Neuro 1 - Neuro Rehab, Clinical Decision
Making, Introduction to Neurological PT
Examination Questions With Correct
Answers
What is Neurological Rehabilitation - CORRECT ANSWER✔✔-"The evaluation and
| | | | | | | | |
treatment of individuals with movement dysfunction due to disease or injury of
| | | | | | | | | | | |
the nervous system."
| |
Goals of Neuro Rehab (3) - mobility/fxn, promote recovery via neuroplasticity,
| | | | | | | | | | |
compensation/adaptation - CORRECT ANSWER✔✔-o Restore mobility and | | | | | | |
functional skills |
▪ This is our main goal as movement scientists
| | | | | | | |
o Promote recovery via neuroplastic changes after neuro insult/injury or health
| | | | | | | | | | |
condition that affects the neuro system
| | | | |
o Compensation or Adaptation
| | |
▪ When neurological recovery is not possible (when there is not enough
| | | | | | | | | | | |
neuroplasticity)
Medical Diagnosis, Distribution/Severity, Stable/Variable/Progressive - CORRECT
| | | | | |
ANSWER✔✔-o Based on pathology | | |
o Distribution and severity
| | |
,▪ Focal (small region)
| | |
▪ Multi-focal (neural structures throughout the system - i.e. MS)
| | | | | | | | |
▪ Diffuse (entire NS affected - i.e. ALS)
| | | | | | |
o Stable, Variable (MS), Progressive (Parkinson's)
| | | | |
▪ Stable - no ongoing disease
| | | | |
▪ Variable - may have flares at times with decrease in function, then may plateau
| | | | | | | | | | | | | | |
and then flare again
| | |
▪ Progressive - degeneration over time, continue to have worsening of
| | | | | | | | | | |
impairments
Physical Therapy Diagnosis: encompasses, result of diagnostic process, evaluate
| | | | | | | | |
interaction, s/s match dx, within scope - CORRECT ANSWER✔✔-o Encompasses a
| | | | | | | | | | |
cluster of signs & symptoms, syndromes or categories
| | | | | | |
o Result of the diagnostic process including evaluating, organizing & interpreting
| | | | | | | | | | |
exam findings |
▪ Evaluate interaction of multiple systems
| | | | |
- NM system PLUS how it affects other systems
| | | | | | | |
- Physical/clinical s/s match up with what the medical diagnosis is
| | | | | | | | | |
- If direct access without medical diagnosis - need to be extra careful about DD
| | | | | | | | | | | | | | |
before treating |
▪ ID: impaired, deficient, absent, distorted, inappropriate
| | | | | |
o Within our scope of practice
| | | | |
, Physical Therapy Diagnosis - Examples - CORRECT ANSWER✔✔-▪ Ex:
| | | | | | | |
5A: Primary prevention/risk reduction for loss of balance and falling
| | | | | | | | |
5B: Impaired neuromotor development (congenital condition affecting NM
| | | | | | | |
development)
5C: Impaired Motor Function and Sensory Integrity Associated With
| | | | | | | | |
Nonprogressive Disorders of the Central Nervous System—Congenital Origin or
| | | | | | | | |
Acquired in Infancy or Childhood (i.e. CP)
| | | | | |
5E: Impaired Motor Function and Sensory Integrity Associated With Progressive
| | | | | | | | | |
Disorders of the Central Nervous System
| | | | |
5H: Impaired Motor Function, Peripheral Nerve Integrity, and Sensory Integrity
| | | | | | | | | |
Associated With Nonprogressive Disorders of the Spinal Cord
| | | | | | |
Framework for Neurorehabilitation: Patient Centered, EBP (3), Integration of (3) -
| | | | | | | | | | |
CORRECT ANSWER✔✔-Patient Centered - everyone is unique
| | | | | |
o Wiring, development, environment, anatomy, etc. - all affect the patient
| | | | | | | | | |
o Treat every person as a unique individual, have a representation of clusters of
| | | | | | | | | | | | | |
S/S for each disorder, but cannot assume
| | | | | |
o Need to evaluate and then go from there based on individual patient
| | | | | | | | | | | | |
presentation
Evidence Based Practice - what are the 3 components of EBP?
| | | | | | | | | |
o Patient values/beliefs/preferences
| |
o Physical Therapist experience
| | |
o Current evidence/research/literature
| |
Making, Introduction to Neurological PT
Examination Questions With Correct
Answers
What is Neurological Rehabilitation - CORRECT ANSWER✔✔-"The evaluation and
| | | | | | | | |
treatment of individuals with movement dysfunction due to disease or injury of
| | | | | | | | | | | |
the nervous system."
| |
Goals of Neuro Rehab (3) - mobility/fxn, promote recovery via neuroplasticity,
| | | | | | | | | | |
compensation/adaptation - CORRECT ANSWER✔✔-o Restore mobility and | | | | | | |
functional skills |
▪ This is our main goal as movement scientists
| | | | | | | |
o Promote recovery via neuroplastic changes after neuro insult/injury or health
| | | | | | | | | | |
condition that affects the neuro system
| | | | |
o Compensation or Adaptation
| | |
▪ When neurological recovery is not possible (when there is not enough
| | | | | | | | | | | |
neuroplasticity)
Medical Diagnosis, Distribution/Severity, Stable/Variable/Progressive - CORRECT
| | | | | |
ANSWER✔✔-o Based on pathology | | |
o Distribution and severity
| | |
,▪ Focal (small region)
| | |
▪ Multi-focal (neural structures throughout the system - i.e. MS)
| | | | | | | | |
▪ Diffuse (entire NS affected - i.e. ALS)
| | | | | | |
o Stable, Variable (MS), Progressive (Parkinson's)
| | | | |
▪ Stable - no ongoing disease
| | | | |
▪ Variable - may have flares at times with decrease in function, then may plateau
| | | | | | | | | | | | | | |
and then flare again
| | |
▪ Progressive - degeneration over time, continue to have worsening of
| | | | | | | | | | |
impairments
Physical Therapy Diagnosis: encompasses, result of diagnostic process, evaluate
| | | | | | | | |
interaction, s/s match dx, within scope - CORRECT ANSWER✔✔-o Encompasses a
| | | | | | | | | | |
cluster of signs & symptoms, syndromes or categories
| | | | | | |
o Result of the diagnostic process including evaluating, organizing & interpreting
| | | | | | | | | | |
exam findings |
▪ Evaluate interaction of multiple systems
| | | | |
- NM system PLUS how it affects other systems
| | | | | | | |
- Physical/clinical s/s match up with what the medical diagnosis is
| | | | | | | | | |
- If direct access without medical diagnosis - need to be extra careful about DD
| | | | | | | | | | | | | | |
before treating |
▪ ID: impaired, deficient, absent, distorted, inappropriate
| | | | | |
o Within our scope of practice
| | | | |
, Physical Therapy Diagnosis - Examples - CORRECT ANSWER✔✔-▪ Ex:
| | | | | | | |
5A: Primary prevention/risk reduction for loss of balance and falling
| | | | | | | | |
5B: Impaired neuromotor development (congenital condition affecting NM
| | | | | | | |
development)
5C: Impaired Motor Function and Sensory Integrity Associated With
| | | | | | | | |
Nonprogressive Disorders of the Central Nervous System—Congenital Origin or
| | | | | | | | |
Acquired in Infancy or Childhood (i.e. CP)
| | | | | |
5E: Impaired Motor Function and Sensory Integrity Associated With Progressive
| | | | | | | | | |
Disorders of the Central Nervous System
| | | | |
5H: Impaired Motor Function, Peripheral Nerve Integrity, and Sensory Integrity
| | | | | | | | | |
Associated With Nonprogressive Disorders of the Spinal Cord
| | | | | | |
Framework for Neurorehabilitation: Patient Centered, EBP (3), Integration of (3) -
| | | | | | | | | | |
CORRECT ANSWER✔✔-Patient Centered - everyone is unique
| | | | | |
o Wiring, development, environment, anatomy, etc. - all affect the patient
| | | | | | | | | |
o Treat every person as a unique individual, have a representation of clusters of
| | | | | | | | | | | | | |
S/S for each disorder, but cannot assume
| | | | | |
o Need to evaluate and then go from there based on individual patient
| | | | | | | | | | | | |
presentation
Evidence Based Practice - what are the 3 components of EBP?
| | | | | | | | | |
o Patient values/beliefs/preferences
| |
o Physical Therapist experience
| | |
o Current evidence/research/literature
| |
