question

Complete SCI

answer

total paralysis, loss of sensation

question

Incomplete SCI

answer

Some sensory/motor pathways

question

ASIA Score A

answer

Complete lesion

question

ASIA Score B

answer

Incomplete (sensory preserved)

question

ASIA Score C

answer

Incomplete (motor preserved with MMT less than 3)

question

ASIA Score D

answer

Incomplete (motor preserved with MMT greater than 3)

question

ASIA Score E

answer

Normal motor and sensory function

question

Central cord syndrome

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Cellular destruction in center, paralysis and sensory loss greater in UE

question

Brown-Sequard Syndrome

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Damage to one side of cord

question

Cauda Equina

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Peripheral nerves, below L2, flaccid paralysis

question

C4

answer

diaphram, upper trap

question

C5

answer

Elbow flexors

question

C6

answer

Wrist extensors

question

C7

answer

Elbow extensors

question

C8

answer

Finger flexors

question

T1

answer

Finger abductors

question

Acute care intervention for SCI

answer

Skin integrity, ROM, splinting, edema, positioning, BADL's, client/family ed

question

ROM interventions in acute care

answer

PROM, AROM, stretching, strengthening

question

Splinting interventions in acute care

answer

resting hand splint, tenodesis splint

question

Edema interventions in acute care

answer

manual therapy, edema garments

question

Positioning interventions in acute care

answer

position tolerance

question

Inpatient interventions

answer

Prevent pressure sores, bowel/bladder management

question

What type of chair will C2-5 require?

answer

Power chair

question

What type of chair will C6-8 require?

answer

Manual chair

question

_____ bladder _____ empties

answer

Spastic, reflexively

question

_____ bladder _____ empties

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Flaccid, never

question

Outpatient interventions for SCI

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IADL's, community mobility, work/school, AE, leisure

question

Community mobility interventions in outpt

answer

car t/fs, driving adaptation

question

Work/school interventions in outpt

answer

evaluate environment

question

What does Craig Hospital Inventory of Environmental Factors (CHIEF) assess?

answer

Accessibility, accommodation, resource availability, social support, equality

question

What does Craig Handicap Assessment and Reporting Technique (CHART) assess?

answer

Physical independence, cognitive independence, mobility, occupation, social integration

question

What does Community Integration Questionnaire assess?

answer

Home integration, social integration, productivity

question

Motor score of 0

answer

total paralysis

question

Motor score of 1

answer

palpable contractions

question

Motor score of 2

answer

active movement, gravity eliminated

question

Motor score of 3

answer

active movement, against gravity

question

Motor score of 4

answer

active movement, some resistance

question

Motor score of 5

answer

active movement, full resistance

question

What Rancho level: No Response not respond to sounds, sights, touch or movement.

answer

I

question

What Rancho level: Generalized Response or feels. Responses may include chewing, sweating, breathing faster, moaning, moving, and/or increasing blood pressure

answer

II

question

What Rancho level: Localized response begin to recognize family and friends; • follow some simple directions such as "Look at me" or "squeeze my hand"; • begin to respond inconsistently to simple questions with "yes" and "no" head nods.

answer

III

question

What Rancho level: CONFUSED AND AGITATED be very confused and frightened; • not understand what he feels or what is happening around him; • overreact to what he sees, hears, or feels by hitting, screaming, using abusive language, or thrashing about. This is because of the confusion; with help, be able to do simple routine activities such as feeding himself, dressing or talking.

answer

IV

question

What Rancho level: CONFUSED AND INAPPROPRIATE be able to pay attention for only a few minutes; Be confused and have difficulty making sense of things outside himself; Not be able to start or complete everyday activities, such as brushing his teeth, even when physically able. He may need step-by-step instructions; Poor memory Ability to Brush teeth, dress, feed himself with help

answer

V

question

What Rancho level: CONFUSED AND APPROPRIATE trouble concentrating when it is noisy or when the activity involves many steps. For example, at an intersection, he may be unable to step off the curb, watch for cars, watch the traffic light, walk, and talk at the same time;

answer

VI

question

What Rancho level: AUTOMATIC AND APPROPRIATE follow a set schedule; • be able to do BADL's without help, if physically able. For example, he can dress or feed himself independently; have problems in new situations and may become frustrated or act without thinking first;

answer

VII

question

What Rancho level: PURPOSEFUL AND APPROPRIATE realize that he has a problem in his thinking and memory; • begin to compensate for his problems; • be more flexible and less rigid in his thinking. For example, he may be able to come up with several solutions to a problem; • be ready for driving or job training evaluation

answer

VIII

question

What Rancho level: Person at this level will have no STM Decreased ability to process and sequence Max assist because of cognitive fnx

answer

IV

question

What Rancho level: Able to follow simple commands Unable to learn new information

answer

V

question

What Rancho level: Can perform previous learned activity with cues (redirection w/distractibility)

answer

V

question

What Rancho level: ADLS maximum assistance Need a structured environment with cues to perform previously learned tasks

answer

V

question

What Rancho level: Mod A Attends to familiar tasks in non-distracting environments- 30 minsLTM better than STM Simple directions Learning- potentially no carryover Safety Risk

answer

VI

question

What Rancho level: Min A for ADLs Carryover with new learning *in QUIET area* Self-focused-difficulty being empathetic Safety Risk- may over estimate their abilities

answer

VII

question

What Rancho level: Stand by assist (SBA) Independently attends & completes tasks- 1 hr in DISTRACTING environment Can think about consequences of actions Impulsive & Self-focused

answer

VIII

question

What Rancho level: SBA-per request Independently shifts attention between tasks & completes accurately for ~2 hr Able to think about consequences and take corrective action ***HAS SAFETY AWARENESS***

answer

IX

question

What Rancho level: Mod Independent ADLS/IADLs- Independent with compensatory strategies & longer timeframe ***still have mood changes ***

answer

X

question

Phases of TBI recovery

answer

1. pre-injury, 2. medical treatment, 3. rehab, 4. survivorship

question

These evaluations are done in what Rancho levels: Level of arousal and cognition Vision Sensation Joint ROM Motor control Dysphagia Emotional and behavioral factors

answer

I-III

question

What Rancho Levels aim is is to increase level of response and awareness of self and environment

answer

I-III

question

What Rancho level focus on this type of intervention: Sensory stimulation Bed positioning Casting or splinting Wheelchair positioning Dysphagia management Emotional and Behavioral management * Family/caregiver education: incorporate family into tx

answer

I-III

question

What Rancho level focus on this type of intervention: Client may follow simple 2-3 step verbal commands, but is distractible ADLs require cues (initiation, sequential, follow through and termination)

answer

IV-VIII

question

What Rancho level focus on this type of evaluation by OT: Eval of visual-perception: Right-left discrimination Form constancy Position in space Topographical orientation Object naming

answer

IV-VIII

question

What Rancho level focus on this type of evaluation by OT: Eval of perceptual speech and language: Aphasia Agrommation- (Agrommation, inability to arrange words sequentially so they form intelligible sentences in conversation or writing) Anomia

answer

IV-VIII

question

What Rancho level focus on this type of evaluation by OT: Ideational praxis Ideomotor praxis 3D constructional praxis Body schema perception ID unilateral neglect

answer

IV-VIII

question

A patient at this Rancho level can do repetitive BADL's self-care tasks such as grooming tasks. (Structure & repetition)

answer

V-VI

question

Sensory Stim is more appropriate for this Rancho level.

answer

I-III

question

Vocational rehab would be appropriate at this level.

answer

IX-X

question

Practices in the community

answer

VII

question

Complex tasks are managed at what level?

answer

VII

question

Vocational Rehab Work Hardening Community Mobility programs addressed at which level?

answer

VII

question

Left or right CVA: Loss of proprioception and pain perception more common

answer

Right

question

blindness in one half of the visual field of one or both eyes

answer

Hemianopsia

question

inability to make purposeful movements

answer

Apraxia

question

inability to coordinate voluntary muscle movements

answer

Ataxia

question

impaired articulatory ability resulting from defects in the peripheral motor nerves or in the speech musculature

answer

Dysarthria

question

Flexor synergy in UE involves

answer

Humeral Internal Rotation & Adduction Elbow, wrist and finger flexion Forearm supination

question

Extensors synergy in LE involves

answer

Hip and Knee extension Plantar flexion at ankle

question

What phase of CVA is: Importance of mobilization Skin care Maintaining soft tissue length (positioning, splint, soft tissue elongation) Fall prevention Facilitate making decisions

answer

Acute phase

question

What phase of CVA is: Goal is to improve independence in daily living tasks (physical, cog, and emotional performanc) ADL's IADL's-vocational interstes

answer

Rehab phase

question

What phase of CVA is: Facilitating adaptive process by helping patients set and achieve goals Work Leisure Driving Community Reintegration

answer

Resuming valued roles and tasks

question

Cardiac precautions

answer

Cardiac distress, BP changes, dizziness, HR

question

Compensatory strategies for CVA

answer

one-handed techniques

question

Remedial strategies for CVA

answer

bilateral hand technique

question

Sensorimotor treatment for CVA

answer

Rood, PNF

question

True or False:Goal of Rood, PNF and NDT is to restore stability and then progress to mobility.

answer

True

question

What Brunnstrom Stage for Arm is: Flaccidity: no voluntary movement or stretch reflexes

answer

Stage I

question

What Brunnstrom Stage for Arm is: Spasticity developing:Synergies can be elicited reflexively; flexion develops before extension

answer

Stage II

question

What Brunnstrom Stage for Arm is: Spasticity Peaks: Beginning voluntary movement, but only in synergy

answer

Stage III

question

What Brunnstrom Stage for Arm is: Some movements deviating from synergy: Hand behind back Arm to forward horizontal position Pronation and supination with the elbow flexed to 90°; spasticity decreasing

answer

Stage IV

question

What Brunnstrom Stage for Arm is: Independence from basic synergies Arm to side horizontal position Arm forward and overhead Pronation and supination with elbow fully extended; spasticity waning

answer

Stage V

question

What Brunnstrom Stage for Arm is: Isolated joint movements freely performed with near-normal coordination; spasticity minimal

answer

Stage VI

question

What assessments are used for CVA?

answer

COPM, FIM, KELS

question

What does COPM measure?

answer

self care, leisure, productivity, perception of satisfaction with performance

question

Intervention for CVA

answer

CIMT, prevent pain, positioning, splinting

question

Left or right CVA: speech affected

answer

Left

question

slow, labored speech, misarticulations

answer

Broca's aphasia

question

impaired auditory comprehension, word substitution errors

answer

Wernicke's aphasia

question

Left or Right CVA: vision effected

answer

Right

question

Left or right CVA: nonverbal memory effected

answer

Right

question

Left or right CVA: neurobehavioral deficit

answer

Right

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