Approaches Used in Stroke Rehabilitation Flashcards
a term can also be defined as a treatment program that supports the ‘repeated’ use of the upper extremity
what is it?
CONSTRAINT-INDUCED MOVEMENT THERAPY
The nature/quality of the movement
Amount of movement
Speed of movement
Dexterity of the movement (mastery)
are the?
effect of the CIMT
what are the 2 mechanism of CIMT?
Learned Non-Use
Cortical Reorganization
size of cortical representation of body part is dependent on the amount of use
this is defined as?
Cortical Reorganization
what is the treatment protocoled of CIMT?
glove usage
repeated movement
transfer ADL
glove is used on the affected side
true or false?
false, unaffected side
Repetitive- Activity Directed Approach is about?
shaping and task activities
the targeted motor or behavioral goal is achieved in small steps, in other words, by the “sequential approach” method
is related to which approach?
SHAPING
what is the Purpose of task activities (TA); ?
to assist the increased use of the affected side upper extremity throughout functional activities
chosen activity is functional-based activities that require continuous work by the patient for how many minutes?
15-30 min
behavioral contract
home skill assignment
home diary
home practice
daily schedule
are related to Repetitive- Activity Directed Approach
true or false?
false, Transfer Techniques to Activities of Daily Living
a- Being able to stand for 2 minutes with upper extremity support,
b- Being able to see and comply with the evaluation forms to be applied before and during the treatment,
c- Having a score of 24 or higher on the Standardized Mini Mental Test before treatment,
d- Having sufficient communication skills,
e- The presence of severe pain and spasticity which will affect the treatment
which of the above is wrong related to criteria of CIMT?
e
Active wrist extension at least 10° starting from the angle of full flexion is seen with low-functioning patient
Wrist extension of at least 20° or more, starting from the angle of full flexion is seen with high-functioning patient
true or false?
true
Primary patient population; in chronic and acute stroke patients with mild to moderate UE hemiparesis can use the CIMT
true or false?
false, chronic and subacute
in the mirror therapy the affected hand is Infront of the mirror
true or false?
false, the healthy hand
Neuromodulation treatments include _______ and ___________ approaches that apply electrical/electromagnetic energy to specific anatomical areas
fill in the blank
invasive and non-invasive
TRANSCRANIAL MAGNETIC STIMULATION (TMS)
It is a neurophysiological technique that provides invasive stimulation of the brain
true or false?
false, non-invasive
With TMS, a maximum depth of 2 cm can reach the subcortical area
true or false?
false, it cant reach the subcortical area
what are the FACTORS AFFECTING TMS IMPLEMENTATION?
Frequency
The intensity of the motor threshold
Pulse time
Expected time between sequences
Number of sessions
which method is painless the TMS or TDCS?
TDCS
what are the TREATMENT PRINCIPLES OF TASK-FOCUSED APPROACH ?
- Patient-Centered Approach
- Work-Based Approach
- Person and Environment Based Approach
- Practice and Feedback
- General Treatment Goals-Based Approach such as flexibility, strength.
A single scale is not suitable to detect all the effects and consequences of stroke, different types of scales are needed for different purposes.
true or false?
true
