Lecture 1: introduction to assessment and management of adults with acquired brain injury

Question 1

what is the APTa model of clinical practice

Answer 1

● Examination
● Evaluation
● Diagnosis
● Prognosis
● Intervention
● Outcomes

Question 2

what are the 6 core measure for APTA

Answer 2

• Berg Balance Scale
• Functional Gait Assessment
• Activities-Specific Balance Confidence Scale
• 10 Meter Walk Test
• 6 Minute Walk Test
• 5 Times Sit to Stand

Question 3

What scale is used for stroke patients as a participation measure

Answer 3

stroke impact scale (SIS)

Question 4

stroke impact scale is a questionnaire that focuses on what 4 things and is who’s point of view is it from

Answer 4

impairments, activity limitation/disability, quality of life, stroke recovery

survivors POV

Question 5

what are the 2 measures used for stroke patients to measure activity

Answer 5

• stroke rehabilitation assessment of movement (stream)
• Postural Assessment Scale for Stroke (PASS)

Question 6

barthel index , UDS-MR Functional Independence Measure and Centers for Medicare/Medicaid Services (CMS) Quality Indicator GG codes are what kind of measures

Answer 6

general activity measures

Question 7

what score is needed on the barthle index to be capable of caring for self

Answer 7

> 60

if < 60 then need significant help

Question 8

what kind of limitation is the barthel index and UDS-MR Functional Independence Measure looking at

Answer 8

activity/participation

Question 9

what are the 7 measures for the body structure/fucntion measures for stroke patients

Answer 9

• stream
• Fugl-Meyer Evaluation of Physical Performance
  -Trunk Impairment Scale
  -Chedoke-McMaster Stroke Assessment
  -Postural Assessment Scale for Stroke
  -Function in Sitting Test
• action reach arm test
  -perception tests

Question 10

what measure is used to assess static sitting balance for stroke patients

Answer 10

trunk impairment scale

Question 11

what are the 6 outcome measures for a TBI

Answer 11

• Glasgow Coma Scale
• JFK Coma Recovery Scale
• Galveston Orientation and Amnesia Scale • Rancho Levels of Cognitive Function
• UDS-MR FIM-FAM
• Disability Rating Scale

Question 12

what are teh 7 movement system diagnosis’s we will most likely see post stroke

Answer 12

-movement pattern coordination deficits
-force production deficit
- fractionated mvoement deficits
-postural vertical deficit
- sensory selection and weighting deficits
-hypokinesia
- dysmetria

Question 13

what is the Orpington Prognostic scale

Answer 13

prognosis and plan of care measure for stroke patients

Question 14

FOr clinical practice guidelines for improving walking function in ambulatory chronic CVA, iSCI, TBI what should clinicians perform ?

Answer 14

• walking training at mod to high intensities
• walking training with VR

Question 15

FOr clinical practice guidelines (CPG’s) for improving walking function in ambulatory chronic CVA, iSCI, TBI what should not be performed by clinicians ?

Answer 15

• static or dynamic standing balance activities
  robot assisted gait training

Question 16

what is the difference between function therapeutic activity’s and contrived

Answer 16

contrived is target for a specific thing and functional is the movement as a whole