lecture1: intro eval and treat

Question 1

Stroke Impact Scale

Answer 1

participation measure! from patient’s perspective!
*questionaire about impairments, activity limits, QoL, stroke recovery

Question 2

STREAM (stroke rehab assessment measure) is a ____

Answer 2

activity and BFS/impairment measure
supine to sit, standing, walking

Question 3

The PASS is a…

Answer 3

activity AND impairment/BFS measure!
postural assessment scale for stroke

*can you sit? can you stand with/without support? stand on one leg? can you CHANGE POSTURE

Question 4

What is the Barthel Index for chronically ill?

Answer 4

activity measure: MEASURES HOW MUCH BARTHEL NEEDS HELP

*score over 60 means you can care for self (but not live byself)
*score UNDER 60 NEEDS HELP

Question 5

FIM is a….

Answer 5

ACTIVITY MEASURE
functional Independence measure
(evolved into IRF-PAI inpatient rehab facility patient assessment instrument)

Question 6

FIM 7

Answer 6

complete independence

Question 7

FIM 6

Answer 7

modified independence

Question 8

FIM 5

Answer 8

needs supervision or set up

Question 9

FIM 4

Answer 9

1. needs help getting into/out of bed/chair
2. patient needing only incidental help (CGA or steadying) which is 75% or more PATIENT WORKING

MIN ASSIST

Question 10

FIM 3

Answer 10

mod assist! 50-75% PATIENT EFFORT
Patient giving at least half effort

Question 11

FIM 2

Answer 11

MAX ASSIST
patient giving less than 50% (25-50) but not total assistance

Question 12

FIM 1

Answer 12

TOTAL ASSIST

Question 14

Even if walking independently 25 feet, if patient cannot go 50 feet, they are

Answer 14

TOTAL ASSIST score FIM1

Question 16

Fugl Meyer is a…

Answer 16

impairment, functional limitation/disability measure for stroke!
*research

Question 17

The FIST (function in sitting test), action reach arm test, and perception (line, clock, etc) tests are…

Answer 17

body function/structure stroke measurements

Question 18

The trunk impairment scale is a…

Answer 18

BFS measure
*dynamic and static sitting balance (look at crossing leg, 10 seconds without arm support, trunk displacement 10 cm backwards….)

Question 19

What are 6 outcome measures for TBI?

Answer 19

glasgow coma scale
JFK coma recovery scale
galveston orientation and amnesia scale
ranchos
UDS-MR FIM-FAM
disability rating scale

Question 19

What are 7 movement system diagnoses?

Answer 19

1. movement pattern coordination deficit
2. force production deficit
3. fractionated movement deficit
4. postural vertical deficit
5. sensory selection/weighting deficit
6. hypokinesia
7. dysmetria

Question 20

Orpington prognostic scale

Answer 20

stroke prognosis for recovery (1.6-6.8)
If below 3.2-mild
If over 5.2-severe

Question 21

CPG for locomotion post chronic stroke, incomplete SCI, TBI
clinicians SHOULD

Answer 21

1. walk train at mod-high aerobic intensity
2. walk train with virtual reality

Question 22

CPG for locomotion post chronic stroke,
incomplete SCI, TBI
clinicians MAY CONSIDER

Answer 22

1. strength train over 70% 1RM
2. circuit training at 75-85% HR
3. balance training with virtual reality

Question 23

CPG for what to NOT DO cpg for locomotion post chronic stroke, incomplete SCI, TBI

Answer 23

1. static/dynamic STANDING BALANCE (including pre-gait)
2. BWSTT with kinematic emphasis
3. robot-assisted gait training

Question 24

When should you provide an AFO or FES post stroke?

Answer 24

Should for walking, dynamic balance, gait speed, (maybe for kinematics), CHRONIC walking endurance, CHRONIC strength issue DO NOT FOR TONE/SPASTICITY

Question 25

What are contrived activities?

Answer 25

things like total gym, PNF diagonals... If doing contrived, go into FUNCTIONAL

Question 26

Poor predictors for stroke

Answer 26

1. Cognition: -dementia -global aphasia -B&B 2. persistent sensory def 3. severe visuospatial def 4. history: previous stroke 5. old age

Question 27

MOVEMENT SYSTEM DIAGNOSES

Answer 27

1. Mvmt pattern coordination deficit 2. Force production deficit 3. Fractionated movement deficit 4. Postural vertical deficit 5. Sensory selection/weighting deficit 6. Sensory detection deficit 7. Hypokinesia 8. Dysmetria 9. Cognitive deficit

Question 28

PT interventions for concussion

Answer 28

1. Identify motor function impairments (affecting balance, high level physical mobility) 2. Use progressive symptom guided aerobic exercise to help with intolerance to ex 3. Cervical/t spine dysfunction, vestibule-ocular dysfunction, dizziness complaints 4. Graded progressions

Question 29

What are the 6 core outcome measures recommended by APTA?

Answer 29

1. BBS 2. FGA 3. ABC 4. 10 meter walk test 5. 6mWT 6. 5XSTS

Question 30

What are the StrokeEDGE ANPT recommendations for outcome measures?

Answer 30

1. FIM 2. Fugl-Meyer 3. PASS 4. SIS 5. Trunk impairment scale

Question 31

UDS-MR, now IRF-PAI is a measure of

Answer 31

Activity/participation limits *INPATIENT REHAB FACILITY PATIENT ASSESSMENT INSTRUMENT *general for everyone

Question 32

When should you NOT provide an AFO/FES for post stroke?

Answer 32

Tone/spasticity

Question 33

When should you NOT provide an AFO/FES for post stroke?

Answer 33

Tone/spasticity

Question 34

When is it OKAY to use AFO/FES for post stroke?

Answer 34

Strength/mm activation with decreased stiffness Walking endurance improvement Gait kinematics

Question 35

When SHOULD you use AFO/FES post stroke?

Answer 35

1. Gait speed 2. Dynamic balance 3. Other mobility 4. Chronic walking endurance issues 5. Quality of life 6. CHRONIC strength issues/mm activation