Rehabilitation Techniques & Therapeutic Interventions Flashcards

Which minimum active movement criteria were used in the EXCITE trial to select patients for constraint-induced movement therapy?

Answer: 20° active wrist extension and 10° active finger extension

EXCITE required at least 20° active wrist extension and 10° extension of the thumb and two other fingers.

Which neuroplasticity principle states that training must be meaningful to the patient to drive cortical reorganization?

Answer: Salience matters

Kleim and Jones's 'salience matters' principle holds that the experience must be meaningful for plasticity to occur.

What did the LEAPS trial conclude about body-weight-supported treadmill training after stroke?

Answer: It was not superior to a progressive home exercise program delivered by a physical therapist

LEAPS found similar walking gains with BWSTT and a PT-led home exercise program.

Functional electrical stimulation for post-stroke foot drop most commonly targets which nerve?

Answer: Common peroneal (fibular) nerve

Stimulating the common peroneal nerve fires the tibialis anterior to produce dorsiflexion during swing.

During mirror therapy for hemiparesis, the patient should do what?

Answer: Watch the reflection of the unaffected limb moving while the affected limb is hidden

The mirror reflection of the moving unaffected limb creates a visual illusion that the affected limb is moving normally.

Which strategy is most effective for a patient with contraversive pushing (pusher syndrome)?

Answer: Using visual cues of vertical, such as a door frame, to help the patient realign

Pushers have a distorted sense of postural vertical but intact visual vertical, so visual feedback helps them correct.

Prism adaptation for left unilateral spatial neglect uses lenses that shift the visual field in which direction?

Answer: Rightward

Rightward-shifting prisms cause a leftward aftereffect after adaptation, which reduces left neglect.