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Physical Disability Intervention II > Week 5 Trunk Control > Flashcards

Week 5 Trunk Control Flashcards

1
Q

True or False? Loss of trunk is not common in those who have had a stroke?

A

False

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2
Q

Impairments in the trunk include?

A

Weakness, loss of stability, stiffness, loss of proprioception.

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3
Q

Weakness, loss of stability, stiffness, loss of proprioception can cause?

A

Dysfunction in upper and lower limb control.
Increased fall risk
Potential for spinal deformity/contracture
Impaired ability to interact with the environment
Visual dysfunction resulting from head/neck malalignment
Dysphagia due to proximal malalignment
Decreased independents in ADL’s/IADLs
Decreased sitting and standing tolerance, balance, and function

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4
Q

True or False.

A

Trunk function can determine functional status at the discharge and recovery of sitting balance is considered to be essential to gain independence in reaching, task rising from STS, and sitting down tasks.

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5
Q

Anterior pelvic tilt will cause?

A

Extension of the vertebral column

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6
Q

Posterior pelvic tilt will cause?

A

Flexion of the vertebral column

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7
Q

The lateral pelvic title will cause?

A

Will cause one side of the hip to become higher than other.

Ribcage shifts with the movement of the vertebral column

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8
Q

Name the Abdominal Wall muscles.

A

Recurs Abdominus
Obliques
External and Internal obliques
Transverse Abdominus

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9
Q

Name the Posterior trunk muscles.

A

Quadratic lumburam
Erector Spine
Latissumus Dorsi

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10
Q

The assessment and evaluation of the tunk consist of?

A

Observation and interview

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11
Q

What does proper observation of the tunk alignment consist of? When a patient has what?

A

When patient is shirtless, or sports bra or bathing suit

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12
Q

What are the postures needed for the ADL’s that the therapist must evaluate?

A

Sitting
Standing
Supine

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13
Q

What is the correct position for the patient to be in to evaluate the trunk alignment?

A

Straight line, gently resting your hands in your lab.

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14
Q

It is advised for the patient to have arms where during the evaluation of the trunk alignment?

A

on the bed or mat

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15
Q

What could cause malalignment?

A

Storke, contractures, and bony alignment

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16
Q

What is the reason for the interview in the trunk alignment assessment?

A

To gain insight about the clients perception of trunk control.

17
Q

Assessment Tool: Trunk Control Test consist of?

A

4 functional movements

  1. Roll from supine to weak side
  2. Roll from supine to strong side
  3. Supine to sit
  4. Sitting at the EOB 30 sec (feet of the ground)
18
Q

What are the score tests for the Trunk control test?

A

0 - Unable
12 = able to perform but abnormal
25 = normal
Scores are 0 - 100

19
Q

Assessment Tool: Trunk Impairment Scale what is the position of the patient?

A

Starting position at the EOB or mat with feet flat on floor arms in the lab (no external support)

20
Q

What are the scores for the Trunk Impairment Scale?

A

Scores ranging from 0 -23
3 static items
10 dynamic sitting items
4 trunk coordination items

21
Q

Trunk Impairment Scale (B-Fujiwara)

A

7 items scored on 4 pt scale
0 = poor performance
3 = best performance

22
Q

What is the position of the patient for the Postural Assessment Scale for Stroke (PASS)?

A

Sitting without support, standing with and without support, standing on non paretic legs, standing on paretic leg, supine to affected side, supine to non affected side, standing and picking up a pencil on the floor.

23
Q

What are the scores related to the Postural Assessment Scale for Stroke (Pass)

A

12 items scored from 0 to 3
1 through 4 – looking at maintaining posture
5-12 changing posture (more dynamic)
Higher scores = better performance

24
Q

Evaluation of Trunk Movement Patterns consist of what movement?

A

Trunk Flexion
Trunk Extension
Lateral Flexion
Rotational Control

25
Q

What are treatment ideas for Remedial approach to regain or improve trunk control?

A

Purpose tasks and activities that encourage AROM of trunk in all degrees of freedom: rotation, lateral flexion, flexion and extension, to increase strength and endurance.
Mirrors for visual feedback, self-correction (OT can mirror)
Work with client on moveable surfaces
Prevent loss of PROM of spine
Handling (AAROM)
Rote exercise

26
Q

What are examples of Rote Exercises for trunk controle?

A 
Supine exercise with legs bed. (bridge), sitting. 
Seated with legs crossed 
Seated with forearems on table 
Prone on elbows 
Kneeling 
Hip Flexion (varied degrees).
27
Q

What is a Pusher Syndrome?

A

Pt pushed heavily on the affected side and resist passive correction.

28
Q

What are the signs for Pusher Syndrome in clients?

A

Holding onto bed or mat as if they were falling
Head turns away from affected side
Decreases ability to detect stimuli from affected side
Resistance to attempts to transfer weight to stronger side

29
Q

The scale of contraversive pushing. Score indicates

A

0 - 6 higher scores indicate more severe pushing.

30
Q

What are the three domains of scale of contraverisve pushing?

A

posture, extension and resistance

31
Q

What are compensatory treatment for poor trunk alignement?

A

Environmental Mods and AE
Lateral support to maintain trunk stability during task: Cushions, armchairs, lab tray
Place items within reach
ADL AE: long handled AE, elastic laces, reachers, tub seat, commodes, grab bars, bed rails.

32
Q

What is the name of the treatment for Pusher Syndrome?

A

Anecdotal

33
Q

What Anecdotal treatment consist of?

A

Restoring head movement: full range of motion, scanning and becoming more aware of the affected side helping them not to push towards that side.
Side flexors utilizing functional activities to regain midline while standing.
Ensuring that the patient recognize erect body posture and let them see what posture they are in.
Encourage weigh shifting to the stronger side during tasks.
Verbal cues or provide cues
Remove surfaces that they can push off.

Physical Disability Intervention II (6 decks)

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