IPR Therapy Intro

Question 1

What does PT in IPR cover?

Answer 1

Stairs, transfers, gait (walking/WC)

Question 2

What does OT in IPR cover?

Answer 2

Shower, grooming, dressing, toileting

Question 3

What is important during push off phase?

Answer 3

Hip exension and plantarflexion

Question 4

What can you work on in kneeling to help with gait?

Answer 4

Weight shifting

Question 5

What is a good functional test to see if it is safe to move onto gait training?

Answer 5

Testing sitting tolerance

Question 6

How can you get a patient with neglect to pay attention to the neglected side?

Answer 6

Family sit on neglect side, window on neglect side, do functional tasks at that side

Question 7

what is a bioness?

Answer 7

Device that has a cuff around the lower leg and stimulates the anterior tibialis to stimulate dorsiflexion

Question 8

What is a knee cage?

Answer 8

Prevents knee hyperextension in stance phase

Question 9

Why shouldn’t you use a knee cage too often?

Answer 9

Can prevent contraction of quads and lead to weakness

Question 10

Why wouldn’t you use an AFO in IPR?

Answer 10

Want to wait to allow muscle strength recovering, swelling, concern for skin breakdown

Question 11

What does a toe off AFO allow for?

Answer 11

More plantarflexion in push off phase and use ground reaction force to control knee into extension

Question 12

Are quads active in standing?

Answer 12

No, Plantarflexors, glut med, core

Question 13

What are the basics that OT covers?

Answer 13

anything that occupys your time

Question 14

What FIM scores does OT cover?

Answer 14

Toileting, bathing, grooming, dressing

Question 15

What is a grasper?

Answer 15

Assists patients with dressing

Question 16

What is a FIM of 7?

Answer 16

Complete independence, patient does not require assistance to perform the activity

Question 17

What is a FIM of 6?

Answer 17

Modified independent, patient requires use of device but no physical assistance

Question 18

What is a FIM of 5?

Answer 18

Supervison or set up

Question 19

What is a FIM of 4?

Answer 19

Minimal assistance or contact guard, patient can perform ?75% of the task

Question 20

What is a FIM of 3?

Answer 20

Moderate assistance, patient can perform 50-74% of the task

Question 21

What is a FIM of 2?

Answer 21

Maximal assistance, patient can peform 25-49% of the task

Question 22

What is a FIM of 1?

Answer 22

Total assistance, patient can perform <25% of the task or requires more than one person to assist

Question 23

What is a FIM of 0?

Answer 23

Dependence, cannot perform the activity

Question 24

What are some of the diagnoses that ST covers?

Answer 24

CVA, TBI, brain tumors, encephalopathy, SDH, SAH, parkinson’s, ALS, MS, dementia

Question 25

What are the three main areas of speech therapy?

Answer 25

Speech, swallow, cognition

Question 26

What is vital stem?

Answer 26

NMES to assist dysphagia therapy but stimulating nerves to contract muscles for swallow

Question 27

What can Dynavision be used for?

Answer 27

Used for attention, cognitive function, reaction time, visual scanning

Question 28

What is the average reaction time with Dynavision?

Answer 28

1 second recaion time

Question 29

What test can be used to screen for dementia?

Answer 29

MOCA for screen and neuropsych for official diagnosis

Question 30

What are FIM scores that ST covers?

Answer 30

Comprehension, Expression, Social interaction, Problem solving, memory