L10 Recovery Plan

Question 1

Prognosis

Answer 1

prognosis of recovery increases if you observe early recovery of motor function

important to regularly reassess the patient for emergence of improving strength with ASIA and MMT

Question 2

Recovery Training Tips

Answer 2

-simultaneous skill leaning
-demonstrate and explain
-do not give up on training if they fail
-principle of neuroplasticity, dose of exercise, and motor learning all apply
-Do a movement analysis for failures

Question 3

Optimal motor learning theory

Answer 3

patient goals drive selection of intervention
enhanced expectancy of recovery
external focused feedback (tactile cues, verbal cues, visual cues)

Question 4

Transfers for ASIA C or D

Answer 4

select appropriate technique
ADs or orthotics
incorporate tx to address impairments in transfer
use facilitation, feedback, variability
use repetition, intensity, connect the importance

Question 5

Locomotor CPG for SCI –moderate to high intensity walking training following acute onset CNS injury

Answer 5

Clinicians SHOULD do this after 6 months post injury
limited evidence with SCI

Question 6

Locomotor CPG for SCI–body weight supported treadmill training following acute onset CNS injury

Answer 6

clinicians SHOULD NOT perform body weight treadmill training
limited evidence w/SCI

Question 7

Locomotor CPG for SCI–Robotic assisted walking training following acute onset CNS injury

Answer 7

Clinicians should NOT perform this
lots of evidence w/ SCI individuals