ASC Stroke Rehabilitation & Recovery 2

Question 1

Which standardized tool is most commonly used to assess functional independence in stroke rehabilitation?

Accepted Answer

Barthel Index

Answer

The Barthel Index measures functional independence in activities of daily living and is widely used in stroke rehabilitation settings.

Question 2

A stroke survivor has left-sided hemispatial neglect. Which rehabilitation strategy is most evidence-based for this condition?

Accepted Answer

Prism adaptation therapy

Answer

Prism adaptation therapy uses wedge prisms to shift visual field and has strong evidence for improving hemispatial neglect.

Question 3

Post-stroke spasticity is best characterized as:

Accepted Answer

Velocity-dependent increase in tonic stretch reflexes

Answer

Spasticity is defined as a velocity-dependent increase in tonic stretch reflexes resulting from upper motor neuron lesions.

Question 4

Which of the following is the FIRST-LINE pharmacological treatment for post-stroke spasticity?

Accepted Answer

Baclofen

Answer

Baclofen is the preferred first-line oral agent for post-stroke spasticity due to its GABA-B agonist mechanism and favorable profile.

Question 5

In the Brunnstrom stages of motor recovery, Stage 3 is characterized by:

Accepted Answer

Spasticity peaks and synergy patterns are at maximum

Answer

Brunnstrom Stage 3 is marked by peak spasticity with voluntary control only within limb synergy patterns.

(ASC) Advanced Stroke Coordinator Certification Practice Test