spasticity lower extrimity

Question 1

Movement difficulty and loss of balance at the affected lower extremity will have abnormal walking so upper extremity tone is increased
true or false?

Answer 1

true

Question 2

Decrease in spasticity at trunk and arm will decrease?

Answer 2

lower extremity tone

Question 3

which muscles are spastic in lower extremity?

Answer 3

Hip extensors
Knee extensors
Ankle plantar flexors
Foot invertors

Question 4

why while standing Affected leg is in front of the healthy one?

Answer 4

because patients do not want weight bear on the affected leg

Question 5

walker is better to the hemiplegic patients than canes and crutches
true or false?

Answer 5

false, cane and crutches are better for them

Question 6

If the spasticity is at the moderate intensity:

Patient can flex the leg but performs the movement within the total pattern of flexion and hip abduction

Can not control the movement while taking leg to extension and can not stop at any point suddenly

true or false?

Answer 6

true

Question 7

disruptive effect on walking is caused by?

Answer 7

Loss of extension control

Question 8

when ankle is stiff in lower limb
what will result in?

Answer 8

Loss in dorsiflexion of foot
difficulty in weight bearing on foot.
hyperextension at the knee occurs

Question 9

when the ankle is spastic as plantarflexed
the patient would not wb on his foot
true or false?

Answer 9

true

Question 10

extension control should be gained in which position?

Answer 10

supine position

Question 11

Foot dorsiflexion and eversion is possible with?

Answer 11

leg flexion

Question 12

what will happen when the hip and knee are flexed ?

Answer 12

the patient tends to abduct by moving away from the healthy side

Question 13

Due to backward retraction and rotation of pelvis and trunk, active abduction is hardly done
true or false?

Answer 13

false, active adduction

Question 14

Treatment in standing position the affected leg should be Infront of the healthy leg
true or false?

Answer 14

false, shouldn’t be

Question 15

what are facilitation techniques for the readiness of standing ?

Answer 15

Equal weight transfer to both hips.
Sliding of pelvis forward and backward on chair (pelvis control) without hand support
Elongation of the trunk flexor and rotator muscles when moving to the side chairs

Question 16

holding hands while sitting the affected thumb in abduction should be placed above the healthy hand
true or false

Answer 16

true

Question 17

how to bring the flexed leg into adduction while sitting?

Answer 17

both legs are brought to healthy side with knees together

Question 18

in Crossing movement the affected leg on healthy leg
true or false?

Answer 18

true

Question 19

for Controlled extension in sitting the PT’s hand where it is placed?

Answer 19

on the dorsal side of foot, controls the movement by holding the ankle in dorsiflexion.

Question 20

Provides standing by weight bearing on affected leg.
Helpful for required independent knee flexion before stepping forward

are done by?

Answer 20

Bringing the dorsiflexed foot back before standing up

Question 21

how standing up exercise is achieved?

Answer 21

Trunk should be brought forward.
Hands should be clasped.
Patient should look up while standing up.

Question 22

Sudden and automatic retraction of the healthy leg backward should be avoided in?

Answer 22

standing up exercises

Question 23

for standing up exercises the effected leg should be placed forward or backward?

Answer 23

backward for Weight transfer

Question 24

physiotherapist should prevent what while standing up exercises to the patient?

Answer 24

Prevents the sudden knee hyperextension, foot plantar flexion and hip retraction by pulling knee a little forward

Question 25

what are the Preparation to stand on the affected leg ?

Answer 25

Patient sits at the edge of table.
Healthy hip is on the bed.
Weight is transferred to the affected leg.
To ensure the forward movement of the pelvis and hip, the affected side foot should be placed close to the bed

Question 26

Foot on the floor, hip and knee extension Worked after the knee extension is gained
true or false?

Answer 26

true

Question 27

during standing the patient is wight bearing
where can the physiotherapists give support to the patient?

Answer 27

pelvis
arm or axilla, the arm of the patient should be extended and externally rotated

Question 28

during stance phase education which leg is raised?

Answer 28

healthy side foot,
while the hemiparetic lower extremity is on the ground

Question 29

Can not shorten the hemiparetic lower extremity due to lower extremity extensor spasticity is seen in which phase?

Answer 29

swing

Question 30

Dorsiflexion, knee and hip flexion exercises should be performed from the acute stage for swing phase education
true or false?

Answer 30

true

Question 31

Insufficient hip and knee flexion is seen with stance phase
true or false?

Answer 31

false, swing

Question 32

which movements are controlled from the early rehabilitation for standing and walking ?

Answer 32

pelvic elevation,
hip abduction,
or preventing the compensations like circumdiction gait

Question 33

what are 2 different situations in arm swing insufficiency?

Answer 33

Severe spasticity in upper extremity
No severe spasticity

Question 34

list 2 exercises for arm swing education

Answer 34

Arm swing with trunk rotations in front of the mirror

contralateral arm - leg swing cycle

Question 35

Inability to control knee extension when transitioning from heel strike to sole contact will cause?

Answer 35

knee hyperextension

Question 36

As the knee control is improved, the weight bearing is gradually increased in order of?

Answer 36

%30, %50, %70,
weights the entire body weight on the affected side, with the healthy leg in the air

Question 37

where does PT support the patient during ascending and descending stairs ?t

Answer 37

at the level of gluteus maximus