IPR Therapy Intro Flashcards

1
Q

What does PT in IPR cover?

A

Stairs, transfers, gait (walking/WC)

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2
Q

What does OT in IPR cover?

A

Shower, grooming, dressing, toileting

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3
Q

What is important during push off phase?

A

Hip exension and plantarflexion

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4
Q

What can you work on in kneeling to help with gait?

A

Weight shifting

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5
Q

What is a good functional test to see if it is safe to move onto gait training?

A

Testing sitting tolerance

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6
Q

How can you get a patient with neglect to pay attention to the neglected side?

A

Family sit on neglect side, window on neglect side, do functional tasks at that side

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7
Q

what is a bioness?

A

Device that has a cuff around the lower leg and stimulates the anterior tibialis to stimulate dorsiflexion

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8
Q

What is a knee cage?

A

Prevents knee hyperextension in stance phase

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9
Q

Why shouldn’t you use a knee cage too often?

A

Can prevent contraction of quads and lead to weakness

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10
Q

Why wouldn’t you use an AFO in IPR?

A

Want to wait to allow muscle strength recovering, swelling, concern for skin breakdown

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11
Q

What does a toe off AFO allow for?

A

More plantarflexion in push off phase and use ground reaction force to control knee into extension

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12
Q

Are quads active in standing?

A

No, Plantarflexors, glut med, core

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13
Q

What are the basics that OT covers?

A

anything that occupys your time

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14
Q

What FIM scores does OT cover?

A

Toileting, bathing, grooming, dressing

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15
Q

What is a grasper?

A

Assists patients with dressing

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16
Q

What is a FIM of 7?

A

Complete independence, patient does not require assistance to perform the activity

17
Q

What is a FIM of 6?

A

Modified independent, patient requires use of device but no physical assistance

18
Q

What is a FIM of 5?

A

Supervison or set up

19
Q

What is a FIM of 4?

A

Minimal assistance or contact guard, patient can perform ?75% of the task

20
Q

What is a FIM of 3?

A

Moderate assistance, patient can perform 50-74% of the task

21
Q

What is a FIM of 2?

A

Maximal assistance, patient can peform 25-49% of the task

22
Q

What is a FIM of 1?

A

Total assistance, patient can perform <25% of the task or requires more than one person to assist

23
Q

What is a FIM of 0?

A

Dependence, cannot perform the activity

24
Q

What are some of the diagnoses that ST covers?

A

CVA, TBI, brain tumors, encephalopathy, SDH, SAH, parkinson’s, ALS, MS, dementia

25
Q

What are the three main areas of speech therapy?

A

Speech, swallow, cognition

26
Q

What is vital stem?

A

NMES to assist dysphagia therapy but stimulating nerves to contract muscles for swallow

27
Q

What can Dynavision be used for?

A

Used for attention, cognitive function, reaction time, visual scanning

28
Q

What is the average reaction time with Dynavision?

A

1 second recaion time

29
Q

What test can be used to screen for dementia?

A

MOCA for screen and neuropsych for official diagnosis

30
Q

What are FIM scores that ST covers?

A

Comprehension, Expression, Social interaction, Problem solving, memory