Lec 6: Principles of Rehab Med

Question 1

Goals of neurologic rehabilitation

Answer 1

Reduce impairment
Facilitate recovery
Allow adaptation to persisting disability

Question 2

The objective findings of MMT and ROM cannot be elicited in the presence of:

a. Atrophy
b. Flaccidity
c. Spasticity
d. Examiner applied resistance

Answer 2

C. spasticity

Objective testing cannot always be done in patients with:
Cognitive impairment
Pain
Deconditioning
Contracture/deformity
Spasticity
Mass
Joint Instability
Malingering
(Hyper/hypo mobility)
Muscle Girth

Question 3

Includes the non-rehab members in the group, which
include NGOs, employers, halfway homes,
educational institutions, other clinical departments,
etc

Answer 3

Multidisciplinary Team Approach

Question 4

Psychiatrist brings together rehab physicians
(neurologists, neurosurgeons) and allied health
members (physical/occupational/speech therapist,
nurse, orthotist, prosthetist, vocational counselor
psychologist)

Answer 4

Interdisciplinary Team Approach

Question 5

any psychological, physiological, anatomical structure

loss at the organ tissue/illness level

Answer 5

Impairment

Question 6

Restriction of ability to perform within normal

parameters

Answer 6

disability

Question 7

Disadvantage in societal role performance, on an

environmental and social level

Answer 7

Handicap

Question 8

Impairment, disability or handicap? cervical spinal cord injury

Answer 8

Impairment

Question 9

Impairment, disability or handicap? difficulty in swallowing and speech

Answer 9

Disability

Question 10

Impairment, disability or handicap? loss of income as call center employee

Answer 10

Handicap

Question 11

What is the strength of quadriceps based on MMT? a patient who is seated can extend knee against resistance

Answer 11

grade of 4 or 5 depending on amount of resistance

Question 12

What is the strength of gluteus medius based on MMT? full hip abduction while supine

Answer 12

grade of 2

Question 13

What is the level of dependence? Inability to physically nor verbally assist in task

Answer 13

Dependent

Question 14

What is the level of dependence? Physical or supervisory assist of one or more persons to perform task safely and
within functional period of time

Answer 14

Assisted independence

Question 15

What is the level of dependence? Completes task safely and within functional period of time with or without aids

Answer 15

Independent

Question 16

What are the 3 mechanisms of neuroplasticity?

Answer 16

1. Enhancement of denervation supersensitivity
2. Guidance of axonal sprouting
3. Facilitation of unmasking of latent synapses in head injuries

Question 17

T/F. Delayed rehabilitation appears to have a strong
relationship to improve functional outcome at
hospital discharge and follow-up

Answer 17

F. The earlier, the better

Question 18

What should the intensity be in rehab?

Answer 18

Passive exercises –> gradual increase depending on response –> Resistive exercises

Question 19

T/F. Mobility can be achieved only by walking

Answer 19

F. Mobility can be achieved with various implements (ex.

quad cane, single cane)

Question 20

What device is used to facilitate physiologic upright position?

Answer 20

Tilt table

Question 21

Keeps ankle stable so that there is no foot drop. Increases the speed of walking for stroke patients

Answer 21

Ankle foot orthosis

Question 22

What is the management for spasticity?

Answer 22

Intrathecal Baclofen Therapy, Orthopedic, Neurosurgical

Question 23

What are the causes of pressure sore occurence?
A. pressure
B. shear/friction
C. excessive exposure to moisture
D. nutrition imbalances
E. A, B, C
F. A, C, D
G. AOTA

Answer 23

G

Question 24

Pneumonia prevention for those in recumbent position

in a long time

Answer 24

PULMOPHYSIOTHERAPY

Question 25

most common cause of death for bedridden patients

Answer 25

Pneumonia