Margret Johnstone approach

Question 1

The most important feature and difference of Margaret Johnston technique is?

Answer 1

The usage of pressure splints for the inhibition effect of spasticity in treatment

Question 2

Johnstone Approach; It is based on the redevelopment of controlled movement in response to reflex activity

true or false?

Answer 2

true

Question 3

the presence of severe hypotonus, a hypertonus developing in the antigravity muscles is seen first with?

Answer 3

fingers into flexion

Question 4

Hemiplegia rehabilitation should start from ?

Answer 4

the spinal reflex level and continue until the cortical level is reached

Question 5

The therapist should maintain an inhibitory effect on hypertonic motor neurons until ?

Answer 5

the postural reflex mechanism is gained and the cortical inhibitory effect is restored

Question 6

Side lying position; flexor tone is inhibited
true or false?

Answer 6

false, extensor

Question 7

when Supine position and neck extension position is used?

Answer 7

when extensor tone in the arm needs to be increased

Question 8

. If the higher centers of the brain are impaired in receiving sensory stimuli, they must be strengthened by what?

Answer 8

additional stimulation from the proprioceptors.

Question 9

what can Pressure splints inhibit ?

Answer 9

dominant reflex

Question 10

treatment program starts from proximal then distal
true or false?

Answer 10

true

Question 11

what is the antispastic position?

Answer 11

arm should be mobilized in external rotation and the leg in internal rotation.

Question 12

pressure in the splints should not exceed 60 mmHg
true or false?

Answer 12

false, 40 mmhg

Question 13

pressure splints should be applied in inhibitory positions.
true or false?

Answer 13

true

Question 14

which scale is used for muscle tone?

Answer 14

Mod. Ashworth

Question 15

Sensory disturbance is mostly seen in dominant side.
true or false?

Answer 15

false, non-dominant

Question 16

one sided denial is?

Answer 16

Anosognosia

Question 17

before how much pressure splints should be placed?

Answer 17

before 30 min

Question 18

Providing muscle relaxation with autogenic inhibition by stimulating what?

Answer 18

golgi tendon organ

Question 19

to prevent associated reactions While exercising with the upper extremity, the lower extremity MUST BE placed in a splint.
true or false?

Answer 19

true

Question 20

. Shoulder protraction and wrist inhibition exercises are sone in which positions?

Answer 20

side lying position

Question 21

To inhibit the flexor pattern of the fingers and wrist, patient is lying on the healthy side
true or false?

Answer 21

false, lying on his hemiplegic side
In this position, with his hand looking up, PT presses down with his hand

Question 22

how Stretching to Latissimus Dorsi is done?

Answer 22

both arms in 90 flexion with elbow extension in side lying position

Question 23

Exercises in the prone position should be performed in?

Answer 23

front of the mirror

Question 24

Learning the bilateral activity is harder for the patient
true or false?

Answer 24

false, easier

Question 25

) Exercises performed in half kneeling position:
The patient’s hemiplegic side hip is in extension and knee in flexion with the healthy leg is in front
true or false?

Answer 25

true