spasticity upper extremity

Question 1

what is the important thing to do for decreasing the spasticity?

Answer 1

the auto-inhibition education

Question 2

the auto-inhibition is done actively or passively with the patient?

Answer 2

actively

Question 3

By Auto-inhibition Education we

-Permanent inhibitory control
-Decrease in spasticity
-Selective movement and various combinations of the functional abilities are achieved

true or false?

Answer 3

true

Question 4

Physiotherapist positions the spastic upper extremity in the (Moving the trunk against the upper extremity) exercise pattern of the patient as?

Answer 4

Shoulder external rotation (ER) + Wrist and finger extension (distal inhibition)

Question 5

Trunk is bend forward, arms swinging down, elbow extension and shakes the arms

what is this exercise?

Answer 5

chair sitting position

Question 6

when the patient restart the chair sitting position?

Answer 6

when the elbow flexion occurs

Question 7

what is the position of the patient while Moving the ball placed on ground?

Answer 7

Patient is lying in prone position.
Upper extremity is in extension

Question 8

what is important for the wrist stabilization and hand movements while the spasticity is not severe yet?

Answer 8

Wrist extension education

Question 9

we see ulnar deviation with wrist extension
and radial deviation with wrist flexion
true or false?

Answer 9

true

Question 10

where should be the stabilization of the wrist extension education should be?

Answer 10

from ulnar region during the hand extension

Question 11

list the exercises done for upper extremity

Answer 11

Moving the trunk against the upper extremity pattern

chair sitting position

patient on prone and moving the ball placed on ground

Wrist extension education

Scapular Mobilization

scapular adduction

Question 12

for scapular adduction exercises the patient’s position should be as?

Answer 12

sitting position and upper extremities are in external rotation and hands are positioned on bed next to trunk

Question 13

Weight Bearing in Sitting Position

Reaching towards different directions with the _1_________ is performed while weight bearing to the ___2_________

fill in the blank

Answer 13

1- healthy side
2- affected side

Question 14

Patient puts the hands on cheeks and elbows on table, moving forward and backward and shoulder mobilization is achieved.

Patient raises and lowers the arms by grasping the hands and performs isolated elbow flexion-extension.

which exercise is this?

Answer 14

Practice on a table

Question 15

Weight Bearing in Sitting Position
the pillow is positioned under?

Answer 15

the forearm

Question 16

Patient’s face is toward the wall and asked to weight bear on hands i, this exercise is?

Answer 16

Weight bearing on standing

Question 17

what can we do with weight bearing on standing?

Answer 17

Shoulder mobilisation can be trained.
Can try to hold the ball placed between the legs.
PT can support the patient’s shoulder and scapula.
Can be performed when the patient is in table or side standing.

Question 18

Trapezius + serratus anterior co-contraction is important for?

Answer 18

dynamic stabilization in scapulothoracic joint

Question 19

in Disturbed muscle activation

the serratus anterior activation is ?
and upper trapezius activation is?

Answer 19

serratus anterior, decreased
upper trapezius, increased

Question 20

what is the result of Disturbed muscle activation?

Answer 20

Pectoralis minor is shortened,
stiffness at the posterior side of shoulder
and thoracic kyphosis is present

Question 21

increased flexor tonus of the upper extremity results in?

Answer 21

shoulder internal rotation and adduction

Question 22

we see anterior or posterior shoulder subluxation for the increased flexor tonus in the upper extremity?

Answer 22

anterior shoulder subluxation

Question 23

how is the humeral head pulled anteromedially?

Answer 23

Increased tone in pectoral muscles and subscapularis muscles

Question 24

Supraspinatus flaccidity will lead to?

Answer 24

humeral head moves inferiorly with the weight of the arm

Question 25

what are the results of shoulder subluxation?

Answer 25

Humeral head shifts to anterior and medially.
Internal rotation is present and shoulder width is shortened.
Mostly seen with inferior subluxation.
Should intervene at the acute stage without it gets tense/stiffened

Question 26

Glenohumeral subluxation, is defined as ?

Answer 26

palpable ½ or more finger gap between lower surface of the acromion and upper surface of the humeral head

Question 27

tretching in excessive external rotation and extension should not be done because it leads to ?

Answer 27

humeral head much more anteriorly.

Question 28

Co-contraction during external rotation and abduction in normal will lead to?

Answer 28

Painful Shoulder

Question 29

how can we treat the painful shoulder?

Answer 29

Pectoral stretching

Elongation of the muscles which brings the shoulder to internal rotation; teres major and L. Dorsi elongation

Inhibition of the trapezius activation; Cervical mobilisation, cervical active movements

Exercises can be performed with slight traction.

Massage under axilla, cold pack, TENS