NCS Stroke Rehabilitation 2 — Questions and Answers
Question 1: Which assessment tool uses a 6-point ordinal scale to measure selective motor control and spasticity in each extremity after stroke?
- Fugl-Meyer Assessment (Correct answer)
- Barthel Index
- Modified Rankin Scale
- NIH Stroke Scale
Correct answer: Fugl-Meyer Assessment
The Fugl-Meyer Assessment evaluates motor recovery, balance, sensation, and joint function using an ordinal scale and is the gold standard for post-stroke motor assessment.
Question 2: A patient with right MCA stroke demonstrates contralateral neglect. Which scanning strategy is MOST effective as an initial compensatory approach?
- Anchoring to the left side of tasks (Correct answer)
- Prism adaptation therapy
- Visual field expansion training
- Patching the unaffected eye
Correct answer: Anchoring to the left side of tasks
Anchoring techniques teach patients to start scanning from the neglected side to compensate for unilateral spatial neglect.
Question 3: According to Brunnstrom's stages of motor recovery, a patient who exhibits voluntary limb movements only within synergy patterns is at which stage?
- Stage 2
- Stage 3 (Correct answer)
- Stage 4
- Stage 5
Correct answer: Stage 3
Brunnstrom Stage 3 is characterized by voluntary movement occurring but only within the flexor or extensor synergy patterns.
Question 4: Which standardized tool measures functional independence across 18 items in motor and cognitive domains and is commonly used to track rehabilitation progress post-stroke?
- Berg Balance Scale
- FIM (Functional Independence Measure) (Correct answer)
- 10-Meter Walk Test
- Action Research Arm Test
Correct answer: FIM (Functional Independence Measure)
The FIM is an 18-item scale measuring burden of care in motor and cognitive domains, widely used in inpatient rehabilitation to track functional progress.
Question 5: A patient post-stroke demonstrates pusher syndrome. Which position is MOST appropriate when working on sitting balance?
- Promote weight-bearing through the non-affected side
- Promote weight-bearing through the affected side (Correct answer)
- Place the patient in a reclined position
- Avoid upright positioning until pusher syndrome resolves
Correct answer: Promote weight-bearing through the affected side
Promoting weight-bearing through the affected (hemi) side is the primary treatment strategy for pusher syndrome to correct the patient's distorted perception of body orientation.
Question 6: Which domain of the ICF (International Classification of Functioning) framework does the inability to return to work after stroke BEST represent?
- Body Function and Structure
- Activity
- Participation (Correct answer)
- Environmental Factors
Correct answer: Participation
Participation refers to a person's involvement in life situations; inability to return to work reflects a restriction at the societal participation level.
Question 7: The 'timed up and go' (TUG) test is MOST useful for measuring which outcome in stroke survivors?
- Upper extremity dexterity
- Functional mobility and fall risk (Correct answer)
- Cognitive processing speed
- Spasticity severity
Correct answer: Functional mobility and fall risk
The TUG measures the time to rise from a chair, walk 3 meters, turn, and return, making it a valid measure of functional mobility and fall risk in stroke survivors.
NCS Stroke Rehabilitation 2
Which assessment tool uses a 6-point ordinal scale to measure selective motor control and spasticity in each extremity after stroke?