Viva prep

Question 1

Importance of Good alignment

Answer 1

muscles work better in midrange
alignment facilitates normal movement
prevents shortening of muscles and contractures, joint stiffness, therefore reducing pain

Question 2

splinting

Answer 2

prevents contracture
prevents loss of ROM
alter afferent feedback of overactive muscles
assists with management of pain
enable or improve function
offers stability to the joints and muscles, thus protecting integrity

Question 3

neuroplasticity

Answer 3

new connections are being formed within the CNS as quickly as 5 days post CVA
repetition of movements and postures that reflect symmetry and balance is key to developing efficient movement
sprouting and recruitment of latent synapses from new neural connections bypassing the damaged area

Question 4

effect of age on recovery

Answer 4

Hessian stroke data bank
functional recovery slightly faster in younger patients, depends more on the extent of the initial disability
advanced age should not be seen as a limiting factor for early rehabilitation of stroke patients

Question 5

What does sitting someone up against gravity do?

Answer 5

stimulates ARAS which is ascending reticular activating system. This will switch on alertness and conscious levels

Question 6

Importance of SMART goals

Answer 6

specific
measurable: by setting measurable goals you are more likely to make progress which is motivation g
attainable
realistic
time bound

Question 7

Modified Ashworth Scale

Answer 7

0: no increase in muscle tone
1: slight increase in tone, catch at the end of ROM
2: slight increase in tone, catch half way through ROM with minimal resistance
3: increase in muscle tone through most of the ROM
4: PROM is difficult due to a significant increase in tone
5: rigid in flexion or extension

Question 8

Shoulder Subluxation

Answer 8

Partial dislocation of a shoulder
When the muscles around the shoulder become paralyzed or week after stroke, it can cause the arm to become dislocated from the shoulder socket.
Electrical Stimulation helps to activate the muscles around the arm
can use a sling but it is very passive and difficult to facilitate
80% of people who have a stroke have one

Question 9

What medication helps to treat high tone?

Answer 9

Tizanidine: anti-spastic medication which works by blocking the pain nerve impulses that are sent to the brain. Its effects are short lasting so it can be used when needed.

Question 10

Why is the shoulder susceptible to dislocation?

Answer 10

has the greatest range of movement, making it much less stable
weakness of the muscles around the shoulder
continued weakness causes the humeral head (ball of the humerus) to shift out of the socket (glenoid cavity) in an inferior direction.
gravity pulling the weight of the humerus downward

Question 11

What are your core muscles?

Answer 11

traverse abdominis (TVA), erector spinae, obliques and your lower lats. These muscles work as stabilizers for the entire body.