CSRS Treatment Protocols & Interventions 5

Question 1

Anodal transcranial direct current stimulation (tDCS) applied over the ipsilesional motor cortex is intended to:

Accepted Answer

Increase cortical excitability

Answer

Anodal tDCS depolarizes neurons and increases excitability of the targeted cortex to support motor relearning.

Question 2

Low-frequency (1 Hz) rTMS over the contralesional motor cortex is used to:

Accepted Answer

Reduce excessive interhemispheric inhibition of the lesioned hemisphere

Answer

Inhibiting the overactive contralesional cortex reduces its inhibition of the lesioned side.

Question 3

The Shaker (head-lift) exercise for dysphagia primarily aims to improve:

Accepted Answer

Upper esophageal sphincter opening via suprahyoid strengthening

Answer

Strengthening suprahyoid muscles improves hyolaryngeal excursion and UES opening, reducing post-swallow residue.

Question 4

Which positioning strategy helps prevent shoulder contracture in a patient with flaccid hemiplegia?

Accepted Answer

Arm supported with shoulder in some abduction and external rotation

Answer

Positioning in abduction and external rotation counters the typical adduction-internal rotation contracture pattern.

Question 5

For a stroke survivor with memory impairment, which cognitive rehabilitation strategy has strong evidence for daily function?

Accepted Answer

External compensatory aids such as notebooks or electronic reminders

Answer

External memory aids help patients compensate and improve functional independence.

CSRS - Certified Stroke Rehabilitation Specialist Practice Test