Week 4 - Upper Limb Function & Neuro Communication Disorders

Question 1

What is glenohumeral joint subluxation?

Answer 1

Downward traction leads to stretching and lengthening of soft tissues, particularly joint capsule
- Leads to downward rotation of scapula, reduced supraspinatus strength

Question 2

What should you ALWAYS include for GHJ subluxation treatment?

Answer 2

ER of GH joint and take arm beyond 90° flexion and abduction

Question 3

What are some strategies to prevent subluxation

Answer 3

• Positioning
• Patient education
• Train and strengthen muscles around shoulders
• Electrical stimulation (supraspinatus & posterior deltoid)

Question 4

Contracture diagnosed by decreased PROM due to prolonged periods of immobility

Answer 4

Soft tissue shortening

Question 5

What is learned non-use and some strategies for it?

Answer 5

Patients learn to not use their arms
Constraint Induced Movement Therapy (CIMT)
1. Restraint of non affected UL
2. Massed practice of the affected UL
3. Transfer of practice to everyday life

Question 6

What are the admission criteria for CIMT?

Answer 6

10 x 10 x 10
- 10° active wrist extension
- 10° active thumb abduction (pick things up)
- 10° active extension of any other 2 digits

Question 7

Collective name for a group of neurologic speech disorders that reflect abnormalities in the strength, speed, range, steadiness, tone or accuracy of movement required for breathing, phonatory, resonatory, articulatory, or prosodic aspects of speech production. Difficult to form and pronounce words

Answer 7

Dysarthria

Question 8

List some ways to support a client with dysarthria

Answer 8

• Give person time to respond
• Let them know you can’t understand them
• Ask them to repeat first word/topic of discussion
• Ask them to gesture it/point
• Ask them to write down
• ALWAYS check understanding, repeat back to them to make sure correct

Question 9

Impairment of volitional speech production, although linguistic and motor execution abilities are relatively preserved
Can formulate ideas, code ideas into words, but when speaking, sequence goes wrong

Answer 9

Apraxia of speech

Question 10

Difference between aphasia and apraxia?

Answer 10

Apraxia does not affect people’s ability to understand language

Question 11

Impairment of language. Affects production or comprehension of language & ability to read or write, understand symbols

Answer 11

Aphasia

Question 12

What stroke is the most common cause of aphasia?

Answer 12

Left hemisphere stroke

Question 13

How would you support conversations with adults with aphasia?

Answer 13

• Ask yes/no questions
• Ask one question at a time
• Asked fixed questions
• Ask them to gesture, point
• Write down important information
• Give them sufficient time to respond
• Use visuals