Neuro Rehab

Question 1

PT scope

Answer 1

• Functional status
• Functional prognosis
• Patient education, equipment, caregiver training

Question 2

Level of Assistance (FIM)

Total Assist

Answer 2

Patient does less than 25%

Question 3

Level of Assistance (FIM)

Maximal assist

Answer 3

Patient does 25-50% of work. Lifting assist

Question 4

Level of Assistance (FIM)

Moderate Assist

Answer 4

Patient does 50-75% of work

Lifting Assist

Question 5

Level of Assistance (FIM)

Minimal Assist/ Contact guard

Answer 5

Patient does 75-100% of work. Guiding/contact guard

Question 6

Level of Assistance (FIM)

Supervision

Answer 6

Pt requires verbal intstruction/cues for safety. NO PHYSICAL CONTACT

Question 7

Level of Assistance (FIM)

Independence

Answer 7

Perform task 100% safely + w/in timeframe. NO HELP

Question 8

ICF Model

International Classification of Functioning, Disability, and Health

Answer 8

DX:
*Body Function + structures
*Participation
*Activities
     Contextual Factors
         -Personal
         -Environmental

Question 9

PT Tests : ICF Model

Body Function + Structures

Answer 9

PT = muscle performance, sensory integrity, reflexes, range of motion, balance, aerobic endurance

Question 10

PT Tests : ICF Model

Activities

Answer 10

Bed mobility
Transfers
Ambulation
Stairs
Community skills

Question 11

PT Tests : ICF Model

Participation

Answer 11

Subj Hx questions about: family, work, social roles

Question 12

PT Tests : ICF Model

Personal Factors

Answer 12

Age
Gender
Ethnicity
Personality
Copy strategies
Exercise self-efficacy
Health behaviors
Fall history
Fear of falling

Question 13

PT Tests : ICF Model

Environmental Factors

Answer 13

Home environment
Family/social support
Insurance
Economic resources

Question 14

Roles

Occ Therapist

Answer 14

Eating
Grooming
Bathing
Upper/lower body dressing
Toileting

Question 15

Roles

NSG (Nursing)

Answer 15

Bowel/bladder management

Question 16

Roles

SLP (Speech Language Pathology)

Answer 16

Cognitive comprehension
Expression
Social interaction
Problem solving
Memory
Swallowing

Question 17

Roles

PT

Answer 17

Bed to chair transfer
Toilet transfer
Shower transfer
Locomotion
Stairs

Question 18

PT patient Management

Answer 18

EXAM

• initial movement observation
• **Patient IDed problems + Goals
• Subjective Exam
• **Movement Analysis
• tests/measures

*Screening eval

DX IMPRESSION

GOALS

PLAN OF CARE (+education)

OUTCOMES

Question 19

PT Exam

Answer 19

• Hx
• ROS
• Tests/Measures

Question 20

Tx

2 possible goals

Answer 20

Recovery vs. Compensation

Question 21

Tx based off of motor ______

Answer 21

Motor learning

Question 22

Recovery Care

Answer 22

Get to SAME LEVEL as before injury

*structures can change = Neuroplasticity

Question 23

Compensation care

Answer 23

Promote optimal function with residual abilities

*no potential to repair damaged structures

Question 24

Prevention care

Answer 24

Important in chronic/progressive disease

Question 25

Neuroplasticity Structural changes

Answer 25

Dendritic Spine Density, Dendritic Branching (arbolization), Synapse size/$, axon arbolization

Question 26

Neuroplasticity Interventions

Answer 26

* Constraint-Induced Movement Therapy (CIMT) * Locomotion Training w/ Body Weight Supported * Robotics (exoskeleton, Lokomat)

Question 27

Fear of falling can lead to

Answer 27

Inactivity = worsen condition

Question 28

Prevention Tx Goals

Answer 28

* inactivity * Sequalae from neuro condition * Fall Prevention

Question 29

Gait :# point | __-step

Answer 29

3 point | 2 step