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Neurologic PT > Goals And Interventions (Resnick) > Flashcards

Goals And Interventions (Resnick) Flashcards

1
Q

What is neuroplasticity? (2)

A
  1. The central nervous system’s ability to adapt and modify its own organization and function
  2. The ability of a neuron to respond to environmental changes
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2
Q

______ underlies ALL learning.

A

Plasticity

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3
Q

What is experience dependent plasticity?

A

CNS remodeling in response to PRACTICE

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4
Q

What is functional recovery? List 4 things that cause functional recovery.

A

Reacquisition of elemental motor patterns present prior to CNS injury

  1. Spontaneous recovery
  2. Experience-dependent motor training
  3. Increased involvement of contralateral hemisphere
  4. Axonal remodeling of corticospinal system
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5
Q

What is the difference between compensation and substitution?

A

Compensation – appearance of new motor patterns from the adaptation of remaining motor elements

Substitution – integration of alternative motor elements from different end effectors

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6
Q

List the 10 principles of experience dependent plasticity.

A
  1. Use it or lose it
  2. Use it and improve it
  3. Specificity
  4. Repetition matters
  5. Intensity matters
  6. Time matters
  7. Salience matters
  8. Age matters
  9. Transference
  10. Interference
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7
Q

Ideally, what inpatient setting should stroke patients receive care in?

A

Inpatient rehabilitation facility

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8
Q

True or False: High-dose, very early mobilization within 24 hours of stroke is recommended.

A

FALSE

High-dose, very early mobilization within 24 hours of stroke is NOT RECOMMENDED.

WHY?: Reduces the odds of favorable outcome at 3 months (may increase ischemia)

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9
Q

A Braden score of _____ signifies increased risk for developing pressure ulcers.

A

< 18

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10
Q

What is the PTs role in prevention of skin breakdown and contracture? (2)

A
  1. Transfer training

2. Positioning W/C cushions and mattresses

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11
Q

What positions should be emphasized when positioning a hemiplegic shoulder to prevent skin breakdown/contracture? (2)

A
  1. Approximation

2. Shoulder ER

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12
Q

List 2 recommendations for DVT prevention.

A
  1. UFH or LWMH (heparin)

2. Intermittent compression when in bed

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13
Q

_______ are not useful for DVT prevention.

A

Elastic stockings

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14
Q

_______ can be useful to reduce severe hypertonicity after stroke.

A

Botox

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15
Q

_______ exercises are not recommended when treating hemiplegic shoulder pain.

A

Overhead pulley exercises

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16
Q

List 4 interventions that are recommended for fall prevention.

A
  1. Balance training
  2. Formal fall prevention programs
  3. Annual fall risk evaluations
  4. Tai Chi
17
Q

________ should be used to asses the patient’s perception of impairments, activity limitations, and participation.

A

Standardized questionnaires

18
Q

List 7 repeated top-down and bottom-up interventions used to treat hemi spatial neglect or hemi-inattention.

A
  1. Prism adaptation
  2. Visual scanning training
  3. Optokinetic stimulation
  4. Virtual reality
  5. Limb activation
  6. Mental imagery
  7. Neck vibration
19
Q

_______ and ______ are not recommended for wrist and finger spasticity.

A
  1. Splints

2. Taping

20
Q

What is one limitation of using oral anti-spasticity medications?

A

Can have dose limiting sedation effects

21
Q

______ is recommended in individuals with remediable gait impairments (foot drop) to compensate and improve mobility and kinematics

A

AFO

22
Q

What 4 things must be considered prior to writing goals for the POC?

A
  1. Patient’s roles
  2. Patient’s self-reported goals
  3. Therapist’s goals
  4. Multi-Dimensional approach to functional mobility
23
Q

Goals must be _____ and ______.

A

Objective

Measurable

24
Q

List the 7 components that should be included in a goal. (2 are optional)

A
  1. Audience: who is the learner?
  2. Behavior: what is the skill or task to be completed?
  3. Condition: assistance level, assistive devices
  4. Degree: to what extent are they performing the skill/task? (percentage, time, # of trials, etc.)
  5. Expected Time: timeframe for achievement of goal

OPTIONAL:

  1. Environment
  2. Rationale
25
Q

List 6 types of long term goals that should be included in a neurologic plan of care.

A
  1. Transfers
  2. Bed mobility
  3. Balance – sitting and standing (can incorporate standardized measures)
  4. Ambulation (if appropriate)
  5. Elevations (if appropriate) – stairs, curbs, ramps
  6. Wheelchair Management/Propulsion (if appropriate)
26
Q

What is a key difference between LTG and STG?

A

LTGs must always be FUNCTIONAL and ACTIVITY/TASK BASED

STGs do not always have to be function or activity/task based

27
Q

What are 2 types of STGs?

A
  1. Component goals

2. Impairments goals

28
Q

Selecting compensatory training vs. remediation is based on _____.

A

PROGNOSIS

Neurologic PT (11 decks)

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