Neuro: MAS, Brunstrumm, RLA

Question 1

With the Hoehn and Yahr Classification of Disability, what is Stage 1?

Answer 1

Minimal disability, unilateral symptoms

Question 2

With the Hoehn and Yahr Classification of Disability, what is Stage 2?

Answer 2

Bilateral, or midline involvement (no balance impairment)

Question 3

With the Hoehn and Yahr Classification of Disability, what is Stage 3?

Answer 3

Postural instability present but can still live independently

Question 4

With the Hoehn and Yahr Classification of Disability, what is Stage 4?

Answer 4

All symptoms present, standing/walking only possible with assistance

Question 4

With the Hoehn and Yahr Classification of Disability, what is Stage 5?

Answer 4

Wheelchair or bed bound

Question 5

What is the Glasgow Coma Scale?

Answer 5

An outcome measure that is used to help determine the severity of injury

Question 6

What are the 3 components of the Glasgow Coma Scale?

Answer 6

• Eye Opening
• Best Motor Response
• Verbal Response

Question 7

What is a 0 in the Modified Ashworth Scale?

Answer 7

There is no increase in tone (Normal)

Question 8

What is a 1 in the Modified Ashworth Scale?

Answer 8

Slight increase in tone, end of range (May catch and release)

Question 9

What is a 1+ in the Modified Ashworth Scale?

Answer 9

Slight increase in tone through less than 1/2 range

Question 10

What is a 2 in the Modified Ashworth Scale?

Answer 10

Marked increase tone through most of the range
(Still moves easily)

Question 11

What is a 3 in the Modified Ashworth Scale?

Answer 11

Passive movement difficult

Question 12

What is a 4 in the Modified Ashworth Scale?

Answer 12

Rigid (No movement)

Question 13

What is the 1st Stage of the Brunnstrom’s Stage of Recovery?

Answer 13

There is Flaccidity and no movement

Question 14

What is the 2nd Stage of the Brunnstrom’s Stage of Recovery?

Answer 14

Spasticity begins and no Voluntary movements

Question 15

What is the 3rd Stage of the Brunnstrom’s Stage of Recovery?

Answer 15

Spasticity worsens, Voluntary movement occurs in only synergy

Question 16

What is the 4th Stage of the Brunnstrom’s Stage of Recovery?

Answer 16

Spasticity declines, some voluntary movement out of synergy may occur

Question 17

What is the 5th Stage of the Brunnstrom’s Stage of Recovery?

Answer 17

Spasticity continues to decline, relative independence from synergistic movement

Question 18

What is the 6th Stage of the Brunnstrom’s Stage of Recovery?

Answer 18

Spasticity disappears; Full isolated/coordinated movement

Question 19

With the RLA of Cognitive Function, what are the Characteristics of Level 1: No Response?

Answer 19

Complete absence of observable change in behavior

Question 20

With the RLA of Cognitive Function, what are the Characteristics of Level 2: Generalized Response?

Answer 20

Demonstrates generalized reflex response to painful stimuli
- Responds to repeated auditory stimuli with increased or decreased activity

Question 21

With the RLA of Cognitive Function, what are the Characteristics of Level 3: Localized Response?

Answer 21

Demonstrates withdrawal or vocalization to painful stimuli
- Turns toward or away from auditory stimuli
- Blinks when strong light crosses visual field
- Follows moving object passing within visual field

Question 22

With the RLA of Cognitive Function, what are the Characteristics of Level 4: Confused/Agitated?

Answer 22

Alert and heighted state of activty
- Purposful attempts to remove restraints or tubes or crawl out of bed
- Absent ST memory
- May cry out or scream out of proportion to stimulus even after its removal
- May exhibit aggressive or flight behavior

Question 23

With the RLA of Cognitive Function, what are the Characteristics of Level 5: Confused, Inappropriate Non-Agitated?

Answer 23

Alert, not agitated but may wander randomly or with a vague intention of going home
- May become aggitated in response to exernal stimulation, and/or lack of environmental structure
- Not oriented to person, place, or time
- Unable to learn new information

Question 24

With the RLA of Cognitive Function, what are the Characteristics of Level 6: Confused, Appropriate?

Answer 24

Inconsistently oriented to person, time and place
- Able to attend to highly familiar task in non-distracting environment for 30 min with moderate redirection
- Max assist for new learning with little or no carry over

Question 25

With the RLA of Cognitive Function, what are the Characteristics of Level 7: Automatic, Appropriate?

Answer 25

Consistently oriented to person and place, within highly familiar environments. Moderate assistance for orientation to time
- Able to attend to highly familiar tasks in a non-distraction environment for at least 30 min with minimal assist to complete tasks
- Minimal supervision for new learning
- Demonstrates carry over of new learning
- Overstimates abilities

Question 26

With the RLA of Cognitive Function, what are the Characteristics of Level 8: Purposeful, Appropriate?

Answer 26

Consistently oriented to person, place, and time
- Independently attends to and completes familiar task for 1 hour in distracting environments
- Able to recall and integrate past and recent events
- Uses assistive memory devices to recall daily shedule, “to-do” list and record critical information for later use with stand-by assistance