Test 1: Neuro Screen and Models

Question 1

3 components of EBP

Answer 1

best available evidence
clinical expertise
patient values

Question 2

what is at the “top of the hierarchy” of evidence

Answer 2

CPGs

Question 3

what are CPGs

Answer 3

sysetmatically developed statesments that guide clinicians in using the best available clinical evidence

bridge gap between recommendation and evidence

Question 4

importance of a conceptual framework for clinicians

Answer 4

clinicians faced with lots of decisions

act as tool for organization/decision making

Question 5

what are the components of the Schenkman model for patient centered care affect the patient

Answer 5

Exam
Systems Review
Interview history
Diagnosis/prognosis
POC interventions
Outcome

Question 6

What does HOAC stand for

Answer 6

Hypothesis oriented algorithm for clinicians

in every step of the model, clinician poses a hypothesis and then proceeds to collect info to support or refute that hypothesis

Question 7

hypotheses in the clinic help determine the relationship between

Answer 7

functional limitations and the underlying impairment

Question 8

in order to clarify the causes of functional movement problems, this requires the clinician to

Answer 8

1- generate alternative hypothesis about potential cause

2- determine crucial tests and expected outcomes that would rule out 1 or more hypothesis

3- carry out tests ‘

4- continue process of gathering and testing and refining ones understandign

Question 9

where to start when forming a hypothesis

Answer 9

chart review and pt interview

determine health status/ health conditions

Question 10

what is a systems review important for

Answer 10

step 2 after interview

quick scan

determine what areas are intact and which are dysfunctional

confirm need for futher test

Question 11

motor control is governed by what 3 overall factors

Answer 11

task
environment
individual

individual generates movement to meet the demands of the task being performed within a specific environment

Question 12

what do you observe for initial conditions in the movement continuum

Answer 12

posture

ability to interact with environment

environmental context

Question 13

what do you observe for preparation in the movement continuum

Answer 13

identification of stimulus

response selection

response programming

Question 14

what do you observe for iinitiation in the movement continuum

Answer 14

timing

direction

smoothness

Question 15

what do you observe for execution in the movement continuum

Answer 15

amplitude

direction

speed

smoothness

Question 16

what do you observe for termination in the movement continuum

Answer 16

timing

stability

accuracy

Question 17

difference between PT diagnosis and MD diagnosis

Answer 17

PT typically includes level of impairment, activity limitation, and participation restrictions

MD diagnosis refers to identification of a disease, disorder, or condition primarily at the cellular, tissue, or organ level

Question 18

what is a prognosis

Answer 18

predicted optimal level of improvement in function and amount of time needed to reach that level

Current level of function vs predicted level of function

rehab potential

Question 19

describe the task, practice, and feedback for the cognitive stage of learning

Answer 19

task = closed, stable, discrete

practice = massed, low variability

feedback = constant extrinsic cues and immediate feedback, KP and KR

Question 20

describe the task, practice, and feedback for the associative stage of learning

Answer 20

task = stable vs unstable, closed vs open, introduce whole

practice = massed vs distributed, high variability

feedback = fading/variable cues, KP and KR, and delayed feedback

Question 21

describe the task, practice, and feedback for the autonomous stage of learning

Answer 21

task = unstable, open, whole

practice = should not matter, high variability

feedback = summative for KR and bandwidth only for safety

Question 22

how might a short and long term goal timeline look in inpatient rehab

Answer 22

average hospital stay is 14 days

LTG = at discharge; can go up to 1 month

STG = i.e. for next session; can go up to ~ 2 weeks

Question 23

ABCDE of goals

Answer 23

actor (patient)
behavior (task/movement)
condition (environment activity is preformed)
degree (specific conditions)
expected time (time frame for goals)

Question 24

what are you screening for in a neuro screen

Answer 24

sensation
muscle tone/strength
functional movement/coordination
coordination (i.e. finger to nose)
DTRs/clonus
UMN S&S

Question 25

why perform neuro screen

Answer 25

red flags
decide referral
form differential dx
establish baseline
observe for changes

Question 26

components of a neuro review

Answer 26

1-cognitive status
2- CN screen
3- AROM
4- resistance to PROM (tone)
5- sensation
6- perception
7- Gross muscle testing
8- coordination screening
9- DTRs
10- static/dynamic balance
11- gait screen