PTA 2.1

Question 1

how to establish prognosis for walking abilities?

Answer 1

on day 2 after stroke, assess leg motor function (by using Motricity index) and sitting balance (using Trunk Control Test)

Question 2

in which case is functional recovery favourable?

Answer 2

25 points on sitting balance item of TCT and mild paresis from motricity index ( 25 or above points)

Question 3

Chances of regaining independent walking ability are also determined by?

Answer 3

• initially reasonable ADL skill
• younger age
• absence of homonymous hemianopia: visual field defect
• urinary continence
• absence of premorbid limitations of walking abilities and ADLs

Question 4

prognosis for dexterity is determined how?

Answer 4

to establish we need: capacity for finger extension (Fugly Meyer Assessment, 1 or above points) and shoulder abduction (assessed with Motricity Index, 9 or above points). Best perform 2 days after stroke.

SAFE MODEL
shoulder abduction - finger extension

Question 5

prognosis for basic ADL activities after stroke

Answer 5

determine Barthel index at the end of 1st week after stroke but best on day 5

Question 6

which test do you use to determine prognosis for functional changes in walking ability

Answer 6

FAC, score of 3 or more at 6mo

Question 7

whats motor aphasia called?

Answer 7

broca’s

Question 8

whats sensory aphasia called?

Answer 8

wernickes

Question 9

name 3 impairment types you can have (theyre in pairs)

Answer 9

socio emotional
sensori-motor
cognitive neuropsychological

Question 10

when should you use basic measurement instruments?

Answer 10

• during diagnostics
  at the end of 1st week after stroke
  3months
  5months
  end of treatment period
  when trasnfering patient to another PT

Question 11

which test has a sign. ceiling effect?

Answer 11

trunk control test

Question 12

which basic measurement instrument assesses balance?

Answer 12

berg balance scale

Question 13

what does berg balance scale measure?

Answer 13

balance
used to objectively determine a patient’s ability (or inability) to safely balance during a series of predetermined tasks

Question 14

whats the entry criteria to perform 10MWT?

Answer 14

FAC 3, 4 or 5

Question 15

whats FAC 3?

Answer 15

ambulator, needs supervision but able to move around on level surfaces

Question 16

to be pedestrian, how fast should your walking speed be?

Answer 16

> 1m/s

Question 17

in case of shoulder complaints, whats the score you can get on FAT?

Answer 17

max 4 points

Question 18

whats parkinsons disease

Answer 18

dysfunction of the basal ganglia, caused by degeneration of dopamine-producing cells in the substantia nigra

Question 19

sequence of functional recovery?

Answer 19

1. care for external appearance
2. eating
3. transfers
4. toilet use
5. mobility
6. undressing/dressing
7. showering
8. walking stairs

Question 20

whats prosopagnosia?

Answer 20

cognitive disorder, impaired ability to recognize faces

Question 21

easy way to remember prognosis for dexterity at 6months after stroke?

Answer 21

SAFE model
shoulder abd (MI >=9)
finger ext (FMA >=1)

Question 22

whats the TWIST algorithm? explain it

Answer 22

time to walking independently after stroke

1 week post stroke you assess patient’s TCT
if its above 40, within 6 weeks patient will walk independently

if its below 40, measure MRS hip extension - if its 3 or above, patient will walk within 12 weeks. if its below 3, patient will be dependent

Question 23

after first 3 months, how much % of recovery has taken place?

Answer 23

80%