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Review Flashcards

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1
Q

4 stages of PNF motor control:

Mobility -> _____ -> controlled mobility -> _____

A

Stability

Skilled mobility

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2
Q

4 stages of PNF motor control:

____ -> stability -> _____ - skilled motor control

A

Mobility

Controlled mobility/ dynamic posture control

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3
Q

5 elements of postural control

Trunk -> _________ -> weight shift over BOS -> ________ -> limb function

A

Midline orientation

Head control

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4
Q

5 elements of postural control:

_____ -> midline orientation -> ________ -> head control -> _______

A

Trunk

Weight shift over BOS

limb function

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5
Q

A patient will be 92% unlikely to leave home (home bound) upon discharge if….

A

BERG under 20 and FIM-L is 1 or 2 (total or max assist) at admission to inpatient rehab

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6
Q

What are the 3 key inputs to central pattern generators

A

Stretch of hip flexors

Unweighting of triceps surae (PLANTARFLEXORS)

Weight bearing to facilitate extensor tone in stance Limb

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7
Q

Criteria for deciding if patients will walk post stroke:

LE Strength of _____________________________________

_______________________________________

A

1/5 in hip flexors, knee extensors, and ankle dorsiflexors

Independent sitting balance

if criteria unmet after 3 days, 27% will walk

if criteria walked after 9 days, 10%

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8
Q

What are the 4 components of a movement schema stored in memory

A

Initial Movement conditions

Parameters of general knowledge of motor program

Knowledge of results

Sensory consequences of movement

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9
Q

Patients need an ashworth scale of _____- to get an intrathecal bacolofen pump

What age?

How long since injury?

A

3+ Ashworth

Over 4 years old

over 1 year since injury

not dependent on spasticity for function

movement disorder is not the main problem

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10
Q

What outcome measures does StrokeEDGE recommend students learn

A

FIM

Fugl-Meyer assessment

Postural assessment

Stroke impact scale

Trunk Impairment scale

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11
Q

FIM scores

A

1- Total assist

2- Maximum assist

3- Moderate assist

4- min assist

5- supervision set up

6- modified independence

7- complete independence

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12
Q

A baclofen pump works better for spasticity where?

A spinal cord stimulator works better for spasticiy where?

A

LE

UE

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13
Q

What essential structure to gait does these things:

Final integrative center for locomotion b4 spinal cord

driving center for locomotion in all animals

provides drive to central pattern generators

A

medial medullary formation

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14
Q

Absolute requirements of a candidate for CIMT treatments:

A

AROM Wrist extension of 10-20 degrees

Must be able to extend 2 fingers

Ability to understand and follow directions

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15
Q

Considerable ncrease in muscle tone, passive movement is difficult

A

MA grade 3

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16
Q

Affected part(s) rigid in flexion/extension

A

MA grade 4

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17
Q

“No increase in tone”

A

MA scale 0

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18
Q

Slight increase in tone with a catch and release, or by minimal resistance at the end of the ROM when the joint is moved

A

MA scale 1

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19
Q

Marked increase in muscle tone throughout most of the ROM, but affected part is easily moved

A

MA scale 2

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20
Q

What 3 criteria signal emergence from minimally conscious state

A

Awake most of the time, but confused

Functional object use

Functionaly accurate communication

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21
Q

What are the main predictors of UE recovery in a stroke

A

AROM of shoulder

AROM of middle finger

predicted the variance in UE function at 3 months

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22
Q

What kind of brain injury is most likely to have spasticity

A

Cerebral palsy

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23
Q

What kind of brain injury is most likely to have HO

A

TBI and SCI

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24
Q

What lab value is elevated in patients with HO

A

serum alkaline Phosphatase

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25
What does v1, v2, and v3 on the tardieu scale mean?
V1- as slow as possible V2- speed of limb falling w gravity V3- as fast as possible
26
What does R1 and R2 mean on the tardieu scale?
R1 - PROM until catch point R2- full PROM
27
Botox contraindications
Neuromuscular transmission disease Inflammation at projected infection site Pregnancy Children under 2
28
What factors have a higher incidence of HO?
Sex Spasticity Smoking Completeness of injury Pneumonia pressure ulcers
29
What are the 7 commandments of PNF
Manual contacts Commands/communication Stretch Traction/approximation Maximal resistance Normal timing Reinforcement
30
What tendons is tendon release most commonly done on
Achilles and hamstring tendons
31
What PNF technique do you use to get the motion going
Rhythmic initiation
32
What 4 PNF Techniques are for strength
Repeated contraction Hold relax- active motion Reversal or antagonists/ slow reversal Timing for emphasis
33
What 4 PNF Techniques are for strength
Repeated contraction Hold relax- active motion Reversal or antagonists/ slow reversal Timing for emphasis
34
What principle does timing for emphasis use?
Irradiation
35
What principle does slow reversals use
Successive Induction
36
When a movement is mature, timing is ______
Distal to proximal
37
How is the evidence: moderate to high intensity gait training for CNA injury
Evidence strong for post stroke No evidence for post TBI
38
How is the evidence: virtual reality walking training
Evidence high post stroke No evidence post SCI or TBI
39
How is the evidence: strength training
Evidence weak for post stroke and SCI no evidence for post TBI
40
How is the evidence: Cycling
Weak or no evidence
41
How is the evidence: circuit or combined training
Evidence weak post stroke No evidence SCI or TBI
42
How is the evidence: sitting balance and standing balance for postural stability and WB symmetry
Evidence to NOT do it
43
How is the evidence: preforming balance w vibration
Evidence NOT to do so
44
How is the evidence: static/dynamic balance paired with virtual reality
Post stroke- strong Limited evidence for TBI no evidence for SCI
45
How is the evidence: body weight supported treadmill training
Evidence NOT to use for post stroke Limited evidence for SCI and TBI
46
How is the evidence: robotic assisted walking training
Evidence NOT to use for post stroke or SCI
47
What are the 2 dimensions of gentiles taxonomy?
Environmental Context (stationary vs. motion) Function of Action (body stability vs. body transport)
48
What does a closed task consist of
Involve stationary objects Does not change trial to trial Least interaction with environment
49
As movement variability decreases this skill needs less attention
Closed skill.
50
As movement variability increases, new movement patterns are generated
Open skill
51
What are the 2 categories of regulatory conditions of tasks
Stationary- example: stairs Motion- people walking around
52
What is a variable motionless task
A stationary task with intertrial variability
53
What is a motion task with no intertrial variability
Consistent motion task
54
What is a motion task with intertrial variability
Open tasks
55
What is a stationary task with no intertrial variability
Closed task
56
What are the 3 levels of movement analysis in gentiles taxonomy
Action level: outcome Movement level: what movement strategy? Neuromotor level: underlying processes
57
The best kind of practice for retention is: For performance:
Variable Progressive
58
The best kind of scheduling for retention is: For performance:
Random Blocked
59
The best kind of feedback for retention is: For performance:
Low frequency High frequency
60
We need to push our chronic patients into periods of _____ in order to reach a new pattern of stability
Instability
61
What kind of scale is the Fugl Meyer
Body structure/function
62
What kind of scale is the trunk impairment scale
Body structure/function
63
What kind of scale is the postural assessment scale for stroke
Body function/structure or activity
64
What kind of scale is the stroke impact scale?
Participation
65
What kind of scale is the FIM?
Activity
66
Can you use an AFO for spasticity post-stroke?
NO
67
What 2 scales can assess PTA
Orientation log (O-log) Galveston orientation and amnesia scale (GOAT)
68
What does FITT and ATEM stand for?
Frequency Intensity Time Type (ATEM) Activity technique elements Motor learning
69
What are the 6 core tasks of ANPT movement system
Sitting Sit to stand Standing Gait Step up/step down UE reaching and manipulation

Neuromuscular Phys (26 decks)

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