Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Physical Rehabilitation I > Interventions for Stroke > Flashcards

Interventions for Stroke Flashcards

1
Q

A sensory retraining programs may include? (4)

A
  • mirror therapy
  • repetitive sensory discrimination activities
  • bilateral simultaneous movements
  • repetitive task practice
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Give (3) examples of sensory stimulation interventions.

A
  • compression techniques (weight bearing, manual compression)
  • mobilizations
  • electrical stimulation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

This therapeutic intervention is effective for some patients during early motor training to improve motor function using visual feedback, what am I?

A
  • mirror therapy

- (shown to improve DF in stoke pts and UE distal motor function/recovery from semi neglect.)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Patients with hemianopsia demonstrate a lack of what?

A
  • lack of awareness of the hemiparetic side
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Teaching a patient active visual scanning by turning head and trunk to involved side, wearing a ribbon on hemiparetic wrist, or using functional activities to encourage bilateral interaction are all examples of training strategies for what type of patient?

A
  • hemianopsia or unilateral neglect

- encourage awareness and use of hemiparetic side/extremities.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What (3) interventions can be performed to improve flexibility, prevent contractors and maintain your patients joint integrity?

A
  • soft tissue/joint mob’s (initiated early with ROM)
  • PROM and AROM (when possible) with terminal stretch (daily, more frequent if contracture is developing)
  • positioning limb out of abnormal synergist pattern
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Upper Extremity PROM of the shoulder requires careful attention to?

A
  • external rotation and distraction of humorous, especially ranges of 90 degrees or more.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

When mobilizing the scapula which (2) directions should be emphasized to prevent soft tissue impingement?

A
  • upward rotation

- protraction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

When positioning your patient in a wheelchair what position should their paretic arm/limb be at?

A
  • shoulder in 5° abduction and flexion, neutral rotation
  • elbow in 90° flexion and slightly forward
  • forearm pronated, hand in resting position
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

For many stoke patients, voluntary movements of the foot and ankle are limited due to?

A
  • PF spasticity and/or DF weakness
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What (3) strength training interventions are indicated if your stroke patient is very weak (

A
  • gravity-minimized exercises using powder boards
  • sling suspension
  • aquatic exercise
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

How many days per week should your patient be resistance training, how many sets/reps?

A
  • 2/3 times per week; 3 sets of 8-12 reps
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Give (3) example of combining resistance training with task-oriented functional activities.

A
  • repeating functional mobility tasks to fatigue
  • add weight/resistance to sit to stands
  • add weight/resistance to reaching activities
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Name (5) exercise precautions and (2) general contraindications for stroke patients listed in the notes.

A
  1. If pt has poor hand function, specially designed gloves may be necessary.
  2. Pt’s with impaired sensation are at increase risk for injury and should be monitored closely.
  3. Pt’s with postural deficits should be safely positioned to prevent falls.
  4. Dynamic exercise performed in upright position (sitting) produce less elevations in BP than supine exercises.
  5. Ensure warm-up and cool-down are adequate and overall exercise program is gradual.
  6. High-intensity exercise (sustained max effort) is generally contraindicated in pt’s with recent stroke and unstable BP.
  7. Isometric exercise that is accompanied with Valsalva maneuver and increased BP is also contraindicated.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What techniques (7) can be used for managing spasticity?

A
  • early mobilization and daily stretching
  • rhythmic rotation (to gain initial range)
  • rhythmic initiation combined with trunk rotation
  • prolonged positioning and weight-bearing with muscle in lengthened position.
  • active exercise focused on activation of the weak antagonist muscle
  • Functional Electric Stimulation (FES) to target weak antagonist muscle
  • Orthotic devices to maintain spastic muscle in lengthened position.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

During initial training to improve movement control the therapist should focus on what?

A
  • dissociation of different body segments and selective movement patterns (out of synergy)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

____ can be helpful for patients with limited voluntary motor control.

A

PNF

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What is the main focus of the rehabilitation program for improving movement control?

A
  • repetitive task-specific training
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What is commonly used to protect a patient with hypotonia (flaccid) shoulder?

A
  • sling
20
Q

Interventions for improving bed mobility include (4)?

A
  • practice rolling to both sides
  • make sure pt does not leave more affected UE behind
  • rolling onto more affected side and into side-lying on elbow to promote early weight-bearing.
  • practice moving from supinesit leading with both sides.
21
Q

Bridging helps develop trunk and hip extensor control for what (4) ADL’s?

A
  • use of bed pan
  • relief of pressure from buttocks
  • initial bed mobility (scooting)
  • sit to stand transfers
22
Q

Common goals for improving sitting posture include (2)?

A
  • symmetrical posture with spine and pelvic alignment

- pelvic neutral, spine straight with feet flat on floor

23
Q

The focus for improving sit-to-standing transfers is (3)?

A
  • symmetrical weight-bearing
  • coordinated movements
  • adequate timing
24
Q

What are the two phases in the sit-to-stand transfer?

A
  • flexion momentum/pre-extension phase (shift the body mass)

- extension phase (move upright)

25
Q

What are (2) exercises for improving eccentric control of lowering/sitting motion?

A
  • partial wall squats with pt back agains the wall
  • from standing, have pt shift weight toward affected side then sit down (initially from elevated mat hight), pt can work their way around mat table.
26
Q

What functional posture is ideal for developing control during early standing?

A
  • modified plantigrade
27
Q

In general terms, what is the progression of standing posture?

A
  • holding posture (stability)
  • moving in posture (weight shifting, controlled mobility)
  • reaching tasks/dynamic challenges (skill)
28
Q

During early transfer training do you transfer to the patients affected or non-affected side to promote early mobility?

A
  • to pt non-effective (stronger) side

- it is important to teach pt to transfer in both directions, emphasis on moving to more affected side.

29
Q

When transferring the patient’s affected arm can be stabilized in what (3) ways?

A
  • against therapists body
  • in a sling
  • placed in front together (prayer position)
30
Q

T/F - Advanced functional training includes practicing getting down to and up from the floor?

A

true

31
Q

What is #1 when training for postural control and balance?

A

safety

32
Q

Once a safe intervention for postural control and balance is chosen for your patient what are you going to work on first.

A
  • postural alignment and static stability in upright posture.
33
Q

Once your pt has achieved correct postural alignment and static stability in upright posture, what are you going to work on next?

A
  • center of mass (COM) control training

- in sitting and standing, explore limits of stability (LOS) through low frequency weight shifting.

34
Q

What (10) way can you increase the level of difficulty of postural control or balance training.

A
  • base of support
  • support surface
  • sensory inputs
  • UE position/support
  • UE movements
  • trunk movements
  • destabilizing functional activities
  • walking activities
  • dual-task training
  • modifying environmental conditions
35
Q

Applying small perturbations a the hips is an example of training which postural control strategy?

A
  • ankle strategy
36
Q

Practicing medial-lateral random stance or larger anterior/posterior shifts or strong perturbations are an examples of training which postural control strategy?

A
  • hip strategies
37
Q

Applying elastic band around the hips, offering resistance as pt leans forward, then quickly releasing so the pt has to step to control balance is an example of training which postural control strategy?

A
  • stepping strategy
38
Q

In general, how do you train a pt who has pusher syndrome?

A
  • emphasize upright positions with ACTIVE movement shifts towards the stronger side
  • sit on pt stronger side and ask them to lean towards/into you.
  • for standing, have pt stand with stronger side next to wall and have pt lean into wall.
39
Q

Accurate _________ of a patients walking pattern is critical to planning effective interventions.

A
  • analysis
40
Q

What are (3) critical areas of the stance phase of gait when analyzing a pt’s gait?

A
  • initial weight acceptance
  • midstance control
  • forward weight advancement during stance on hemiparetic LE
41
Q

What are (2) critical areas of the swing phase when analyzing a pt’s gait?

A
  • control of knee and foot for toe clearance

- foot placement

42
Q

When analysis gait it is important to address persistent posturing of….?

A
  • of the UE in flexion and adduction during gait.
43
Q

Once your pt starts developing control of their gait/ambulation what do you encourage next?

A
  • improved rhythm and speed of walking by progressing to longer steps and increased overall distances with faster speeds.
44
Q

What is FES typically used for gait training?

A
  • to stimulate DF function to improve gait pattern in pt’s with foot drop.
  • quad strength is need to prevent knee from buckling
  • FES can be used as a bridge to the recovery of normal motor function.
45
Q

How often should BP, HR, RPE be taken?

A
  • initially, during and after each exercise
46
Q

What warning sign (5) do you need to teach your pt to look out for as indication they should stop exercise?

A
  • lightheadedness or dizziness
  • chest heaviness, pain or tightens
  • palpitations or irregular heart beat
  • sudden SOB no due to increased activity
  • volitional fatigue or exhaustion
47
Q

When is recovery from a stroke generally the fastest?

A
  • in the first weeks and months after onset

Physical Rehabilitation I (5 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions