Session 8

Question 1

name 4 prereqs for mCIMT.

Answer 1

pt. must demonstrate minimal AROM in affected UE:
- shoulder flexion and abduction greater than or equal to 45 degrees
- elbow and wrist extension greater than or equal to 20 degrees
- extension of all MCP and IP
- thumb extension or abduction greater than or equal to 10 degrees

Question 2

name the 4 steps of mCIMT.

Answer 2

• 30 mins of OT or PT 3x a week for 10 weeks
• use of affected UE in functional tasks to increase strength and control
• shaping using CIMT principles
• unaffected UE is restrained with a mitt for 5 hr period on weekdays while actively using affected UE with daily tasks.

Question 3

decreased initiation of voluntary movement

Answer 3

akinesia

Question 4

motor unrest or fidgeting

Answer 4

akathesia

Question 5

irregular and violent flailing movements

Answer 5

hemiballismus

Question 6

impaired muscle tone affected voluntary movement

Answer 6

dystonia

Question 7

brief, rapid involuntary movements or sounds

Answer 7

tics

Question 8

slow, writhing, flailing of limbs and face

Answer 8

athetosis

Question 9

sudden, jerky, involuntary movements

Answer 9

chorea

Question 10

name 7 disorders of the basal ganglia.

Answer 10

• akinesia
• akathesia
• hemiballismus
• dystonia
• tics
• athetosis
• chorea

Question 11

damage to the pathway for dopamine

Answer 11

parkinson’s disease/syndrome

Question 12

increased hypertonicity and intermittent breaks in muscle tone

Answer 12

cogwheel rigidity

Question 13

slowed movement and increased hypertonicity

Answer 13

bradykinesia

Question 14

involuntary oscillations at rest

Answer 14

resting tremor

Question 15

name an assessment and abnormal presentation for intention tremors (cerebellar dysfunction).

Answer 15

test: finger to nose
abnormal: oscillation through range and increases at approach target

Question 16

name an assessment and abnormal presentation for postural tremors.

Answer 16

test: seated unsupported
abnormal: tremor in trunk

Question 17

name an assessment and abnormal presentation for dysmetria.

Answer 17

test: finger to nose
abnormal: over or undershoot as approach target

Question 18

name an assessment and abnormal presentation for ataxia.

Answer 18

test: observe movement of limbs
abnormal: incoordination, not smooth or fluid motion

Question 19

name an assessment and abnormal presentation for ataxic gait.

Answer 19

test: observe gait
abnormal: incoordination, no smooth or fluid motion, stagger, wide base of support

Question 20

name an assessment and abnormal presentation for rebound phenomenon.

Answer 20

test: hold UE and release
abnormal: inability to sustain UE in a holding position

Question 21

name an assessment and abnormal presentation for dysdiadochokinesia.

Answer 21

test: rapid alternating movement
abnormal: incoordination with opposite movement patterns