Midterm

Question 1

TBI Remedial Tx Approach

Answer 1

Bottom up approach- looking at fundamentals of activity Includes 1.Sensory Integrative (give differ textures) 2.Neurodevelopmental (weight bearing/normalizing tone) 3.Transfer-of-learning (take what’s learned and apply to other tasks/situations)

Question 2

Brocca’s Aphasia

Answer 2

Frontal Lobe Can usually understand what words mean, but have trouble performing the motor or output aspects of speech (expressive aphasia) Can range from the mildest type with intact comprehension and the ability to communicate through writing to a complete loss of speaking out loud.

Question 3

Wernicke’s Aphasia

Answer 3

Temporal Lobe Have problems understanding language (receptive aphasia)

Question 4

Global Aphasia

Answer 4

Characterized by a loss of both language skills. Often appear to respond to gestures, voice tone changes, and facial expression, CAREFULL the clients may appear to understand more than they actually do.

Question 5

Edema Management and Assessment

Answer 5

Measure using Volumeter (preferred) or measuring tape Elevation Compressive garment Ice A/PROM Retrograde Massage

Question 6

Treatment for RSD

Answer 6

Positioning Avoid flexion of the wrist Compressive Centripetal Wrapping (Coban) Ice Active Movements Passive Range of Motion Assisted Lymph Drainage Retrograde Massage Oral Cortisone

Question 7

Synergy Patterns

Answer 7

position that some clients assume after a stroke (flexion/extension)

Question 8

Flexion Synergy Patterns

Answer 8

Scapular adduction and elevation Humeral abduction and external rotation Elbow flexion Forearm supination Wrist flexion Digit flexion

Question 9

Extension Synergy Patterns

Answer 9

Scapular abduction and depression Humeral adduction and internal rotation Elbow extension Forearm pronation and wrist and finger flexion or extension

Question 10

Modified Diet Progression

Answer 10

Solid: regular-> chopped -> mechanical soft-> puree Liquids: thin -> nectar thick -> honey thick -> pudding

Question 11

Types of Apraxia

Answer 11

Ideomotor: unable to complete activity at will Ideational: inability to comprehend the concept of movement or execute the act automatically or in response to a command Constructional: deficit in the ability to copy, draw, or construct a design.

Question 12

Visual Perception Organization and Processing

Answer 12

Primary Visual Skills: Oculomotor Control (coordination of muscle/movements of eye), Visual Fields, Visual Acuity Attention: Alert and Attending (gaze at image as long as req) Scanning (shift from one visual target to another smoothly, used for reading) Pattern Recognition Visual Memory Visual Cognition (manipulate visual info mentally, understand and integrate image

Question 13

Treatment of Perceptual and Perceptual Motor Deficits

Answer 13

Remedial Treatment includes: Sensory-Integrative Approach Neurodevelopmental Approach Transfer-of-Training Approach Adaptive Treatment (used in acute setting): Functional Approach

Question 14

Visual Attention – Unilateral Neglect

Answer 14

Usually associated with right brain damage Behaves as if he were selectively ignoring all that happens on the impaired side Treatment Activities include cancellation tasks and anchoring techniques (gradually move red line over into impaired field

Question 15

Types ofAttention (6)

Answer 15

Focused Attention Sustained Attention Selective Attention Alternating Attention Divided Attention Concentration

Question 16

Sustained Attention

Answer 16

Vigilance; maintaining attention for a long time

Question 17

Focused Attention

Answer 17

Ability to respond to different kinds of stimulation

Question 18

Selective Attention

Answer 18

Activating and inhibiting responses selectively

Question 19

Concentration Attention

Answer 19

Ability to do mental work while attending

Question 20

Divided Attention

Answer 20

Ability to do several things at once

Question 21

Alternating Attention

Answer 21

Alternating back and forth between mental tasks

Question 22

Rancho Los Amigos Scale

Answer 22

I.No Response II.Generalized Response III.Localized Response IV.Confused-Agitated V.Confused-Inappropriate, Non-Agitated VI.Confused-Appropriate VII.Automatic-Appropriate VIII.Purposeful-Appropriate IX.Alert-Orientated

Question 23

Generalized Response RLAS 2

Answer 23

inconsistent, non-purposeful. delayed response

Question 24

Localized Response RLAS 3

Answer 24

specific but inconsistent

Question 25

Confused-Agitated RLAS 4

Answer 25

respond to internal stimulant, maybe combative because of confusion

Question 26

Confused-Inappropriate, Non-Aggitated RLAS 5

Answer 26

appears alert.responds to very simple commands. reacts to external stimuli but out of proportion

Question 27

Confused-Appropriate RLAS 6

Answer 27

Goal directed behavior, needs a lot of guidance

Question 28

Automatic-Appropriate RLAS 7

Answer 28

increased awareness. follow simple directions consistently. can relearn old task

Question 29

Purposeful-Appropriate RLAS 8

Answer 29

Appropriate and oriented. complete ADLs. requires supervision for decreased insight

Question 30

Alert-Oriented RLAS 9

Answer 30

can recall past and present events. has carryover for new learning

Question 31

Declarative Memory

Answer 31

ability to recite/reproduce info

Question 32

Episodic Memory

Answer 32

recall of personal history

Question 33

Semantic Memory

Answer 33

general fundamentals of language shared by group of people. usually not affected by TBI

Question 34

Procedural Memory

Answer 34

know steps of activity

Question 35

Everyday Memory

Answer 35

ability to remember info important to daily life (therapy schedule, nurses names, etc)

Question 36

Prospective Memory

Answer 36

ability to remember events to occur sometime in the future. (birthdays, anniversary)

Question 37

Adaptive Approaches for Memory Deficits

Answer 37

Active Listening Note taking Audio taping Rehearsal Association Pegging (using 1st letter of word to remember something (PDMAS)) External Aids