Poll Everywhere Flashcards
You notice a patient feeding themselves and as their hand gets closer to their mouth, the tremors become worse. What type of tremor is this?
Intention
You are evaluating a patient with MS and you have the patient supinate and pronate both arms repetitively. What are evaluating this patient for?
* Hypotonia
* Dysdiadochokinesia
* Dysmetria
o Nose to nose
o Finger to finger
* Dyssynergia
o Difficulty coordinating limbs
o Moves more robotically
- Dysdiadochokinesia
The following are general approaches to treat a patient with ataxia EXCEPT:
- Increase the degrees of freedom
- Provide proximal stability
- Adaptive devices
- Change velocity of movement
- Increase the degrees of freedom
You are treating a patient with ataxia who is having difficulty feeding themselves while seated at the table. What would be the best treatment approach to start with?
* B/l wrist splints
o Do this next bcuz this is cheaper
* Closed chained treatment with use of b/l ue
o Best to do first because it’s the least invasive
o Try not to use adaptive devices first
* Vibration dampening device
o Most costly option
o Saw a video on this in class
o Vibrates when eating to correct for tremors
* Have caregiver feed patient
o We want ppl to do things independently
- Closed chained treatment with use of b/l ue
o Best to do first because it’s the least invasive
o Try not to use adaptive devices first
The purpose of using a splint is to provide visual and proprioceptive feedback for the patient with ataxia.
* True
* False
False
o Meant to decrease degrees of freedom
You are training a person with Parkinson’s disease to be able to perform sit to stand. Which technique is best for the therapist to recommend to the person to successfully perform the transfer?
* Rise from the chair while sitting with buttocks against the back of chair
o “come all the way to the back and stand up”; no, we come to the front
* Extend both legs so that both feet are away from the chair while rising
o No, we bend
* Sit at the edge of the chair and rock back and forth before rising
* Rise while weight-bearing on one foot and pushing up with both hands
o No, weight-bear on both
- Sit at the edge of the chair and rock back and forth before rising
Why is nutrition an important aspect/treatment for someone with Huntington’s Disease.
* Helps w/ protein synthesis
* Helps w/ weight gain
o This condition causes a lot of movement so use a lot of energy so need to make sure they have good nutrition
* Helps w/ impulse control
* Helps w/ organization
- Helps w/ weight gain
o This condition causes a lot of movement so use a lot of energy so need to make sure they have good nutrition
Therapy/multidisciplinary rehabilitation have been shown to play a role in the management of a degenerative disease EXCEPT
* Delay onset of symptoms
* Maintain medication dosage longer
o Stay longer at one level instead having to increase dosage strength
* Increase quality of life
* Increase blood flow to help with brain function
- Increase blood flow to help with brain function
What is the main treatment component of LSVT (for Parkinson’s)?
* Decreased movement size
* Increase movement size
o Ppl w/ Parkinson’s do small movements
* Decreasing the degrees of freedom
* Visual cues
- Increase movement size
o Ppl w/ Parkinson’s do small movements
Why do visual cues work for patient’s w/ Parkinson’s Disease?
* Bypass damaged cerebellum
* Switch from goal directed motor control to automatic
* Functions as a “static cue”
* Relies on kinesthetic feedback
- Functions as a “static cue”
(autonomic dysreflexia) You are treating a patient who had a SCI, and they report a pounding headache, feeling nausea and start to sweat. The following would be appropriate interventions EXCEPT:
* Examine and remove kinks in the tubing of the urine catheter bags
* Loosen tight clothing
* Lay the person down
o Usually for orthostatic hypotension
o Here you would want to keep them up
* Examine hand and toes for ingrown nails
- Lay the person down
o Usually for orthostatic hypotension
o Here you would want to keep them up
You are working with a man who had a T10 SCI (UMN symptoms include weakness, spasticity, reflexive). What recommendation for long term bladder maintenance would you make?
* Condom catheter
* Indwelling catheter
o Stays up there
o Don’t want this in the urethra so eliminate this option
* Intermittent catheterization
o Take it out and teach them to do it themselves
o For T10 and above, they have a reflex so need to give them some sensory input to go to the bathroom
* Undergarments (depends)
- Intermittent catheterization
o Take it out and teach them to do it themselves
o For T10 and above, they have a reflex so need to give them some sensory input to go to the bathroom
You and your patient have briefly discussed sex after his SCI. You tell him about this great SCI group in the local area. You are providing what type of information as per the Ex-PLISSIT model?
* Permission
* Limited information
o Handout
* Specific suggestions
o Positions
o Adaptive equipment
o More of one-on-one interaction of showing them something
* Intensive therapy
- Limited information
o Handout
What is the functional significance of a c7 spinal cord injury? (c5-elbow flexion, c6 bring wrist up, c7 triceps, c8 fingers)
* Hand function
* Transfers
o Bcuz you’re using your arms to push down
* Feeding w/ splints
* Grasping w/ tenodesis
- Transfers
o Bcuz you’re using your arms to push down
What is the reason for abdominal binders and long TEDS (tight stockings)?
* Prevent autonomic dysreflexia
* Prevent pressure sores
* Improve respiratory function
* Prevent postural hypotension
o Prevents pooling of blood in LE
- Prevent postural hypotension
o Prevents pooling of blood in LE
