Module 6 Flashcards

1
Q

Glasgow coma scale, and Function in sitting test (FIST), measure are all assessment tools used?

A

In the early stages of recovery for a patient with ABI

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2
Q

MMT, Specific balance tests (Romberg, berg, FGA DGI),, Task analysis and the Rancho Los Amigos observational gait analysis are all used?

A

In the later stages of recovery for a patient with ABI (more functionally based tests)

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3
Q

Which 4 tests are often used throughout the stages of recovery to assess a patient with ABI current level of function and to track progress.

A

B FaRM
- Brunnstrom Scale, Functional independence measure (FIM), ROM (AROM in later stages only), MAS (modified Ashworth Scale)

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4
Q

The _ _ _ measures behavior aspects of agitation during the acute phase of recovery for a ABI. Includes which 3 aspects? Is a _ item- instrument, with each item rated on a scale of? Most helpful with which Rancho Level

A

Agitated Behavior Scale (ABS)

Is a 14 item instrument, with each item rated on a scale from 1-4

Most helpful with a Rancho IV

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5
Q

The _ _ scale is a 23 item assessment, with 6 subs ales addressing communication, oral motor, motor, auditory, visual and arousal functions (COMA VA)?

A

Coma Recovery scale

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6
Q

The purpose of the coma recovery scale is to assist with? (3) Is more detailed than?

A

Assist with differential diagnosis, prognostic assessment, and treatment planning

More detailed then the Glasgow coma scale

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7
Q

The _ _ & _ scale is used to detect high level balance and mobility deficits based on tasks that are commonly encountered in community environments.

A

Community balance and mobility scale

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8
Q

The community balance and mobility scale is a performance measure composed of _ _ tasks with _ tasks performed? Item scores range from -, and reflect progressive task _.

A

Measure composed of 13 challenging tasks with 6 tasks performed bilaterally

Item scores range from 0-5 and reflect progressive task difficulty

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9
Q

The _ _ _ _ is used to assess the social role limitations and community interaction of people with ABI.

A

Community Integration Questionnaire I

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10
Q

The community integration questionnaire I contains a _ item assessment of community integrations across which 3 domains? Is performed by? (2)

A

15 item assessment

3 domains: home integration, social integration, and productive activity.

Is a self assessment made by the PT or a family member

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11
Q

The _ _ _ is designed to evaluate change in the activities of everyday life as a function of a sudden event or illness. Compares? Domains? (3)

A

Functional Status Examination

Compares current function status to pre-injury status

3 domains: physical, social and psychological

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12
Q

- _ _ is designed to assess high-level balance and mobility performance in individuals with a TBI. Consists of _ items that address complex tasks such as? (4)

A

High-level mobility assessment (Hi-MAT)

Consists of 13 items

Addresses tasks such as: running, jumping, hopping, and skipping

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13
Q

The _ _ _ _ is a measure of attention related behaviors after a TBI, and is administered by rating the _ _ on a _ _ scale for _ items. Range of scores?

A

Moss Attention Rating Scale

Administered by ratio the patients behavior one 5 point Likert scale for 22 items

Ranges: 22-110

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14
Q

Aerobic capacity, Cognitive/ Neurobehavioral, integumentary integrity, motor function (motor control and learning, strength, power, endurance), Pain, Posture & alignment, ROM, Splinting, Positioning, and Work/ Leisure/ Community reintegration are all?

A

Additional Elements of the examination

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15
Q

Work, Leisure and community reintegration is for? Goal? 3 examples?

A

For higher level patients

Goal is to keep finding new challenges to encourage learning

Ex: new environments, different sensory stimulation, crowds

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16
Q

_ _ _ _ _ _ is a type of qualitative gait analysis used by PT’s to assess and describe typical and atypical gait. Can also be used in combination with?

A

Rancho Los Amigos Observational Gait Analysis

Can also be used in combo with quantitative gait analysis and measures

17
Q

2 examples of quantitative measures that can be used during observational gait analysis?

A

Spatio-temporal parameters (step length, cadence, etc.)

Kinematic parameters (knee/ hip rotation angle)

18
Q

8 phases of gait?

A

ILMT PIMT

  • Initial Contact (IC), Loading Response (LR), Mid-stance (MSt), Terminal Stance (TSt)
  • Pre-swing (PSw), Initial Swing (ISw), mid-swing (MSw), Terminal swing (TSw)
19
Q

What is the course of the gait cycle, and step length?

A

Gait Cycle (stride): Initial Contact to Ipsilateral Initial Contact

Step Length: Initial Contact to contralateral Initial Contact

20
Q

Gait Characteristics: Cadence (Speed) and Step Width

A

Cadence (speed): number of steps per unit of time

Step Width: distance between feet (2-4 inches in adults)

21
Q

Center of gravity v. Base of support, appropriate weight shift, trajectory during weight transfer, clinician position and handling and bracing are all?

A

Rehabilitation considerations when working on gait sequence

22
Q

2 tools used for determining impairments

A

Guide to Physical Therapist Practice

APTA Preferred Practice Pattern 5D

23
Q

Which tool to determine impairments addresses: impaired motor function and sensory integrity associated with non-progressive disorders of the CNS. Acquired in? (2)

A

APTA Preferred Practice Pattern 5D

Acquired in: adolescence or adulthood

24
Q

What 4 categories of impairments that are addressed in the Guide to Physical Therapy Practice in regards to determining impairments?

A

BS SC

- balance, strength, sensory & perceptual, coordination impairments

25
Q

What impairment category looks at strength, ROM, coordination, and tone management? EX: _ left _ _ leading to risk of _ and _ _.

A

Neuromuscular/ Musculoskeletal

Examples: Hypertonic left elbow flexors leading to risk of contracture and pressure sores

26
Q

What category of impairment is described by: Impaired recall of weight bearing precautions? What are 3 treatment examples?

A

Cognitive impairments

3 treatments: Arousal level, concentration, recall of learning

27
Q

What category of impairment treats agitation, apathy, and impulsivity? EX: Impaired control of _ during _ _ or _ _ tasks.

A

Neurobehavioral

EX: Impaired control of agitation during simple ADL or functional mobility tasks

28
Q

Which impairment category can be described by: Impaired independence and safety with ambulation? 4 examples?

A

Functional Mobility

EX: balance, bed mobility, transfers, and locomotion (gait, ambulation, wheelchair mobility)

29
Q

Which catagory address patient and/ or family training needs? EX: impaired _ of _ _ techniques

A

Education

Impaired knowledge of safe transfer techniques

30
Q

Goals must be _, _, _ and _ _

A

Goals must be realistic, measurable, objective and time limited

31
Q

4 essential elements of writing goals

A

BIT C

  • Behavior/ Activity (What?)
  • Individual (Who?)
  • Time (When?)
  • Condition (How?)
32
Q

What was Dr. Galvez’s take home message to PT’s regarding their patients?

A

Give your patients HOPE

  • promote Health
  • present Options
  • share Passion
  • provide Education