CBIS Treatment Approaches and Interventions 2 — Questions and Answers
Question 1: Which pharmacological agent is most commonly used to manage agitation in the acute phase of TBI recovery?
- Haloperidol
- Amantadine
- Propranolol
- Quetiapine (Correct answer)
Correct answer: Quetiapine
Quetiapine is often preferred for agitation in TBI due to its atypical antipsychotic profile with a lower risk of lowering seizure threshold compared to typical antipsychotics.
Question 2: Constraint-Induced Movement Therapy (CIMT) is primarily indicated for TBI survivors with which type of deficit?
- Bilateral lower extremity weakness
- Unilateral upper extremity hemiparesis (Correct answer)
- Severe cognitive impairment
- Vestibular dysfunction
Correct answer: Unilateral upper extremity hemiparesis
CIMT constrains the unaffected limb to force use of the paretic upper extremity, promoting neuroplasticity and motor recovery in hemiparetic patients.
Question 3: A TBI patient demonstrates difficulty initiating tasks despite intact motor ability. Which intervention best targets this initiation deficit?
- Errorless learning
- External cueing strategies (Correct answer)
- Relaxation training
- Sensory integration therapy
Correct answer: External cueing strategies
External cueing strategies (e.g., alarms, prompts, checklists) directly compensate for frontal lobe-mediated initiation deficits common after TBI.
Question 4: What is the primary purpose of a functional behavioral assessment (FBA) in TBI rehabilitation?
- Measure cognitive recovery rate
- Identify antecedents and consequences maintaining problem behaviors (Correct answer)
- Determine medication appropriateness
- Screen for mood disorders
Correct answer: Identify antecedents and consequences maintaining problem behaviors
An FBA examines the triggers and reinforcing consequences of challenging behaviors to inform individualized behavioral intervention plans.
Question 5: Hyperbaric oxygen therapy (HBOT) for TBI is currently considered:
- Standard of care for moderate TBI
- Experimental with insufficient evidence to recommend routinely (Correct answer)
- Contraindicated due to increased ICP risk
- First-line treatment for post-concussion syndrome
Correct answer: Experimental with insufficient evidence to recommend routinely
Current evidence does not support HBOT as a routine TBI treatment; clinical trials have shown mixed results and it remains investigational.
Question 6: In managing post-traumatic spasticity, which intervention combines stretching with prolonged low-load force application?
- Neuromuscular electrical stimulation
- Serial casting (Correct answer)
- Ultrasound therapy
- Biofeedback
Correct answer: Serial casting
Serial casting applies sustained low-load stretch over time to reduce spasticity and improve range of motion in affected limbs.
Question 7: Which cognitive rehabilitation strategy teaches a skill by breaking it into small steps and practicing each step without allowing errors?
- Spaced retrieval
- Errorless learning (Correct answer)
- Metacognitive strategy training
- Self-monitoring
Correct answer: Errorless learning
Errorless learning minimizes mistakes during acquisition to strengthen correct responses, particularly beneficial for individuals with significant memory impairment.
CBIS Treatment Approaches and Interventions 2
Which pharmacological agent is most commonly used to manage agitation in the acute phase of TBI recovery?