Standardized Examination Part 3

Question 1

Arm during functional movements

Answer 1

Bed mobility
Sit-stand
Holding assistive gait devise
Wheelchair propulsion
Balance reactions

Question 2

Types of Grip

Answer 2

Spherical, cylindrical, hook, power, pincer, lateral pinch, 3-jaw chuck

Question 3

Spherical grip

Answer 3

Like holding a tennis ball

Question 4

Cylindrical grip

Answer 4

A type of power grip, uses all fingers and is like holding a water bottle

Question 5

Hook Grip

Answer 5

Flexed fingers besides the thumb. Like gripping a suitcase or a bag

Question 6

Power Grip

Answer 6

Uses all fingers when more force is required. Like using a hammer

Question 7

Pincer Grip

Answer 7

Uses the thumb and index fingers to pinch. Like picking up an M&M

Question 8

Lateral pinch grip

Answer 8

Uses the thumb and the middle phalanx of index finger. Like unlocking a door with a key

Question 9

3-jaw chuck grip

Answer 9

Uses the thumb, index and middle finger. Like picking up a pen or using a pen

Question 10

Arm function and breathing

Answer 10

Arm and shoulder muscles are very active accessory respiratory muscles in lung disease patients. Patients are often dyspneic when performing upper limb ADLs. Thus, comprehensive PR programs include upper limb reconditioning.
Unsupported arm exercises decrease O2consumption during exercise more than supported arm exercises (i.e., arm cycle ergometer).

Question 11

Upper Extremity Testing

Answer 11

Wolf Motor Function Test
Action Research Arm Test (ARAT)
Fugl-Meyer UE Test
Nine-Hole Peg Test
Motor Assessment Scale

Question 12

Action Research Arm Test (ARAT)

Answer 12

scored from 0-3 and 3 is the best score
4 Groups
Grasp
Grip
Pinch
Gross movement
If patient does most difficult all items are scored 3
Time is a component of scoring
Task performance is rated on a 4-point scale, ranging from 0 (no movement) to 3 (movement performed normally).

Question 13

Motor Assessment Scale (MAS)

Answer 13

Developed to be used in patients with stroke
General muscle tone and functions
Includes ADL’s, transfers and gait
Based on task completion and time to complete 3 reps
8-items, 15 minutes
18-65+ age range
Fugl-Meyer better discriminates level of recovery in more disabled patients
has a big floor effect

Question 14

Fugl-Meyer Assessment

Answer 14

Tests upper and lower extremity and sensory function in patients with stroke
Takes about 30-35 minutes
Motor functioning (in the upper and lower extremities) 0-100 pts
Sensory functioning (evaluates light touch on two surfaces of the arm and leg, and position sense for 8 joints) 0-24 pts
Balance (contains 7 tests, 3 seated and 4 standing) 0-14 pts
Joint range of motion (8 joints) 0-44 pts
Joint pain 0-44 pts

Question 15

Wolf Motor Function Test

Answer 15

Used with SCI, CVA, TBI, and Parkinson’s Disease
Strength is a component
15 function-based tasks
2 Strength-based tasks
Scored 0-5 (0 is does not attempt- “5” normal)

Question 16

9-hole Peg Test

Answer 16

Test fine motor function
Floor effect is if they can’t do it
The wood is sticky. The test is timed. The test is taking all the pegs out and place it on the recess and putting it back in