining and changing posture

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Functional Independence/Assessment Measure

A

-FIM/FAM
-general rehabilitation
-not specifically post stoke
-Activities Supine to transfers to locomotion
-Assistance or not

7:Complete Independence
6: Modified Independence
5: Supervision or Set up No hands on
4: Min Assist= >75%
3: Moderate Assist= 50-74%
2: Max Assist= 25-49%
1:Total Assist=0-24%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Stroke Rehabilitation Assessment of Movement

A

-STREAM
-progressive
-voluntary mmt of limb
-measure the quality of movement
-measures impairment and activity level

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Fugl-Meyer Test

A

-sensory and motor function, function and limitations
-synergies, reflexes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Glasgow Coma Scale

A

-GCS
-3-15, Eyes, Motor, Verbal
-used at scene of accident, ER, acute care
-predictor of future outcomes

3-8: severe injury, 44%, coma
9-12: moderate injury, 15%
13-15: mild injury, 41%

Limitations:
-language barriers
-prexisting conditions
-alcohol

Eyes: 1-4, none, pain, speech, spontaneous

Verbal: 1-5, None, incomprehensible, inappropriate, confused, oriented

Motor: 1-6, None, extension, flexion, withdraws, localizes, obeys

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Rancho Los Amigos Level of Cognitive Functioning Scale
1-3

A
  1. No response (no sleep/wake cycles)
  2. Generalized Response
    -limited, inconsistent responses
    -general reflexes to pain
  3. Localized Response
    -purposeful responses, follow simple commands

-lots of tubes
-asleep or awake
-high risk for skin breakdown and seizures
-NPO
-unstable vitals
-extreme hypertonicity
-GCS 3-8
-disordered consiousness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Rancho Los Amigos Level of Cognitive Functioning Scale
4

A
  1. Confused, Agitated
    -heightened state of activity, confusion, disorientation, agressive behavior
    -internal confusion
    -violence
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Rancho Los Amigos Level of Cognitive Functioning Scale
5-6

A
  1. Confused, Inappropriate, non-agitated
    -alet, distractable, verbally or sexually inappropriate
    -doesnt learn new info
  2. Confused, appropriate
    -good directed behavior**
    - needs cueing but can relearn**
    -memory problems
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Rancho Los Amigos Level of Cognitive Functioning Scale
7

A
  1. Automatic, Appropriate
    -out of PTA
    -robot like
    -minimal confusion
    -shallow recall
    -needa structure
    -problem solving
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Rancho Los Amigos Level of Cognitive Functioning Scale
8

A
  1. Purposeful, Appropriate
    -alert, oriented
    -cognitively independent
    -function at reduced levels in society
    -integrates past events
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Rancho Los Amigos Level of Cognitive Functioning Scale
9-10

A
  1. Purposeful and Appropriate- Stand by Assistance on Request
  2. Purposeful and Appropriate- Modified Independent
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Trunk Impairment Scale

A

-Static Sitting Balance
-Dynamic Sitting Balance
-Co-Ordination

18
Q

Function in Sitting Test

A

-reactive and anticipatory balance
-Nudge, EO/EC, picking up behind, lat, forward, scooting

19
Q

Movement System Diagnoses

A
  1. Movement Pattern Coordination Deficit
  2. Force Production Deficit
  3. Fractionated Movement Deficit
  4. Postural Vertical Deficit
  5. Sensory Selection & Weighting Deficit
  6. Sensory
20
Q

Prognostic Measures

A

-Orpington Prognostic Scale
-Clinical Signs of Poor Prognosis post Stroke

21
Q

CPG for Locomotion for Chronic Stroke, TBI, InSCI

A

-to improve WALKING

  1. Walking mod to high intensity (post stroke and SCI)
  2. VR Walking Training following acute onset (post stroke and SCI)
  3. Strength train >70% 1RM
  4. Stepping/circuit/cycling 75-85% HRmax
  5. NO static/sitting balance
  6. NO robot ass gait training
  7. Can use static of dynamic balance with VRf
22
Q

CPG for Use of AFOs and FES (E-Stim) Post Stroke

A

FES and AFO: Quality of life, chronic walking endurance, other mobility, Dynamic Balance, Gait speed, Chronic Muscle Strength/Activation (may provide AFO)

May Provide FES and AFO: Acute walking endurance

Should Not provide FES and AFO: Tone/Spasticity

23
Q

Types of Activities

A

Functional Activities: work directly toward functional goals

Contrived Activities: work towards functional activities but not directly to goals

Education

24
Q

Predictors of Poor Rehab Outcome

A

Dementia
Global Aphasia
Previous Stroke
Older Age
Incontinence
Severe Visuospatial deficits
Persistent Sensory Defifits

25
Core Tasks
1. Sitting 2. Sit to Stand 3. Standing 4. Walk and Turn 5. Step up/down 6. Reach, Grasp, manipulate
26
Movement Pattern Coordination
-inability to coordinate an intersegmental task because of a deficit wih timing and sequency -improves with practice and instruction S/s: Fractionated mmt, little to no ataxia
27
Force Production Deficit
-flaccid tone -weakness and fatigue S/s: fracionated mmt, little postural control
28
Fractionated Movement Deficit
-inability to fractionate movement -hypertonic tone restricting S/s: stiffness, extensor tone
29
Postural Vertical Deficit
-inaccurate perception of vertical orientation -resist pushing -backward disquilibrium behavior S/s: difficulty planing, sensation issues, impulsiveness
30
Sensory Selection and Weighting Deficit
-inability to maintain posture or motor performance difficulty sreening for and attending to sensory input -do not resist pushing -sensitivity to sensory stimuli S/s: fractionated mmt, self stimulation
31
Sensory Detection Deficit
-inability to execute intersegmental movement due to lack of join position sense -sensation deficits -proprioception deficits S/s: poor timing, slow movements
32
Hypokinesia
-slow movements (initiatting and executing) -stopping ongoing movement S/s: rigid movement, undershooting movement, delayed reflexes
33
Dysmetria
-inability to grade forces appropriattely for task -worse with higher speeds -non equilibrium coordination S/s: standing issues
34
Cognitive Deficit
-lack of aroussal, attention, or abiliity to apply meaning to a situation -could be a modifier
35
UE Flexion Synergy
-Scapular Elevation -Scapular Retraction* -Shoulder Abd & ER -Elbow flexion* -Forearm Supination -Wrist flexion* -Finger Flexion*
36
UE Extension Synergy
-Scapular Depression* -Scapular Protraction -Shoulder extension* -Shoulder add* -Shoulder IR* -Elbow Extension -Forearm Pronation* -Wrist Extension -Finger flexion*
37
UE Resting Synergy
-Scapular Depression -Scapular Retraction -Shoulder extension -Shoulder add -Shoulder IR -Elbow flexion -Forearm Pronation -Wrist flexion -Finger Flexion
38
LE Flexion Synergy
-Pelvic elevation* -Pelvic retraction* -Hip Flexion* -Hip Abd -Hip ER -Knee Flexion -Ankle DF -Foot Inversion*
39
LE Extension Synergy
-Pelvic depression -Pelvic protraction -Hip extension -Hip Add* -Hip IR* -Knee Extension* -Ankle PF* -Foot Inversion*
40
LE Resting Synergy
-Pelvic elevation -Pelvic retraction -Hip Flexion -Hip Add -Hip IR -Knee Extension -Ankle PF -Foot Inversion

Neuromuscular (36 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions