Lecture 5 - UE

Question 1

2 potential predictors of UE recovery are

Answer 1

1. Active finger Extension
2. Shoulder abduction

Question 2

Describe the Chedoke Arm & Hand Activity Inventory (CAHAI)

Answer 2

Question 3

Dexterity

Answer 3

Question 4

Describe the box and block test

Answer 4

Question 5

How to assess strength and ROM of UE

Answer 5

Question 6

Describe the Functional Independence Measure (FIM)

Answer 6

Question 7

What are common motor and sensory problems for UE following a stroke

Answer 7

Question 8

What is the function of our hands and arms

Answer 8

Question 9

What are the prerequisites or requirements for hand and arm use

Answer 9

Question 10

Describe reach to grasp

Answer 10

Question 11

Describe reaching and properties that affect reaching

Answer 11

Question 12

Describe grasping and properties that affect grasping

Answer 12

Question 13

Compare the amount of trunk control required when reaching within or outside the BOS while sitting

Answer 13

Question 14

Describe postural support required for reaching and list some postural adjustment factors when reaching

Answer 14

Question 15

Compare postural control when reaching beyond arm’s length vs reaching across the mid-line

Answer 15

Question 16

What deficits would cause difficulties with forward reaching and what precautions should we take

Answer 16

Question 17

Describe the impact of bimanual movements when there is a unilateral lesion to one of the hemispheres

Answer 17

Question 18

Describe hemiplegic shoulder pain and list what it is associated with

Answer 18

Question 19

What are some symptoms of hemiplegic shoulder pain and what 2 disorders could be confused with it

Answer 19

Question 20

Describe the 3 phases of frozen shoulder

Answer 20

Frozen shoulder:
3 phases ->
1. inflammatory response that is painful and effects entire shoulder capsule
2. Frozen phase: Cant move shoulder loss of ROM
Thawing phase: Pain and inflammatory response decreases and no longer losing ROM and can recover

Question 21

What structures help stabilize the shoulder

Answer 21

Question 22

Why is identification of hemiplegic shoulder pain important and what are 2 common features of it

Answer 22

Question 23

Describe the rotator cuff, what stability it provides, and how hemiplegia affects the rotator cuff

Answer 23

Question 24

Compare a normal shoulder to shoulder subluxation

Answer 24

Question 25

Is hemiplegic shoulder pain multifactorial

Answer 25

Yes, look at picture

Question 26

What are 3 prognostic indicators for shoulder pain

Answer 26

Question 27

What are treatments for hemiplegic shoulder pain

Answer 27

Eg. Sit and raise hands above head

Question 28

Pros and cons of slings for hemiplegic shoulder pain

Answer 28

Question 29

BPG for prevention of hemiplegic shoulder pain

Answer 29

Question 30

BPG for assessment of hemiplegic shoulder pain

Answer 30

Question 31

BPG for management of hemiplegic shoulder pain

Answer 31

Question 32

What is a common orthosis used for hemiparetic UE function, and the aims of using them

Answer 32

Question 33

What is a treatment method for spasticity for UE hemiplegia and what are the common indications

Answer 33

Question 34

What are 2 general principles for management of arm and hand after a stroke

Answer 34

Question 35

What are critical factors to emphasize for UE post-stroke

Answer 35

Question 36

What are early physiotherapy intervention considerations for UE hemiplegia

Answer 36

Question 37

What are some early stage/low recovery treatment for UE hemiplegia

Answer 37

Question 38

What are some physiotherapy intervention considerations for UE hemiplegia mid-to-late stages

Answer 38

Question 39

What are some interventions for late stage UE hemiplegia

Answer 39

Question 40

What are 2 specialized UE interventions

Answer 40

Question 41

Describe constraint-induced movement therapy

Answer 41

Question 42

Describe GRASP, some exercises for GRASP, and who might benefit from GRASP

Answer 42