ASC Stroke Rehabilitation & Recovery 3

Question 1

Constraint-induced movement therapy (CIMT) for upper extremity stroke recovery works primarily by:

Accepted Answer

Forcing use of the paretic limb by restraining the unaffected limb

Answer

CIMT restrains the unaffected limb to overcome 'learned nonuse' and force repetitive practice with the paretic limb.

Question 2

Which brain plasticity mechanism underlies much of stroke motor recovery?

Accepted Answer

Cortical reorganization and synaptogenesis

Answer

Cortical reorganization — where adjacent or contralateral areas assume functions of damaged regions — is the primary mechanism of stroke motor recovery.

Question 3

A post-stroke patient demonstrates pusher syndrome. This is best described as:

Accepted Answer

Active pushing away from the paretic side while in sitting or standing

Answer

Pusher syndrome involves active pushing toward the paretic side and resisting correction toward the midline, related to disturbed perception of body orientation.

Question 4

Post-stroke dysphagia evaluation should ideally begin with:

Accepted Answer

A bedside swallow screening before any oral intake

Answer

Clinical guidelines recommend a validated bedside swallow screen before any oral intake to identify aspiration risk.

Question 5

The '3-month plateau' concept in stroke recovery is best addressed by current evidence in which way?

Accepted Answer

Recovery can continue beyond 3 months with intensive rehabilitation

Answer

Modern evidence shows meaningful neurological and functional recovery can occur beyond 3 months with appropriate, intensive rehabilitation interventions.

(ASC) Advanced Stroke Coordinator Certification Practice Test

(ASC) Advanced Stroke Coordinator Certification Practice Test

ASC Stroke Rehabilitation & Recovery 3