L11 UE Injury after Sroke

Question 1

Stroke specific outcome measures for UE

Answer 1

Fugl-meyer (body/structure)

Activity: ARAT, box/block test, WMFT

Participation: stroke impact scale, actual amount of use

Question 2

Prognostic Factors for recovery of arm function after stroke

Answer 2

active finger extension and active shoulder abduction

> 19 on fugl meyer are positive outcomes

Question 3

Virtuous Cycle

Answer 3

Self-training = repeated exposure to sensorimotor feedback

Improved motor function

Positive Outcome

Increased arm use b/c of high expectations of success

Question 4

Vicious Cycle

Answer 4

Lack of Training

Loss of Motor Function

Negative outcomes

Decreased Arm Use

Question 5

Left Hand is more proficient at

Answer 5

stabilization of position through impedance control mechanisms

Question 6

Right hand is more proficient at

Answer 6

producing precise movement trajectories through predictive control mechanisms

Question 7

Chronic stroke survivors are less likely to

Answer 7

choose both hands for all tasks

Question 8

What is the ultimate goal of PT intervention for stroke patients?

Answer 8

-task oriented training
-promote motor learning/skill acquisition
-incorporate daily activities
-compensation/adaptation if needed for hand function

Question 9

Types of intervention for hemiparetic UE

Answer 9

robotic training
virtual reality
mental practice
mirror therapy
EMG feedback
constraint induced movement therapy