Patient Behaviors-RLA Levels
PTA Strategies
Clinical Manifestations
Glascow Coma Scale
Clinical Scenarios-RLA Levels
100

Poor attention span, aggressive behavior, and uncooperative

What is level IV? 

100

PTA explains everything they are doing in a normal to louder tone of voice

What is treatment of low level RLA (I-III)

100

Patient has difficulty finding the words they want to say.

Broca's aphasia

100

eye opening, motor response, verbal response

What are the 3 categories of the Glascow Coma Scale? 

100

A patient shouts and becomes angry when asked to stand.

What is a level IV? 

200

No response to pain or stimuli

What is level I?

200

PTA interventions are performed in a quiet and calm space

Mid-level RLA (IV-VI)
200

Patient has swelling and pain and limited ROM in their hip.  

What is Heterotopic Ossificans? 

200

Score of 13 or higher

What is a mild TBI? 

200

A patient can brush their teeth when cued, but forgets to do so on their own. 

What is level VI or VII?

300

brief periods of attention; not oriented to person, place or time; can become agitated with lack of structure

What is level V? 

300

PTA orients the patient

What is Low-Level and Mid-Level RLA? 

300

The patient is unable to focus on an activity for a period of time. 

What are attention deficits? 

300
Score of 8 or less.

What is a severe TBI? 

300

The patient uses toothpaste as hair gel until corrected by the PTA.

What is level V? 

400
Consistently oriented to person and place in familiar environments; has carryover of new learning; minimal supervision for safety in routine tasks; unable to recognize inappropriate social behavior

What is level VII

400

Main focus of treatment is to wake the patient up through positioning and PT interventions

What is low-level RLA? 

400

Patient is demonstrating increased flexor tone of the upper extremities and increased extensor tone of the lower extremities.

What is decorticate posture? 

400

Score of 9-12

What is a moderate TBI? 

400
A patient turns their head towards a family member when the family member is speaking to them.

What is level III? 

500

Inconsistently oriented to person, time, and place; consistently follows simple directions; able to relearn familiar tasks

What is level VI

500

Incorporate dual-task activities into treatment

What is high-level RLA? 

500

The patient is demonstrating increased HR, RR, and BP with sweating and increased tone.

What is Paroxysmal Sympathetic Hyperactivity/Dysautonomia/Storming? 

500

Score of 3-4

These patients often do not survive.

500

Patient is able to recall person, place and time 3 out of 7 days of the week.

What is level VI? 

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