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FALL2 NEURO > lecture1: intro eval and treat > Flashcards

lecture1: intro eval and treat Flashcards

1
Q

Stroke Impact Scale

A

participation measure! from patient’s perspective!
*questionaire about impairments, activity limits, QoL, stroke recovery

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2
Q

STREAM (stroke rehab assessment measure) is a ____

A

activity and BFS/impairment measure
supine to sit, standing, walking

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3
Q

The PASS is a…

A

activity AND impairment/BFS measure!
postural assessment scale for stroke

*can you sit? can you stand with/without support? stand on one leg? can you CHANGE POSTURE

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4
Q

What is the Barthel Index for chronically ill?

A

activity measure: MEASURES HOW MUCH BARTHEL NEEDS HELP

*score over 60 means you can care for self (but not live byself)
*score UNDER 60 NEEDS HELP

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5
Q

FIM is a….

A

ACTIVITY MEASURE
functional Independence measure
(evolved into IRF-PAI inpatient rehab facility patient assessment instrument)

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6
Q

FIM 7

A

complete independence

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7
Q

FIM 6

A

modified independence

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8
Q

FIM 5

A

needs supervision or set up

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9
Q

FIM 4

A
  1. needs help getting into/out of bed/chair
  2. patient needing only incidental help (CGA or steadying) which is 75% or more PATIENT WORKING

MIN ASSIST

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10
Q

FIM 3

A

mod assist! 50-75% PATIENT EFFORT
Patient giving at least half effort

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11
Q

FIM 2

A

MAX ASSIST
patient giving less than 50% (25-50) but not total assistance

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12
Q

FIM 1

A

TOTAL ASSIST

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13
Q
A
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14
Q

Even if walking independently 25 feet, if patient cannot go 50 feet, they are

A

TOTAL ASSIST score FIM1

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15
Q
A
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16
Q

Fugl Meyer is a…

A

impairment, functional limitation/disability measure for stroke!
*research

17
Q

The FIST (function in sitting test), action reach arm test, and perception (line, clock, etc) tests are…

A

body function/structure stroke measurements

18
Q

The trunk impairment scale is a…

A

BFS measure
*dynamic and static sitting balance (look at crossing leg, 10 seconds without arm support, trunk displacement 10 cm backwards….)

19
Q

What are 6 outcome measures for TBI?

A

glasgow coma scale
JFK coma recovery scale
galveston orientation and amnesia scale
ranchos
UDS-MR FIM-FAM
disability rating scale

19
Q

What are 7 movement system diagnoses?

A
  1. movement pattern coordination deficit
  2. force production deficit
  3. fractionated movement deficit
  4. postural vertical deficit
  5. sensory selection/weighting deficit
  6. hypokinesia
  7. dysmetria
20
Q

Orpington prognostic scale

A

stroke prognosis for recovery (1.6-6.8)
If below 3.2-mild
If over 5.2-severe

21
Q

CPG for locomotion post chronic stroke, incomplete SCI, TBI
clinicians SHOULD

A
  1. walk train at mod-high aerobic intensity
  2. walk train with virtual reality
22
Q

CPG for locomotion post chronic stroke,
incomplete SCI, TBI
clinicians MAY CONSIDER

A
  1. strength train over 70% 1RM
  2. circuit training at 75-85% HR
  3. balance training with virtual reality
23
Q

CPG for what to NOT DO cpg for locomotion post chronic stroke, incomplete SCI, TBI

A
  1. static/dynamic STANDING BALANCE (including pre-gait)
  2. BWSTT with kinematic emphasis
  3. robot-assisted gait training
24
Q

When should you provide an AFO or FES post stroke?

A

Should for walking, dynamic balance, gait speed, (maybe for kinematics), CHRONIC walking endurance, CHRONIC strength issue

DO NOT FOR TONE/SPASTICITY

25
Q

What are contrived activities?

A

things like total gym, PNF diagonals…
If doing contrived, go into FUNCTIONAL

26
Q

Poor predictors for stroke

A
  1. Cognition:
    -dementia
    -global aphasia
    -B&B
  2. persistent sensory def
  3. severe visuospatial def
  4. history: previous stroke
  5. old age
27
Q

MOVEMENT SYSTEM DIAGNOSES

A
  1. Mvmt pattern coordination deficit
  2. Force production deficit
  3. Fractionated movement deficit
  4. Postural vertical deficit
  5. Sensory selection/weighting deficit
  6. Sensory detection deficit
  7. Hypokinesia
  8. Dysmetria
  9. Cognitive deficit
28
Q

PT interventions for concussion

A
  1. Identify motor function impairments (affecting balance, high level physical mobility)
  2. Use progressive symptom guided aerobic exercise to help with intolerance to ex
  3. Cervical/t spine dysfunction, vestibule-ocular dysfunction, dizziness complaints
  4. Graded progressions
29
Q

What are the 6 core outcome measures recommended by APTA?

A
  1. BBS
  2. FGA
  3. ABC
  4. 10 meter walk test
  5. 6mWT
  6. 5XSTS
30
Q

What are the StrokeEDGE ANPT recommendations for outcome measures?

A
  1. FIM
  2. Fugl-Meyer
  3. PASS
  4. SIS
  5. Trunk impairment scale
31
Q

UDS-MR, now IRF-PAI is a measure of

A

Activity/participation limits
*INPATIENT REHAB FACILITY PATIENT ASSESSMENT INSTRUMENT
*general for everyone

32
Q

When should you NOT provide an AFO/FES for post stroke?

A

Tone/spasticity

33
Q

When should you NOT provide an AFO/FES for post stroke?

A

Tone/spasticity

34
Q

When is it OKAY to use AFO/FES for post stroke?

A

Strength/mm activation with decreased stiffness
Walking endurance improvement
Gait kinematics

35
Q

When SHOULD you use AFO/FES post stroke?

A
  1. Gait speed
  2. Dynamic balance
  3. Other mobility
  4. Chronic walking endurance issues
  5. Quality of life
  6. CHRONIC strength issues/mm activation

FALL2 NEURO (8 decks)

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