Lab prez Flashcards

1
Q

What does botox improve the most?

A

spasticity and ROM

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2
Q

Which populations does botox help the most?

A

CP

stroke

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3
Q

What outcomes on gait are improved with botox?

A

speed, quality of gait - stroke

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4
Q

What does PT and botox improve?

A

decrease spasticity
increase ROM
UE/LE function

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5
Q

What can botox and casting improve?

A

increase PROM and spasticity
gait - less range of spasticity
ankle selective motor activity

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6
Q

What patient criteria is needed for CIMT?

A

10 degrees of active motor function of wrist/finger extensors and thumb abductors/extensors

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7
Q

What is the rationale behind CIMT?

A

inhibiting learning non-use

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8
Q

What is the difference between CIMT and mCIMT?

A

CIMT - repetitive practice of affected arm and restrained unaffected
mCIMT - less intensive over longer period of time

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9
Q

What does CIMT and mCIMT help improve?

A

motor function of UE
decrease dependence of ADL
QoL
muscle tone

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10
Q

This type of VR is a virtual scenario on the screen and user uses mouse/joystick or keyboard

A

non-immersive

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11
Q

This type of VR is a virtual scenario on screen still connected to the environment, gesture detect movement

A

semi-immersive

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12
Q

This type of VR is a 360 degree view through a head-mounted display interact with objects

A

immersive

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13
Q

new images from digital info in real environment stimulate environment artificial and real mixed

A

augmented reality

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14
Q

What outcome does VR improve the most?

A

motivation and adherence

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15
Q

What type of training is VR/AR

A

repetitive and variable training

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16
Q

This type of robotic is volitional LE muscle firing

A

rehabilitative

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17
Q

This type of robotic is autonomous control, able to shift COG to generate movement

A

compensatory

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18
Q

this type of robotic is heavier, electronic/computerized, supportive

A

hard robotic

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19
Q

this type of robotic is lighter, fluid/pneumatic, encourages natural movement

A

soft robotic

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20
Q

What is the patient criteria for robotics?

A

sensory, physical, cognitive ability
adequate standing balance
adequate upper body strength for SCI
joint ROM within NFL

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21
Q

What does robotics improve the most?

A

gait - become independent walker

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22
Q

What are the benefits of RAS/RAC?

A

improvements in gait
motor learning
inexpensive

23
Q

What does RAS/RAC improve in gait?

A

freezing and initiation

gait velocity, stride length, cadence, speed

24
Q

What are the limitations of RAS/RAC?

A

cognitive
visual deficits
auditory deficits

25
How should RAS/RAC be applied in PT?
during gait training, determine tempo with normal gait first then progress and speed up
26
What type of beat is better for stroke?
strong beat
27
Faster tempo or RAS/RAC in PD improves
mobility
28
The slower tempo of RAS/RAC in PD improves
stability
29
What changes in gait speed are seen with RAS/RAC?
speed or velocity | cadence
30
What changes are seen in gait patterns with RAS/RAC?
stride length | improved balance
31
What can FES improve in walking?
drop foot | lower limb impairment
32
What can FES improve in upper limb function?
grasp and reaching grip strength shoulder sublux - stroke
33
Rehabilitative use of FES
short term, temp use
34
Compensatory or orthotic use of FES
long term, dependent use
35
repetitive pulses is (rTMS/tDCS)
rTMS
36
constant, low level current, alternating excitability is (rTMS/tDCS)
tDCS
37
rTMS high frequency (increases/decreases) cortical excitability
increases
38
rTMS low frequency (increases/decreases) cortical excitability
decreases
39
rTMS high frequency is applied to the (contra/ipsi) lesion hemisphere
ipsilateral
40
rTMS low frequency is applied to the (contra/ipsi) lesion hemisphere
contralateral
41
tDCS anodal is (excitatory/inhibitory) charge
excitatory
42
tDCS cathodal is (excitatory/inhibitory) charge
inhibitory
43
robotics for patients with SCI is
compensatory
44
patients need good cognitive function for robotics (true/false)
true
45
with the rewalk robotic the patient needs to be able to
stand using a device
46
in patients who are non-ambulatory, robotics is a _ strategy
compensatory
47
VR is highly recommended for which population to improve UE function
stroke
48
what outcomes of gait improve with CP and botox
gait parameters
49
botox and PT for stroke improve
speed of gait | quality of gait
50
CIMT increases function of _ the most
upper extremity
51
CIMT and mCIMT promote what type of training
repetitive task-specific training
52
How does FES help a patient with CP?
increase pulse generation for push off reduced spasticity improved muscle activation
53
FES is best for which population
SCI | stroke