CVA tx Flashcards

1
Q

Based on the AHA/ASA rehab exercise program recommendations, which mode of exercise should you do the most?

a. aerobic
b. strength and endurance
c. flexibility
d. neuromuscular

A

aerobic

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2
Q

This type of exercise is used to increase functional capacity for walking and ADL’s, reduce motor impairment and improve cognition

a. aerobic
b. strength and endurance
c. flexibility
d. neuromuscular

A

aerobic

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3
Q

This type of exercise is used to increase the ability to perform ADL’s, leisure, and occupational activities, to reduce cardiac demands during lifting and carrying activities

a. aerobic
b. strength and endurance
c. flexibility
d. neuromuscular

A

strength and endurance

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4
Q

This type of exercise is used to prevent contractures, increase function and ADL’s

a. aerobic
b. strength and endurance
c. flexibility
d. neuromuscular

A

flexibility

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5
Q

This type of exercise is used to improve skill acquisition, mobility, and QOL, improve safety in ADL’s and decrease fear of falling

a. aerobic
b. strength and endurance
c. flexibility
d. neuromuscular

A

neuromuscular

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6
Q

Which type of exercised based on the AHA/ASA rehab exercise program recommendations should be done the least?

a. aerobic
b. strength and endurance
c. flexibility
d. neuromuscular

A

flexibility

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7
Q

Intervention approaches for stroke should be

a. targeted
b. functional
c. only one mode
d. multi-modal

A

multi-modal

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8
Q

What intervention has the strongest evidence?

A

task-oriented approach/task

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9
Q

NDT is better than PNF for stroke patients (true/false)

A

false

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10
Q

What is the requirement for using constraint-induced therapy?

A

active finger and wrist extension

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11
Q

Some interventions are better than others (true/false)

A

false

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12
Q

Intervention to treat CRPS in stroke patients addresses which pillars

a. impairment
b. strategy
c. impairment and strategy

A

impairment and strategy

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13
Q

Examples of tasks to desensitize the arm and hand to touch

A

rubbing their hand, pillow, wedge, wraps, gloves

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14
Q

to treat CRPS eliminate

A

painful exercises

hand edema

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15
Q

How do you reintroduce pain free arm movements in a patient with CRPS?

A

reestablishing scapular mobility first

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16
Q

Treating edema is addressing which pillar

a. impairment
b. strategy
c. impairment and strategy

A

impairment

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17
Q

Stage I edema:

a. gelatinous and pitting
b. hard and lumpy
c. soft and fluid

A

soft and fluid

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18
Q

Stage II edema

a. gelatinous and pitting
b. hard and lumpy
c. soft and fluid

A

gelatinous and pitting

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19
Q

Stage III edema

a. gelatinous and pitting
b. hard and lumpy
c. soft and fluid

A

hard and lumpy

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20
Q

Which treatment should be done to treat edema in the first stage?

a. compression
b. retrograde massage and elevation
c. active exercise
d. all of the above

A

all of the above

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21
Q

Which treatment should be done to treat edema in the second stage?

a. compression
b. transtissue massage and elevation
c. active exercise
d. all of the above

A

transtissue massage and elevation

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22
Q

Which treatment should be done to treat edema in the third stage?

a. compression
b. transtissue massage and elevation
c. active exercise
d. all of the above

A

compression

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23
Q

Using strategies to improve sensory and perceptual function addresses which pillar

a. impairment
b. strategy
c. impairment and strategy

A

impairment and strategy

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24
Q
Safety education
tactile and thermal stimulation 
weight-bearing and approximation 
intermittent or deep pressure
active visual scanning
cues to involved side and to cross midline 
these strategies address 
a. flexibility 
b. joint integrity 
c. sensory and perceptual function
d. tone
A

sensory and perceptual function

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25
Q

Positioning, active motion, ROM and mobilization are used to address

a. flexibility and joint integrity
b. joint integrity
c. sensory and perceptual function
d. tone

A

flexibility and joint integrity

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26
Q

Improving flexibility and joint integrity is addressing which pillar

a. impairment
b. strategy
c. impairment and strategy

A

impairment

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27
Q

Positioning goals to increase flexibility and joint integrity

A
provide support
normalize tone 
prevent shortening of tissues around the joint
promote symmetry
provide normal sensory input
relieve pain and provide comfort
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28
Q

What is the goal of supine positioning?

a. promote symmetry
b. relieve pain and provide comfort
c. most therapeutic position
d. normalize tone

A

improve symmetry

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29
Q

What is the most therapeutic position for improving flexibility and joint integrity?

a. supine
b. sidelying on involved side
c. sidelying on uninvolved side
d. sitting

A

sidelying on involved side

30
Q

Why is sidelying on the involved side the most therapeutic?

A

deep pressure and weight-bearing helps promote recovery - sensory and messages to brain

31
Q

Early active movement as an intervention is used to address which pillars?

a. impairment
b. strategy
c. impairment and strategy

A

impairment and strategy

32
Q

Casts should be used on patients with low tone (true/false)

A

false

33
Q
Early, active movement 
positioning
weight-bearing through long bones
daily stretching and ROM 
splints 
casts 
rotation 
these are interventions to treat 
a. flexibility 
b. abnormal tone
c. joint integrity
d. poor posture
A

abnormal tone

34
Q

To implement a long-lasting effect on abnormal tone, the intervention must address

A

weakness and/or improper activation

35
Q

What is the best intervention for treating abnormal tone?

A

active engagement from the patient

36
Q

What intervention can be used to temporarily reduce high tone?

A

rotation of lower trunk with the patient lying supine

37
Q

Rotation to decrease tone is addressing which pillar

a. impairment
b. strategy
c. impairment and strategy

A

impairment

38
Q

Isolated strengthening exercises carry over to function (true/false)

A

false

39
Q

Strengthening as an intervention addresses which pillar

a. impairment
b. strategy
c. impairment and strategy

A

impairment

40
Q

Motor control and relearning address which pillars

a. impairment, strategy and adaptation
b. strategy
c. impairment and strategy
d. adaptation

A

impairment, strategy, and adaptation

41
Q

Using motor control and relearning as an intervention should promote (3)

A

postural control
voluntary movement
functional use of extremities

42
Q

Promoting postural control

A

anticipatory control requires hands free

43
Q

To promote voluntary movement for motor control and relearning it is key to

A

move out of synergy

44
Q

Priming for the intervention

A

primes for neuroplastciity
increases BDNF
high-intensity aerobic training

45
Q

Aerobic exercise alone does not promote neuroplasticity. It enhances the environment to promote neuroplasticity when doing functional training (true/false)

A

true

46
Q

What are important walking recovery concepts?

A

patient motivation to walk
task-specific
time matters

47
Q

What are locomotor training principles?

A

maximize weight bearing on the legs
optimize sensory cues
optimize kinematics for each motor task
maximize recovery strategies, minimize compensation strategies

48
Q

This locomotor training uses an assistive device and often an inefficient pattern, uses multiple therapists potentially

a. conventional PT
b. bodyweight support treadmill training
c. BWS overground

A

conventional PT

49
Q

This type of locomotor training allows very early whole part practice, can focus on gait pattern and there is less physical demand on the therapist

a. conventional PT
b. bodyweight support treadmill training
c. BWS overground

A

body weight support treadmill training

50
Q

This type of locomotor training reduces the fall risk, no device is needed, most functional and least demand on the PT

a. conventional PT
b. bodyweight support treadmill training
c. BWS overground

A

BWS overground

51
Q

the most functional locomotor training method is

a. conventional PT
b. bodyweight support treadmill training
c. BWS overground

A

BWS overground

52
Q

What is the recommended locomotor training intensity and timing?

A

12 sessions of BWSTT
2x/week for 6 weeks
20-30 mins at 2.0 mph
60 min total PT session

53
Q

What concept is key with locomotor training?

A

intensity and time

54
Q

Locomotor training produces long term changes in walking _ and _

A

velocity

distance

55
Q

List 4 areas of progression for locomotor training

A

endurance
speed
weight-bearing
independence

56
Q

General physical activity post stroke can prevent

A

future cardiovascular episode

post-stroke depression

57
Q

_ is not required for general physical activity post stroke

A

task-specific

58
Q

Bimanual movements is defined as

A

when both upper limbs move simultaneously

59
Q

Which bimanual movement should be done first?

a. hands separated, symmetrical movements
b. hands separated, asymmetrical movements
c. hands clasped, arms move together

A

hands clasped, arms move together

60
Q

When can you start having a patient complete bimanual UE movements?

A

once they can self-assist

61
Q

What is the benefit of bilateral UE movements in comparison to unilateral?

A

increase in muscle activation and longer post-training carry over of improvement with repetitive task

62
Q

Equipment can be used for

a. as compensation
b. adaptation
c. only for safety reasons
d. remediation assistance, safety or compensation

A

remediation assistance, safety or compensation

63
Q

When using a sling, avoid one that puts the arm into

A

IR and adduction

64
Q

Which type of AD should be avoided in a stroke patient?

A

quad cane

65
Q

What needs to be considered for an orthotic with a stroke patient?

A
rate or phase of recovery 
prognosis 
hypertonicity 
sensory loss and boney structure
dexterity to don/doff orthosis + shoe
66
Q

Early mobilization to prevent complications and learned nonuse is a goal for which setting

A

acute care

67
Q

The evidence is in favor of which interventions

A

NDT
PNF
constraint-induced therapy
gait/locomotor training

68
Q

A patient experiencing contraversive lateropulsion may also show signs of _ neglect

A

spatial and sensory neglect

69
Q

To get a long lasting effect on improving abnormal tone, it is important to address what underlying cause?

A

weakness and/or improper activation

70
Q

atypical movement patterns develop because

A

as a consequence of primary and secondary impairments