Outcome measures

Question 1

motor control/strength outcome measure

Answer 1

MMT or Fugl-Meyer

Question 2

Cognition and perception outcome measure

Answer 2

mini-mental status exam (MMSE)

Montreal Cognitive Assessment (MOCA)

Question 3

Tone and spasticity outcome measure

Answer 3

modified Ashworth scale (pediatric: modified Tardieu)

Question 4

Sensation outcome measure

Answer 4

sensation body diagram

Nottingham sensory assessment

Question 5

Activity level outcome measures

Answer 5

6MWT
TUG
10 m walk
dynamic gait index
observational gait analysis
functional gait assessment

Question 6

Balance outcome measures

Answer 6

BERG
Fullerton balance assessment
community balance and mobility scale
BESTest measure
functional reach test

Question 7

Upper extremity outcome measures

Answer 7

DASH
action research arm test
upper extremity performance test for elderly
wolf motor function test

Question 8

What are some important safety consideration when working in neuro-rehab

Answer 8

vitals (BP, HR, RR, SpO2)
lines
risk of DVT/PE
skin integrity
pain
risk of falls
medications
ability to communicate
relevant FMHx and PMHx
family/caregiver involvement
changes in outcomes (GCS)
risk of bleed if on anticoagulants
risk of seizures
basal skull #
spine #
ICP
limb #
internal injuries
FATIGUE
respiratory status
perceptual/cognitive difficulties
autonomic dysreflexia

Question 9

What is neuroplasticity.

What matters for neuroplasticity

What drugs improve neuroplasticity?

Neuroplasticity intervention needs to be paired with what?

Dose?

Answer 9

use it or lose it, use it and improve it, specificity, repetition**, intensity,

time matters, salience matter, age matters, transference, interference *

no drug alone will improve neuroplasticity

intervention needs to be paired with behavior; requires: task specific practice

dose? 6 hrs per day?