TBI Flashcards

1
Q

Stages of Rancho Los Amigos Levels of Cognitive Function Scale (RLACFS)

A
  • I: No response: absence of observable change in behavior in response to stimuli
  • II: Generalized response: response to external stimuli
  • III: Localized response: periods of waking off/on during the day
  • IV: Confused-Agitated: alertness/heightened state of activity
  • V: Confused-Inappropriate-Non-Agitated: alertness/ability to attend for a few minutes at a time
  • VI: Confused-Appropriate: ability to attend familiar activities for 30 min
  • VII: Automatic-Appropriate: difficulty paying attention in distracting/stressful situations
  • VIII: Purposeful and Appropriate: ability to learn new things at a slower rate
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2
Q

What motion does the ligamentum nuchae limit

A
  • Cervical flexion
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3
Q

What are the levels of awareness

A
  • Anosognosia: lack of awareness
  • Intellectual: aware that problem exist but not aware of its implications
  • Emergent: recognition that problem is occurring
  • Anticipatory: demo some learning from past experiences to modify behavior to avoid anticipated problems
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4
Q

When solutions to problems are self-generated by the patient and NOT provided by the therapist

A
  • Recall is enhanced
  • Attention is increased
  • Engagement is improved
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5
Q

Recommendations for management of cognition following TBI

A
  • Training with metacognitive strategies applied to real-world activities
  • Dual-task training
  • Avoid sole use of computer-mediated drills
  • Environmental modification
  • Time pressure management
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6
Q

What are the steps in goal management training

A
  • Stop
  • Define
  • List
  • Learn
  • Check
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7
Q

Describe strategic memory advanced reasoning training (SMART)

A
  • Strategic attention: filter
  • Integrated reasoning: focus/chunk; link
  • Innovation/cognitive flexibility: zoom; generalize
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8
Q

Increased self-awareness has also been associated with _____________ anxiety and depression in individuals with TBI

A
  • Greater
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9
Q

What are the components of the OPTIMAL theory of motor learning

A
  • Enhanced expectancies
  • External focus of attention
  • Autonomy
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10
Q

What are the 4 main principles of neurological rehabilitation

A
  • Deductive and inductive reasoning
  • Functional competence
  • Models of motor behavior
  • Motor learning and self-efficacy
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11
Q

What are Rood’s 4 levels of motor control

A
  • Mobility
  • Stability
  • Controlled mobility
  • Skill
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12
Q

Describe the temporal sequence for task analysis (Hedman)

A
  • Initial conditions
  • Preparation
  • Initiation
  • Execution
  • Termination
  • Outcome
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13
Q

What does CASSS stand for related to functional movement tasks

A
  • Control
  • AMount
  • Speed
  • Symmetry
  • Symptoms
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14
Q

Functional competence is the ability to perform daily activities

A
  • In a variety of environments
  • Under different conditions
  • With a minimal expenditure of physical and cognitive resources
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15
Q

Describe Gentile’s Taxonomy of tasks

A
  • Body stable versus body transport
  • Environment/task stationary versus motion
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16
Q

Define knowledge of performance

A
  • Information provided in relation to the way the patient performed the task
17
Q

Define knowledge of results

A
  • Knowledge of task success, which fosters an external focus of patient attention
18
Q

Define transitional information

A
  • Information that helps them explore and find different movement strategies and patterns
19
Q

Define bandwidth augmented information (AI)

A
  • Degree of error or deviation from a performance criterion allowed before AI is provided to patients
20
Q

Define concurrent AI

A
  • Provided during task performance
21
Q

Define terminal AI

A
  • Delivered after task performance
22
Q

Define summary AI

A
  • Given after a block of trials has been completed
23
Q

How to prioritize a task

A
  • High importance/low urgency: decide when
  • High importance.high urgency: do
  • Low importance/high urgency: delegate
  • Low importance/low urgency: dump
24
Q

Common dual task assessments

A
  • TUG manual
  • TUG cognitive
  • Walking while talking test
  • Walking and remembering test
25
Q

Things to consider with dual tasking

A
  • Environmental factors
  • Task factors
  • Individual factors