NBCOT COTA exam Coach questions
and answers.
Ideation -
\Generating an idea of how one might interact with the environment
Motor planning -
\Organizing a program of action
Motor Execution -
\The actual performance of a motor act
Body schema -
\Representation of the position of body parts in space in the mind, which is updated
during body movement.
C1-C4 SCI head, neck, diaphram -
\-Resp. Assist required
-24 hour home care & ADL assist
-speech possibly impaired
-Require puff & blow tech or simpler
Autonomic Dysreflexia -
\Fight or flight response of autonomic system. Place in upright position, remove
anything restrictive, (check cath, belt, clothing) alert med staff & don't leave.
C5 SCI Deltoids & Biceps -
\-May speak normally & breathe on own.
-Requires speech recognition Tech
-Can raise arms & bend elbows (no extension)
- full head & neck movement/shoulder control
-low stamina
-paralysis of wrists, hands, trunk, legs.
-Assist w/ most ADLs
-power w/c w/ speech rec.
-acute phase- position forearms in pronation bc prone to contracture in supinators-
inability to pronate actively
-12 hour home care
C6 SCI
Wrist extenders -
\Can flex elbows & extend wrists a bit. Full head & neck movement
, -Grip still affected (tenodesis splint & palmer cuff) can pick up things with both palms.
-mobile arm supported electric W/c.
-12 hour homecare
-Mod A w/ personal care & total A for domestic care.
C7 SCI
Triceps -
\Flex/ext elbow, some finger extension, flex/ext wrists.
-I w/ transfers
-I w/ most ADLs, min A W/ LB w/ AE
C8 SCI
Hand -
\-More hand strength/movement - grasp/ release objects
-I w/ transfers, power chair w/ hand controls, manual for short distance.
-mostly I w/ ADLs
T1-5 SCI Chest muscles -
\-Repertory capacity & endurance low
-Normal UE ROM & strength
-sliding board, long handled sponge, manual w/c
-I w/ personal care, min w/difficult tasks
T4-T6 - Activate long muscles of back.
T6-12 Abdominal muscles -
\-Unsupported seated act. Fair-good trunk control.
-can cough productively
I w/ personal care
-Can stand in standing frame -others may walk w/ hip, knee, ankle brace.
L1-L5 SCI
Leg muscles -
\-1-2 months post injury has muscle spasticity
-Normal resp. Function, UE ROM, can flex hips, good trunk control.
-Partial paralysis in hips/legs (flex/ext knees/hips). Manual w/c for energy conservation.
walk w/ braces
-I W/ personal care
-I w/ transfers
S1-S5 SCI
Bowel, bladder, sexual func -
\-Some loss of func in hips/legs. Likely able to walk w/assist or aids -slow/difficult.
-manual w/c for long distance. Can load w/c in car Independently.
-drive car w/ hand controls
T/F Muscles below level of injury generally develop spasticity -
and answers.
Ideation -
\Generating an idea of how one might interact with the environment
Motor planning -
\Organizing a program of action
Motor Execution -
\The actual performance of a motor act
Body schema -
\Representation of the position of body parts in space in the mind, which is updated
during body movement.
C1-C4 SCI head, neck, diaphram -
\-Resp. Assist required
-24 hour home care & ADL assist
-speech possibly impaired
-Require puff & blow tech or simpler
Autonomic Dysreflexia -
\Fight or flight response of autonomic system. Place in upright position, remove
anything restrictive, (check cath, belt, clothing) alert med staff & don't leave.
C5 SCI Deltoids & Biceps -
\-May speak normally & breathe on own.
-Requires speech recognition Tech
-Can raise arms & bend elbows (no extension)
- full head & neck movement/shoulder control
-low stamina
-paralysis of wrists, hands, trunk, legs.
-Assist w/ most ADLs
-power w/c w/ speech rec.
-acute phase- position forearms in pronation bc prone to contracture in supinators-
inability to pronate actively
-12 hour home care
C6 SCI
Wrist extenders -
\Can flex elbows & extend wrists a bit. Full head & neck movement
, -Grip still affected (tenodesis splint & palmer cuff) can pick up things with both palms.
-mobile arm supported electric W/c.
-12 hour homecare
-Mod A w/ personal care & total A for domestic care.
C7 SCI
Triceps -
\Flex/ext elbow, some finger extension, flex/ext wrists.
-I w/ transfers
-I w/ most ADLs, min A W/ LB w/ AE
C8 SCI
Hand -
\-More hand strength/movement - grasp/ release objects
-I w/ transfers, power chair w/ hand controls, manual for short distance.
-mostly I w/ ADLs
T1-5 SCI Chest muscles -
\-Repertory capacity & endurance low
-Normal UE ROM & strength
-sliding board, long handled sponge, manual w/c
-I w/ personal care, min w/difficult tasks
T4-T6 - Activate long muscles of back.
T6-12 Abdominal muscles -
\-Unsupported seated act. Fair-good trunk control.
-can cough productively
I w/ personal care
-Can stand in standing frame -others may walk w/ hip, knee, ankle brace.
L1-L5 SCI
Leg muscles -
\-1-2 months post injury has muscle spasticity
-Normal resp. Function, UE ROM, can flex hips, good trunk control.
-Partial paralysis in hips/legs (flex/ext knees/hips). Manual w/c for energy conservation.
walk w/ braces
-I W/ personal care
-I w/ transfers
S1-S5 SCI
Bowel, bladder, sexual func -
\-Some loss of func in hips/legs. Likely able to walk w/assist or aids -slow/difficult.
-manual w/c for long distance. Can load w/c in car Independently.
-drive car w/ hand controls
T/F Muscles below level of injury generally develop spasticity -
