UE function Flashcards

1
Q

three aspects of grasp

A

postural control
transport (reach)
manipulation(grasp)

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2
Q

manipulation and grasp requires

A

visual feedback
sensation
tactile input
grasp aperture

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3
Q

is feedforward at start of end of reach

A

start

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4
Q

prerequisite for hand use

A

reach
looking
postural adjustment
somatosensory information (grasp)

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5
Q

vision needed for UE function

A

feedforward and feedback
visual info (eye head trunk movement)
move head ind of trunk
stabilized gaze

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6
Q

parts of reaching

A

pre shaping hand

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7
Q

parts of transport

A

elbow flexion, ext
shoulder flex, ER
U/R deviation
supination

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8
Q

parts of grasping

A

MCP/IP flexion
radial deviation
w ext

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9
Q

factors that may influence reach and grasp

A
altered cognition / sensation
pain
weakness 
mm imbalnce
disturbed motor unit activation 
altered postural control
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10
Q

reaching impairments after stroke

A
mm weakness
variability in perfomrance
decrease accuracy / smoothness
delated reaction
sensory loss
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11
Q

grasping after stroke impairments

A

can’t sustain grasp
difficulty pre shaping
difficulty lifting

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12
Q

is grasping or releasing harder for stroke

A

releasing

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13
Q

manipulation after stroke

A

can flex can’t extend, hard to release
clumsy
lack cooperation of mm

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14
Q

recovery

A

for ppl showing motor recovery signs

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15
Q

compensatory

A

for ppl expecting outcome of poor motor recovery

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16
Q

outcome measures for post stroke

A

action research arm test

fugl meyer

17
Q

compensations for reachinG

A
strong arm use
excessive elbow flexion 
forearm pronation 
hip flexion 
flat hand
18
Q

train reaching

A

address impiarments
close chain to open chain
progress to outside visual field / busy

repetition
strength

19
Q

traditional or modified CIMT

A

20 degrees of active w flexion
10 deg active finger ext
minima sensory / cog deficits

20
Q

does mental imagery help UE function

A

yes

21
Q

treatment for spasticity

A

botox
positioning of lim
ROM
splinting

22
Q

prevention of hemiplegic shoulder pain

A

DO NOT USE OVERHEAD PULLYS

don’t move shoulder >90 flexion or abd unless scap is up rotated