Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

NM 2 > lecture 8: PT management of individuals with mild brain injury > Flashcards

lecture 8: PT management of individuals with mild brain injury Flashcards

1
Q

what is ranchos levels VII-VIII

A

VII – Automatic-appropriate
VIII – Purposeful-appropriate

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

*Appropriate and oriented
*Robot-like
*Minimal confusion
*Shallow recall of activities
*Poor insight into condition
*Carryover for new learning but decreased rate
*Initiates social activities with structure
*Poor judgment, problem-solving, and planning skills

what ranchos level does this describe

A

VII: automatic appropriate

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

*Alert and oriented
*Recalls and integrates past and recent events
*Aware of and responsive to environment
*Carryover for new learning
*Decreased level of abstract reasoning, tolerance for stress, and judgment

what ranchos level does this describe

A

purposeful appropriate

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

what is the clinical presentation for a mild brain injury for the integumentary system

A

ulcers , incisions

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

after a mild brain injury deficits may increase with what 4 things

A

faitgue
stress
illness
heat

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

what are the activity limitation after a mild brain injury

A

*Activity limitations
◦ Bed mobility
◦ Transfers
◦ Wheelchair mobility and management
◦ Gait/stairs

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

what is apart of the participation outcome measures for a mild brain injury

A
  • Craig Handicap Assessment and Reporting
    Technique (CHART)
  • Community Integration Questionnaire (CIQ)
  • DRS (BS&F, activity, and participation)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what is apart of the body functions and structures outcome measures for a mild brain injury

A
  • Rancho Levels of Cognitive Function
  • Modified Ashworth Scale
  • MMSE
  • Montreal Cognitive Assessment
  • Patient Health Questionnaire
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what is apart of the activity outcome measures for a mild brain injury

A
  • FIM/FAM
  • High Level Mobility Assessment Tool (HiMAT)
  • 6MWT, 10mWT
  • Berg Balance Scale (BBS)
  • Functional Gait Assessment (FGA)
  • 5 Time Sit to Stand (5TSTS
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what is apart of the environment outcome measures for a mild brain injury

A
  • Craig Hospital Inventory of Environmental
    Factors (CHIEF
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what is the description for the High Level Mobility Assessment Tool (HiMAT)

A

Description
◦ Assess high level mobility in individuals with TBI
◦ No use of assistive devices but orthotics permitted
◦ Must walk without assistance x 20 meters

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

how can u prioritize PT goals

A

Participation restrictions → Activity limitations → Impairments

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what 3 things go into motor control

A

-task
individual
-environment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what are some of the communication deficits one will present w after a mild brain injury

A

◦ Dysarthria
◦ Aphasia
◦ Impaired reading/writing
◦ Auditory deficits

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

why is awareness important

A

-leads to improved attention , memory , and problem soling
- ability to analyzer own performance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what are the 4 different attention types

A

-sustained
-selective
-alternating
-divided

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

what is sustained attention

A

Ability to maintain focus on a continuous, repetitive activity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

what is selective attention

A

Focus on a particular task or activity in the presence of distractors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

what is alternating attention

A

Switching between tasks

20
Q

what is divided attention

A

Performance of multiple tasks simultaneously

21
Q

how can u integrate attention into ur PT sessions

A
  • modification of treatment environment
    -Begin in environment which allows optimal function
    Ultimate goal is function in high distraction with low structure
22
Q

what is the stroop test

A

have the pt say word not the color of the word

23
Q

what is the The ability to organize sensory input into meaningful patterns that emerge from increasingly integrated levels of processing that form a perceptual whole

A

perception

24
Q

Body image and unilateral spatial inattention/neglect
Unilateral spatial inattention/neglect with homonymous hemianopsia
Visual agnosia
Visual-spatial disorders

these are all examples of what kind of deficits

25
what is unilateral spatial in attention/hemisphere in attention/neglect
- failure to orient toward, respond to, or report stimuli on the side contralateral to the cerebral lesion ◦ Inability to integrate and use perceptions from one side of body
26
what is **visual agnosia**
failure to recognize visual stimuli unable to name objects due to having no concept of what the object is basically they can see the object but can tell u what it is but they could feel it and know it is a spon
27
what attention does the right adn left hemisphere pay attention to
R hemi: explores left and right attention L hemi: pays attention just to the righ so if u have a deficit on the R hemisphere that would lead to L side neglect bc there would be no attention to the L side bc the R explores teh L and R
28
what is **Topographic disorientation:**
Difficulty way finding in a familiar environment ## Footnote if a patient after a TBI can not remeber how to get home form store evne tho they liveed in same home for 60 yrs
29
what is **Figure ground perception**
inability to distinguish foreground from background (poor depth percpetion) so not being able to see the difference between the wheelchair break and the ground
30
◦ Midline orientation deficits ◦ Pusher’s syndrome these are what kind of visual spatial disorders
position in space
31
what are tips to integrate during PT session for **addressing executive functions**
- ask pt to predict performance before they begin a task to max their attention to the task - ask pt for feedback about their performance - allow error to occur bc it helps pt self monitor to look for errors and prevent them from next time
32
if a pt has a **L hemispheric lesion** waht are their communicant deficits
◦ Aphasia (can’t understand or express speech) ◦ Apraxia ( can’t person purposeful actions) ◦ Alexia (cant read) ◦ Agraphia (cant write letters ) ◦ Anomia (cant recall names of an object)
33
if a pt has a **R hemispheric lesion** what will their communication deficits be
◦ Deficits in abstract verbal tasks like …. -Storytelling and interpretation - Integration of emotional elements -Sense of humor
34
what are the **dominant hemisphere** language deficits
Wernicke’s (receptive) aphasia Broca’s (expressive) aphasia Global aphasia
35
for **brocas (expressive) aphasia** … Word comprehension ___- Syntax and fluid speech ____ ____ fluency Prosody is lacking ____ of grammatical structure Aware of deficits
Word comprehension retained Syntax and fluid speech lost Decreased fluency Prosody is lacking Lack of grammatical structure Aware of deficits
36
**WERNICKE’S (RECEPTIVE) APHASIA** ____ comprehension Speech is fluent, but paraphasic errors, jargon, empty, meaningless speech Basic intonation and syntax maintained, word meaning _____ Patients ____ of their deficits (anosognosia)
WERNICKE’S (RECEPTIVE) APHASIA Impaired comprehension Speech is fluent, but paraphasic errors, jargon, empty, meaningless speech Basic intonation and syntax maintained, word meaning inaccessible Patients unaware of their deficits (anosognosia)
37
what is apraxia
inability to perform certain skilled purposeful movements in the absence of any loss of motor power, sensation or coordination
38
what is Alexia and agraphia
inability to read/write
39
what is Lack of recognition of familiar objects
agonsia
40
what kind of gait is present for gait apraxia
magnetic gait
41
what is **verbal apraxia** called
**aphemia** (basically mute) but they can write
42
what are positive factors to return to work for pt’s
◦ Previous employment ◦ Shorter length of time since injury ◦ < 40 years old ◦ Greater cognitive abilities ◦ Lack of behavioral problems
43
how can u incorporate principles of **motor control/learning/neuroplasticity**
* Treadmill training, high intensity gait training (Hornby et al, 2020) * Virtual reality * Dual-task training * Aerobic exercise * Vestibular rehab
44
what is limb ideational
purposeful movement no possible on command or automatically
45
what is ideomotor apraxia
inability to formulate **correct movement** sequence in response to a command **ex** if u tell a pateint to pick up the spoon and feed themselves they wouldn’t be able to do it

NM 2 (17 decks)

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