Rehabilitation in neurology

Question 1

Generally describe what impairment means

Answer 1

problems in body function or structure

deviation or loss

Question 2

Generally describe what disability/AL means?

Answer 2

restriction or lack of ability to execute activities

Question 3

Generally describe what a handicap/PR means?

Answer 3

Problems individual may have in involvement in life situations

Question 4

What does AL stand for?

Answer 4

activity limitation - disability

Question 5

What does PR stand for?

Answer 5

participation restriction - handicap

Question 6

Give examples of handicap

Answer 6

out of work, cannot fill role as a mother, social role

Question 7

Define rehabilitation

Answer 7

Restoration of patients to their fullest physical, mental and social capability

Question 8

What are long term neurological conditions?

Answer 8

disease, injury or damage to nervous system affecting individual and family in one way or another for their whole life

Question 9

Sudden onset LTNC examples

Answer 9

acquired brain injury
stroke
spinal cord injury

Question 10

intermittent/unpredictable LTNC examples

Answer 10

epilepsy

early MS

Question 11

Progressive LTNC examples

Answer 11

late MS
MND
PD

Question 12

Stable LTNC examples

Answer 12

post polio syndrome
cerebral palsy
spina bifida

Question 13

List some physical problems from LTNC

Answer 13

weakness, tone, bladder and bowel, swallowing, communication, vision, seizure, hearing, loss of sensation

Question 14

List some cognitive problems after brain injury

Answer 14

post traumatic amnesia
memory, slow thinking, confusion
poor concentration and executive function

Question 15

Psychiatric problems after brain injury

Answer 15

depression, anxiety, lazy, irritable, aggressive, selfish, personality change

Question 16

How would we exam someone in rehab?

Answer 16

continence, swallow, mobility, mood, cognition, vision, daily living activity, hearing, communication, skin

Question 17

What does SMART goals stand for?

Answer 17

specific
measurable
achievable 
relevant/realistic
time limit

Question 18

MDT members

Answer 18

orthotist, dietitian, OT, physio, SLT, doctor, nurse, psychiatric, social work

Question 19

Define spasticity

Answer 19

Motor disorder characterised by increased tone and reflexes - UMN

Question 20

List some complications of spasticity

Answer 20

poor seating/lying

fatigue, hygiene issues, spasms, feeding problems, contracture

Question 21

Management of spasticity

Answer 21

prevention 
MDT 
anti spasticity drugs - oral 
physical therapy 
exclude exacerbating factors

Question 22

Benefits of rehabilitation

Answer 22

greater independence 
greater chance of going and remaining home 
increased comfort 
improve QOL 
reduce assistance

Question 23

Examples of acquired brain injury

Answer 23

hypoxic/anoxic 
haemorrhage 
traumatic head injury 
infective 
metabolic

Question 24

What secondary complications does rehab prevent?

Answer 24

DVT 
constipation and malnutrition 
pressure sores 
chest infections 
depression 
MSK pain 
contractures

Question 25

What 3 things help to classify severity of brain injury?

Answer 25

GCS
length of unconsciousness
PTA

Question 26

Severe head injury criteria

Answer 26

GCS 3-8

PTA 1-7 days

Question 27

Moderate head injury criteria

Answer 27

GCS 9-12

PTA 1-24 hours

Question 28

Mild head injury criteria

Answer 28

GCS 13-15

PTA less than 1 hour