Motor

Question 1

Flexor Synergy

Answer 1

No motor control during voluntary movement
Incomplete muscle tone, shoulder elevation, retraction, shoulder abduction, ext rotation, elbow flexion, forearm supination, wrist and finger flexion

Question 2

Extensor Synergy

Answer 2

Shoulder protration, horizontal adduction, internal rotation, elbow extension, forearm pronation

Question 3

Modified Ashworth Scale for Grading Spasticity

Answer 3

0 - no increase in muscle tone, 1 - slight increase in muscle tone (stuck), 1+ - slight increase in muscle tone (mild tone through ROM), 2 - Marked increase in muscle tone through most of ROM; joint easily moved, 3 - muscle tone making passive movement difficult (spastic), 4 - affected parts in rigid flexion or extension

Question 4

Fugl-Meyer Assessment (Brunnstrom)

Answer 4

Evaluates motor function, sensation, balance, ROM, and joint function on 3pt scale
0 - cannot be performed
1 - partly performed
2 - performed without problem

Question 5

Reflexive Grading Scale

Answer 5

0 - No evidence of muscle contraction, 1 - hypo-reflexive (decreased but present), 2 - Normal, 3 - hyper-reflexive (increased reaction), 4 - Clonus (repetitive shortening of the muscle after stimulation)

Question 6

Brunnstrom Stages of Recovery (Movement Approach)

Answer 6

1 - Flaccidity, 2 - Reflexive synergies, 3 - Vol motion in synergy, 4 - Vol motion deviating from synergy, 5 - I from synergy, 6 - Isolated joint movement

Question 7

PNF: Diagonal Patterns

Answer 7

Performed in all 3 planes
D1 F: Combines shoulder flex, add, ER
D1 E: Combines shoulder exten, abduction, IR
D1 F: Combines shoulder flex, abd, ER
D2 E: Combines shoulder exten, add, IR

Question 8

CIT: Constraint Induced Therapy

Answer 8

Person needs some motion, not appropriate if completely flaccid, trying to promote better control and recognition of affected side of the body

Question 9

Ishemic CVA

Answer 9

Blockage of cerebral vessel; Most common (appx. 80%)

Question 10

Hemmoragic CVA

Answer 10

Rupture of cerebral vessel; Caused by HTN, arteriovenous malformation or aneurysm