Geller Review Flashcards
What are the two main areas one needs to assess before PROM greater than 70 degrees in shoulder flexion?
Shoulder External and Internal Rotation
Shoulder internal rotation and scapular upward rotation
Shoulder external rotation and scapular retraction
Shoulder external rotation and scapular upward rotation
Shoulder external rotation and scapular upward rotation
You are seeing a patient who has MMT of 3-/5 (partial range of motion against gravity) in the shoulder flexors, what would be the best treatment for this patient?
Reaching into upper cabinets
Pendulum exercises (only for passive range of motion)
Washing the rear window of a car
Weight bearing in standing at the kitchen counter
Washing the rear window of a car
You have a patient with a 2 finger breadth (??) inferior subluxation. The following would be appropriate interventions EXCEPT
Use of a sling all the time, unless in therapy
Kinesio Tape or athletic tape
Givmohr sling during standing activities
Sling only during transfers and specific activities
Use of a sling all the time, unless in therapy
The following are component of Constraint Induced Movement Therapy (CIMT) EXCEPT:
Task practice
Mitt over the unaffected hand
Transfer Package: Behavioral contract for adherence (this is the key for the success)
Route exercise
Route exercise
Proper management of the neurologic UE is extremely important to decrease shoulder hand syndrome (SHS). The following interventions would be appropriate to prevent SHS EXCEPT
Proper positioning of the arm in the bed and wheelchair to prevent pain
No shoulder flexion PROM past 70 degrees without scapular assessment
Education of the patient, caregiver, and team about care of the neurologic UE
Overhead pulley exercises in sitting
Overhead pulley exercises in sitting
Your patient has left sided weakness from a CVA. The patient is sitting at a table and you have them reach for a cup across the table and you notice large synergistic movements. The following interventions would decrease the synergistic movement EXCEPT
Having patient stand and reach for the cup
Have patient slide arm across the table to reach for the cup
Do the same reach with use yellow theraband for minimal resistance
Have patient reach for a cup on the floor
Do the same reach with use yellow theraband for minimal resistance
Which of the following standardized assessments is subjective and examines how much and how well the stroke survivor uses their affected arm?
Action research arm test
Fugl-Meyer assessment
Motor activity log (only one that is subjective. All others are objective)
Wolf motor function test
Motor activity log (only one that is subjective. All others are objective)
You decide to use e-stimulation for a patient who has an inferior subluxation. The following muscles would be appropriate for the intervention EXCEPT:
Supraspinatus
Middle deltoid
Posterior Deltoid
Rhomboids
Rhomboids
You are observing a patient during grooming and you notice that they are having trouble with manipulating the toothbrush and maneuvering in their mouth from the right to left side. Which perceptual deficit is most likely?
ideational apraxia
motor apraxia
neglect
spatial relations
motor apraxia
You are treating a patient with a right CVA and left sided weakness. They are having difficulty putting on their shirt (e.g. placing arm in the wrong hole), but can verbalize what they are trying to do. Which perceptual deficit is most likely?
Ideational apraxia (left sided CVA)
Somatoagnosia (not understanding where body ends vs when something begins)
spatial relations
Perseveration
spatial relations
You go up to your patient’s room after lunch and you notice that he ate the food on the right side of the plate, not the left. You ask him if he is finished with his meal and he says “there is no food left”. Which assessment would you most likely perform to confirm your assumption of the perceptual deficit?
Assessment of Disabilities with people with Apraxia
Kessler Foundation- Neglect assessment process
Multiple Errands Test
Kettle Test
Kessler Foundation- Neglect assessment process
The A-one is a standardized functional test that enables OT’s to clinically reason which perceptual deficit is causing difficulty for the patient. The following are preparatory steps/procedures to perform the A-One EXCEPT:
Place all needed ADL objects/tools in arms length of patient
Place necessary items to complete a task on opposite sides (eg. one sock on left side and one sock on right side of patient)
Allow for safe errors
Provide physical assist first when assistance in needed
Provide physical assist first when assistance in needed
You walk into your patient’s room and you see him using his fork to eat his soup. Which perceptual deficit is most likely?
ideational apraxia
perseveration
somatoagnosia
Need more information/observations
Need more information/observations
You are treating a patient with Anosognosia. What would be the best first treatment approach?
Attention training
Functional mobility
Awareness training
Memory training
Awareness training
The following statements are True when comparing neglect with a visual field loss (VFL) EXCEPT:
People with neglect have a lack of awareness. People with VFL are aware of their deficit.
VFL is a sensory deficit, while neglect is an attention deficit.
Compensatory strategies are easily taught for people with neglect and not VFL.
Cortical representation of the whole world is intact with VFL and not with neglect.
Compensatory strategies are easily taught for people with neglect and not VFL.
