Approaches Used in Stroke Rehabilitation

Question 1

a term can also be defined as a treatment program that supports the ‘repeated’ use of the upper extremity
what is it?

Answer 1

CONSTRAINT-INDUCED MOVEMENT THERAPY

Question 2

The nature/quality of the movement
Amount of movement
Speed of movement
Dexterity of the movement (mastery)
are the?

Answer 2

effect of the CIMT

Question 3

what are the 2 mechanism of CIMT?

Answer 3

Learned Non-Use
Cortical Reorganization

Question 4

size of cortical representation of body part is dependent on the amount of use
this is defined as?

Answer 4

Cortical Reorganization

Question 5

what is the treatment protocoled of CIMT?

Answer 5

glove usage
repeated movement
transfer ADL

Question 6

glove is used on the affected side
true or false?

Answer 6

false, unaffected side

Question 7

Repetitive- Activity Directed Approach is about?

Answer 7

shaping and task activities

Question 8

the targeted motor or behavioral goal is achieved in small steps, in other words, by the “sequential approach” method
is related to which approach?

Answer 8

SHAPING

Question 9

what is the Purpose of task activities (TA); ?

Answer 9

to assist the increased use of the affected side upper extremity throughout functional activities

Question 10

chosen activity is functional-based activities that require continuous work by the patient for how many minutes?

Answer 10

15-30 min

Question 11

behavioral contract
home skill assignment
home diary
home practice
daily schedule
are related to Repetitive- Activity Directed Approach
true or false?

Answer 11

false, Transfer Techniques to Activities of Daily Living

Question 12

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?

Answer 12

e

Question 13

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?

Answer 13

true

Question 14

Primary patient population; in chronic and acute stroke patients with mild to moderate UE hemiparesis can use the CIMT
true or false?

Answer 14

false, chronic and subacute

Question 15

in the mirror therapy the affected hand is Infront of the mirror
true or false?

Answer 15

false, the healthy hand

Question 16

Neuromodulation treatments include _______ and ___________ approaches that apply electrical/electromagnetic energy to specific anatomical areas
fill in the blank

Answer 16

invasive and non-invasive

Question 17

TRANSCRANIAL MAGNETIC STIMULATION (TMS)
It is a neurophysiological technique that provides invasive stimulation of the brain
true or false?

Answer 17

false, non-invasive

Question 18

With TMS, a maximum depth of 2 cm can reach the subcortical area
true or false?

Answer 18

false, it cant reach the subcortical area

Question 19

what are the FACTORS AFFECTING TMS IMPLEMENTATION?

Answer 19

Frequency
The intensity of the motor threshold
Pulse time
Expected time between sequences
Number of sessions

Question 20

which method is painless the TMS or TDCS?

Answer 20

TDCS

Question 21

what are the TREATMENT PRINCIPLES OF TASK-FOCUSED APPROACH ?

Answer 21

1. Patient-Centered Approach
2. Work-Based Approach
3. Person and Environment Based Approach
4. Practice and Feedback
5. General Treatment Goals-Based Approach such as flexibility, strength.

Question 22

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?

Answer 22

true