week 5: stroke rehab & therapeutic management (pt 2)

Question 1

Resistance of muscles to passive stretch or elongation. Amount of tension a muscle has at rest.
May be normal or abnormal.

Answer 1

Tone

Question 2

The CNS impairment can disturb tone. T or F

Answer 2

True

Question 3

What is spasticity:

Answer 3

abnormal tone increased, involuntary, velocity-dependent muscle tone

Question 4

Spasticity is a UMN or LMN disorder?

Answer 4

UMN: (hypertonia)

Question 5

Hypotonicity or ________ is present immediately after stroke

Answer 5

Flaccidity

Question 6

_____ emerges early in stroke following ______ with -90% of cases and occurs on the hemiplegic side

Answer 6

Spasticity; Flaccidity

Question 7

Typical patterns of spasticity influence resting ______ and limit active movement of synergetic _______

Answer 7

posture; patterns

Question 8

Tight-fisted hand with elbow flexed and held tightly against the chest or stiff extended knee with a plantarflexed foot is common. This is known as

Answer 8

Posturing of the limbs

Question 9

The automatic adjustment of postural mm. that occurs normally in preparation for and during a movement task

Answer 9

Synergistic pattern

Question 10

a massed patterns of movement ; movements are bound together is an example of

Answer 10

abnormal synergies

Question 11

Flexor synergy:
Observer more commonly in ______
Possibly due to ______ reflex bringing your hand to your ______

Answer 11

UE
primitive; mouth to feed

Question 12

Extensor synergy:
Observed more commonly in _____
Possibly due to ______ reflex to ______

Answer 12

LE
stand

Question 13

UE Flexion Synergies
Shoulder girdle:
Shoulder:
Elbow:
Forearm:
Wrist:
Finger:

Question 14

LE Extension Synergies
Hip:
Knee:
Foot/Ankle:

Question 15

Which neuropathic facilitation model uses reflexive synergies to define the stages of motor learning and recovery following neurologic injury?

Answer 15

Brunnstrom

Question 16

Which of the following terms is used to define the resistance exhibited by mmm when subjected to passive stretch representing the amount of tension a muscle maintains at rest which may be normal or abnormal?

Answer 16

Tone

Question 17

When assessing tone the first quick stretch will cause

Answer 17

high level of spasticity

Question 18

A quick stretch of muscle caused sustained beating of muscle:

Answer 18

Clonus

Question 19

MAS grading scale:
0:
1:
2:
3:
4:

Answer 19

0: No increase in tone
1: slight increase in tone/catch or release at end ROM
2: More marked increase in tone through complete ROM (rower)
3: Conderable increased in tone, passive movement difficult
4: Affected part in rigid flexion and extension

*cod wheel (1-2)

Question 20

Brunnnstrom Synergies Stages:
Stage 1: ________ paralysis
Stage 2: Development of ________ movement synergies
Stage 3: ________ movement synergy dependent
Stage 4: Some movements ______ of synergy
Stage 5: Movements almost _______ of synergy
Stage 6: _____ movement with normal speed

Question 21

Treatment goal of Stage 1: Flaccid paralysis
______ movements to regain motor functions

Answer 21

PNF

Question 22

Brunnstrom stage 2 _______ begins to develop. The treatment goal is to cont. _______ movements

Answer 22

spasticity; PNF

Question 22

Brunstrom stage 4: Can ______ synergy pattern

Answer 22

break

Question 23

Brunnstrom stage 3: _______ in synergy; spasticity reaches its peak.
Treatment goal: Break patient out of improper synergies to develop ________,_______ movements (recovery vs. compensation)

Answer 23

stuck
active, isolated

Question 23

Key difference between stage 6-7:

Answer 23

Stage 6: no spasticity; but not “normal”
Stage 7: normal motor function is restored

Question 24

Most common stroke location:
Prevalence of _______ limb impairment

Answer 24

MCA
upper limb

Question 25

The ability to execute smooth, accurate, controlled movement:

Answer 25

coordination