Stroke: Occupational therapy evaluation

Question 1

What are the three phases of stroke rehab?

Answer 1

Acute phase immediately following the stroke
Rehabilitation phase
Community or continuing adjustment phase

Question 2

Postural adaptation is best observed through ______

Answer 2

functional task performance.

Question 3

Motor learning ability, is the client’s ability to

Answer 3

solve challenges of movement for

mobility and upper-extremity use

Question 4

Stroke intervention should focus on

Answer 4

improving participation in occupations through early ADL training using both compensatory and remedial approaches

Question 5

List 4 guidelines for stroke intervention

Answer 5

a. The treatment environment should mimic reality as much as possible (including challenges).
b. Activity simulation should be as realistic as possible.
c. Opportunities should be available for client engagement and practice outside of therapy
sessions.
d. Ineffective or inefficient movements should be limited.

Question 6

When implementing interventions to target postural stability, what type of sitting alignment is often best?

Answer 6

Neutral and active sitting alignment.

Question 7

When implementing interventions to target postural stability, how should the LE be positioned?

Answer 7

Both feet flat on floor
Equal weight on pelvis
● Neutral or slight anterior pelvic tilt

Question 8

When implementing interventions to target postural stability, how should the spine and head be positioned?

Answer 8

● Erect spinal posture
● Head over shoulders, shoulders over hips
Perform reaching activities while maintaining neutral sitting alignment.

Question 9

Motor learning interventions should focus on _____ in the task rather than on remediation of specific cognitive deficits such as attention and memory

Answer 9

the client’s participation

remediation of specific cognitive deficits such as attention and memory

Question 10

T or F: The affected upper extremity can be included in tasks involving weight bearing, moving
objects across a work surface, and reaching and manipulating objects

Answer 10

T

Question 11

Stroke: Providing resisted voluntary movements to the unaffected limb elicits an ______ in the affected limb

Answer 11

Associated

Question 12

A tonic labyrinthine reflex results from changes in the orientation of the head leading to ___

Answer 12

bilateral flexor or extensor posturing of the arms or legs

Question 13

The asymmetrical tonic neck reflex response is facilitated by rotation of the head, and results in

Answer 13

limb extension of the face side, and limb flexion on the skull side.

Question 14

Crossed reflex reaction is

Answer 14

a made up term