neuro assessments/interventions

Question 1

Assessments for IP team

Answer 1

abbreviated injury scale- AIS
glascow coma scale- GCS
JFK coma recovery scale
Galveston orientation adn amnesia test - GOAT
orientation log
Westmead post traumatic amnesia scale WPTAS
ranchos los amigos

Question 2

Interventions for BI

Answer 2

physical activity; education and skills training; goal attainment and goal directed interventions; skills training (behavioral, emotional adn psychosocial); functional skills training, CBT

Question 3

PHYSICAL ACTIVTY INTERVENTION FOR bRAIN INJURY

Answer 3

lifestyle/community access, cycling elliptical, aerocbic exercise

Question 4

Behavioral skills

Answer 4

anger, agression, substance abuse

Question 5

social skills

Answer 5

social communication, coping skills, social particpation

Question 6

functional skills

Answer 6

community, residential, home settings

Question 7

education adn skills traning

Answer 7

1:1 - anger, sleep, cognition, social emotional regulation
group- adress anger managment, social participation and psychosocial well-being

Question 8

scallfolding for social skills

Answer 8

model the behavior
discuss
role play
have client try it out with another person

Question 9

GOAL attainment scaling adn goal directed

Answer 9

goal selection- task analysis - intervention - evaluation

Question 10

CBT

Answer 10

cognitive restructuring , identify maladaptive thoughts, develop goals supporting coping strategies

Question 11

GOAL-PLAN-DO CHECK

Answer 11

CO-OP cognitive orientation to daily occupational performance

Question 12

complete minnesota dexterity test

Answer 12

tests hand ey coordination, dexterity, in hadn maniupulation bilateral coordination

not functional, requires bilateral coordination

Question 13

jebson taylor hand function test

Answer 13

functional , 7 subtasks, non-dominant hand first, time is measured

Question 14

wolf motor function test

Answer 14

aviable from literature, some rote movements, some functional activities

Question 15

outcomes of wolf motor function test

Answer 15

quality and time

Question 16

OTs do in intervention of sensation

Answer 16

assess sensation after stroke, half provide interventions (passive sensory stim, compensatory strategies

Question 17

most common barrier to sensation intervention and assessment

Answer 17

lack of knowledge and skills

Question 18

SENSe intervention

Answer 18

study of effectivness of neurorehab on sensation

Question 19

should sublux preventions

Answer 19

positioning
taping
slings short periods
proper handlings
e-stim
proper PROM
Exercise./AROM

Question 20

important consideration for postioning in wheelchair

Answer 20

need contact and suppoort from tray/trough, can be helpful for neglect

Question 21

bed postioing considerations

Answer 21

support arm, conisder shoulder edema, prevent microtrauma

Question 22

common standardized outcome measures

Answer 22

-assessment of motor and process skills AMPS
-barthel and modified barthel

• copm
  FIM
  GG
  Nottingham stroke dressing assessment

Question 23

AMPS simultaneously evaulates

Answer 23

motor skills (walk, reaches, lifts, transports) process skills (chooses, uses, sequences adn thier effect on IADLS, BADLS

Question 24

do you have to be certiied in amps

Answer 24

yes

Question 25

AMPS strengths

Answer 25

standradized, clients 2 and older international assessment

Question 26

barthel index of adl ASSESSES

Answer 26

functional independence, gnerall in clients who have sustained CVA

Question 27

nottingham stroke dressing assessment NSDA

Answer 27

TWO VERSIONS MALE AND FEMALE RATING SCALE 0-2

Question 28

GG score 1

Answer 28

depedent helper does all effort

Question 29

GG score 2

Answer 29

SUBSTANITAL/ MAXIMAL assistance ; helper does more than half effort

Question 30

gg score 3

Answer 30

mod assits/ helper does less than half effort, helper lifts, holds or support trunk or limbs but provides less than half effort

Question 31

gg score 4

Answer 31

supervision/touching assistance, helper provides VERBAL CUES or touching steadying and or-contact guard assistance

Question 32

gg score 5 s

Answer 32

setup or cleanup assistance , helper sets up or clean ups patinet completes acitivity

Question 33

gg score 6

Answer 33

indepedent, patient compltes the acitivty bu himself with no assitance

Question 34

MAS 0

Answer 34

no increase in tone

Question 35

MAS 1

Answer 35

slight increase in tone, catch adn release or minimal resitance at END OF ROM

Question 36

mas 1+

Answer 36

slight increase in tone, catch, followed by min resistance t/o remainder less than half of rom

Question 37

mas 2

Answer 37

more marked inc in tone, through most ROM but affected parts moved easily

Question 38

mas 3

Answer 38

considerable in in tone, passive movmt diffuclt

Question 39

mas 4

Answer 39

affected parts rigid in flex or ext

Question 40

spasticity intervenion appraoches

Answer 40

strecthing postioning modalties therapuetic handling surgical treatments (lengthening, release, osteotomy )

Question 41

therapuetic approaches goals include for spasticiy

Answer 41

- soft tissue length - stimuli triggers - pain - skin breakdown -strength - use of affected UE -functional tasks

Question 42

genrlized techniques for spatic pt

Answer 42

-calm patient -applied pressure/vibration over focal muscle tendons - warmth or cryo

Question 43

strecthing for spasticity

Answer 43

prolonged, slow strech is optimal increased length associated with reduced sen sitive spasticiy

Question 44

positioning to consider for spasticty

Answer 44

hip, knee , ankle at 90 deg - evenly distruted weight -proper use of devices for optimal alignment

Question 45

benfits of weight bearing

Answer 45

- assists with prolonged stretch - promotes relaxtion of spastic muscles - strenghtening of antagonist muscle - improves bone desnity therfore reducing risk of osteoprisis - reduces risk of GH pathology in UE

Question 46

things to be aware of when weight bearing

Answer 46

balance, postural alignment, joint alignment