TBI: OT Intervention- Acute Phase

Question 1

Initial interventions for severe disorders of consciousness occur in ___ and ___.

Answer 1

the intensive care

and acute care units of hospitals.

Question 2

Interventions for TBI involve both ___ and ___ approaches.

Answer 2

preventative

restorative

Question 3

What types of positioning interventions may be implemented in intervention for the acute phase of TBI?

Answer 3

Wheelchair, bed

Question 4

Proper wheelchair positioning can help prevent (2 things)

Answer 4

Skin breakdown and joint and muscle deformity

Question 5

Proper wheelchair positioning can help inhibit ____

Answer 5

Primitive reflexes

Question 6

Proper wheelchair positioning can help improve (4 things)

Answer 6

Sitting tolerance, respiration, swallowing ability, interaction with environment

Question 7

Effective seating includes (3 things)

Answer 7

a stable base of support at the pelvis, maintenance at the trunk and midline, and facilitation of the head in the upright midline position.

Question 8

Proper bed positioning is necessary to prevent ____ and facilitate _____

Answer 8

pressure ulcers

normal muscle tone.

Question 9

For clients with abnormal tone or posturing, what type of bed positioning is preferred?

Answer 9

lying on the side or semiprone is preferred to help normalize tone and provide sensory input.

Question 10

Why is side-lying or semiprone preferred for clients with abnormal tone or posturing?

Answer 10

It helps normalize tone and provide sensory input

Question 11

Pillows, foam wedges, and splinting may be incorporated to (2 things)

Answer 11

facilitate normal positions

prevent abnormal postures.

Question 12

Passive range of motion is completed as a ____ to prevent the development of ______

Answer 12

preparatory method

secondary impairments

Question 13

Splinting and casting are indicated when: (3 things)

Answer 13

spasticity interferes with functional movement or ADL performance, when ROM deficiencies are present, and when soft tissue contractures are possible

Question 14

Clients wear a resting or functional position splint when

Answer 14

not involved in active movement or functional tasks.

Question 15

Resting or functional position splint are worn in an alternating wear schedule - every ___

Answer 15

2-hours

Frequent monitoring for skin breakdown is necessary.

Question 16

Cone splints are worn to

Answer 16

Keep fingers from digging into or damaging the palmar surface.

Question 17

Antispasticity splints position the hand and wrist in ____ and _____ the fingers, decreasing spasticity.

Answer 17

functional positions

abduct

Question 18

Elbow casts are used for the loss of PROM in the

Answer 18

Elbow flexors.