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

1
Q

what is the APTa model of clinical practice

A

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

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2
Q

what are the 6 core measure for APTA

A

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

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3
Q

What scale is used for stroke patients as a participation measure

A

stroke impact scale (SIS)

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4
Q

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

A

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

survivors POV

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5
Q

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

A
  • stroke rehabilitation assessment of movement (stream)
  • Postural Assessment Scale for Stroke (PASS)
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6
Q

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

A

general activity measures

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7
Q

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

A

> 60

if < 60 then need significant help

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8
Q

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

A

activity/participation

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9
Q

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

A
  • 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
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10
Q

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

A

trunk impairment scale

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11
Q

what are the 6 outcome measures for a TBI

A

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

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12
Q

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

A

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

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13
Q

what is the Orpington Prognostic scale

A

prognosis and plan of care measure for stroke patients

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14
Q

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

A
  • walking training at mod to high intensities
  • walking training with VR
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15
Q

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

A
  • static or dynamic standing balance activities
    robot assisted gait training
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16
Q

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

A

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