Intro to Neuro Rehab

Question 1

neuro PT considerations

Answer 1

1. contrived vs functional
   - contrived = artificial/deliberately created; functional = naturally occurring
2. stages of motor learning
   - cognitive, associative, autonomous
3. Nagi vs ICF

Question 2

Nagi vs ICF

Answer 2

• disablement vs enablement
• Nagi levels = disease (cellular), impairment (system/body), functional limitation (person), disability (social)
• ICF levels = health condition (cellular), body structure and function (system/body), activity (person), participation (social)

Question 3

things to remember for neuro rehab

Answer 3

1. practice
2. feedback
3. environment
4. cognition and attention levels
5. don’t speak down to pts
6. decrease dependence
7. impossible to tell pt how to do everything
8. pt goals/why are they here?
9. end the day with success
   * continually look for ways to improve QOL and how to motivate you patients

Question 4

values

Answer 4

• inner force that provides the standards by which patterns of choices are made
• made up of beliefs, emotions, attitudes (good/bad)
• internal
• difficult to measure
• reflected in behavior and actions
• plays critical role in clinical decision making process

Question 5

conflicting values

Answer 5

• values impact PT’s clinical decisions
• may not be the same as pt’s values
• pts often coming to PT as a result of placing other values and needs above physical health and injury prevention

Question 6

question values and biases

Answer 6

• can you remain nonjudgemental?
• will it affect your behavior towards the pt and family?
• are you (as a PT) detracting from or facilitating the rehab process?