spasticity Trunk

Question 1

post stroke how the spasticity of the shoulder and elbow is seen?

Answer 1

shoulder= IR and ADD
elbow= fllexion

Question 2

the forearm after stroke will be at supination
true or false?

Answer 2

false, pronation

Question 3

describe the wrist with spasticity after stroke

Answer 3

flexed wrist
tight fist with clenched thumb

Question 4

the spasticity of the lower limb
lower extremity is in? and the ankle in?

Answer 4

lower extremity in extension
and ankle in dorsiflexoin

Question 5

when the ankle in plantarflexion toes are in?

Answer 5

plantarflexion

Question 6

With passive dorsiflexion, toes can move through plantar flexion and resists to DF

true or false?

Answer 6

true

Question 7

the spastic trunk after stroke will effect?

Answer 7

lateral flexors

Question 8

Difficulty in transferring the body weight towards diseased (affected) side.

Lateral flexion at the affected side is prominent.

Shoulder at the affected side is positioned lower than healthy side.

are seen with?

Answer 8

sitting position

Question 9

in standing the spastic position will be as?

Answer 9

1 Affected side foot is in front of the healthy side.
2 Body weight is on the healthy side.
3 Tends to take a support with the healthy hand.
4 Difficulty stay in balance with narrow base of support.

Question 10

which gait the hemiplegic patient tends to have ?

Answer 10

circumduction gait

Question 11

Stiffness at the ankle
Loss of dorsiflexion
will have difficulty in?

Answer 11

weight bearing

Question 12

Pelvis-trunk-shoulder girdle are checked treated as?

Answer 12

proximal parts

Question 13

Cervical region-knee-elbow-wrists are?

Answer 13

the distal parts

Question 14

Main dynamic stabilizers of the trunk are?

Answer 14

Serratus anterior
abdominals

Question 15

In every trunk movement which muscle is activated?

Answer 15

Transverse abdominus

Question 16

Reaching starts with_____ and followed by the _____ of the head and with _______ flexion at the end.

fill in the blank

Answer 16

head - flexion- upper trunk

Question 17

With the continuation of reaching activity,
what is activated?

Answer 17

lower trunk is activated – provides weight bearing to forward and extension.

Question 18

if there is no total elongation during sitting the spasticity is in which muscle?

Answer 18

latissmuis dorsi

Question 19

if there is no total elongation during sitting the spasticity is in which muscle?

Answer 19

latissimus dorsi

Question 20

list the Treatment at the Spasticity Stage - Trunk

Answer 20

Stretching of the latissimus dorsi and functional education
Trunk extension education
Lumbal stabilization
Mat exercises
Sitting balance
Contrary rotation education of trunk

Question 21

how to check lumbar mobilization?

Answer 21

patient’s hip and knees positioned in flexion.
Physical therapist stands at the healthy side of the patient.
Crista iliac is palpated with one hand with forearm parallel to ground.
The other arm positioned under the knee and rotated toward the healthy side

Question 22

latissimus dorsi is stretched when?

Answer 22

sacral mobilizatoin

Question 23

list the function of the latissimus dorsi

Answer 23

Shoulder (humerus) internal rotation
Trunk lateral flexion
Assistance to shoulder and pelvis stabilization
as unilateral contraction

Question 24

the bilateral contraction of the latissimus dorsi will be as?

Answer 24

Trunk extension
Pelvis stabilization

Question 25

The insufficiency of the L. Dorsi, spasticity and elongation after stroke;
we see?

Answer 25

Scapular depression and downward rotation

Question 26

L. dorsi + trapezius + rhomboid spasticity results in?

Answer 26

inefficacy of the outward and lateral rotation/turning of the scapula inferior border during shoulder flexion

Question 27

Latissimus dorsi passive-active assistive elongation –sitting- is known as?

Answer 27

violin exercise

Question 28

placing exercise is?

Answer 28

active assisted trunk extensiono in sitting position

Question 29

what can the patient do after the placing exercise?

Answer 29

Active/active assistive unilateral/bilateral arm elevation; when a collapse occurs, return and restart the movement
are achieved

Question 30

Strengthening of the internal/external oblique abdominals can be done with which exercise?

Answer 30

reaching

Question 31

Reaching, strengthening of the opposite side oblique abdominals
what will be activated at the

affected , opposite side
the healthy side- same side

Answer 31

affected= elongation (latissimus dorsi)
External oblique activation

healthy= Activation of the internal obliques

Question 32

Crossing the midline
Using the both sides of the body, bilateral perception
Tonus regulation; decrease in hypertonus
Weight bearing and elongation
3 dimentional movement, spatial orientation
are related to?

Answer 32

rotational education

Question 33

Bridging is good for?

Answer 33

lumbar stabilization

Question 34

Weight bearing/transfer exercises at kneeling position

Weight bearing exercises at the crawling position

are done with?

Answer 34

MAT exercises