Terminology
True or False: Hemiparesis and Hemiplegia are the same
False
True or False: Praxis and Motor Planning are the same thing
True
When should you put up a Protect My Arm sign and where are the signs kept?
Anytime there's a reason to protect an arm- flaccidity, pain, joint instability, etc
Kept in the 3E closet (orange) for neuro patients
Is neglect a visual acuity or perceptual issue?
Perceptual
You are trying to put your patients shoe on and notice that every time you bring them into dorsiflexion, they begin to shake. What is this called and how do you stop it?
Its called clonus- provide weightbearing and slow, prolonged stretching to the calf; think about people who don't have dorsiflexion
What are the 2 different types of apraxia most commonly seen by OTs?
Ideaomotor and Ideational
Is a concussion a type of brain injury?
Yes, its considered a Mild TBI
What are the 3 slings that we offer here and what are the indications for each?
White Cuff Sling- transfer sling to keep the arm out of the way, but not to keep the arm in all day
GivMohr- mimics the natural arm swing, better for completely flaccid arms
Omo Neurexa- supports the shoulder for subluxation, better for patients with some movement or tone
How can you screen for teeming between the eyes?
Visual pursuits
Your patient had a L CVA and contraversively pushing when you get them EOB. Which side are they pushing towards?
To the right
What type of apraxia is this: Ex: You have a hair brush, your patient can tell you what a hairbrush is, but tries to brush their teeth with it
Ideational
Give 3 examples of executive function
Ex: organization, sequencing, planning
Scenario: You’ve determined that your patient would benefit from a splint. You scheduled for them for splint rounds what procedural task needs to be completed prior to splint fabrication?
Put and order in for the doctor to sign, put them into splint rounds- make sure you come with an idea of what you are trying to achieve
What is fusion?
The ability to form one image
Your patient suffered a coup contrecoup injury. What does that mean?
A TBI that occurred on the site of the impact and on the opposite side
What is the difference between tone and spasticity? What does the Modified Ashworth Scale measure?
Spasticity is velocity dependent
MAS= Spasticity
Your patient is a Rancho Level 4- what is the description of this level and what would you expect to see?
Agitated inapproriate- confusion impulsivity
Name 2 reasons why a lap tray or trough would be indicated?
Tone, inattention, hemi, proprioception, subluxation
Your patient has double vision and you have consulted the vision team for a consult (nice!) what can you do in the meantime to support your patient?
BNOs, I-9, II-12
You are chart reviewing and your new patient had a L CVA, what things can you expect to see before going in?
Aphasia, Apraxia, R hemiplegia
What is the difference between fluent and non-fluent aphasia?
Fluent aphasia is more nonsensical, constant flowing of speech
Non-fluent is effortful and halting
What is not a domain of functional cognition: memory, praxis, executive function, attention, or safety
Safety
You have a patient with a hemiarm- name 2 things you would consider getting on eval to support their arm recovery
WCS, lap tray/ trough, PAMS, estim orders
What is the difference between an inattention and a field cut?
You are chart reviewing and your new patient had an occipital stroke, what things can you expect to see before going in?
Deficits in visual perception, receiving visual input from the contralateral visual field, visual agnosia, if it is 1 side potentially a hemianopsia