Neurologists Exam Neurological Rehabilitation & Functional Recovery Flashcards

Which outcome measure uses the distance walked in 6 minutes to assess functional endurance in neurological patients?

Answer: 6-Minute Walk Test (6MWT)

The 6MWT measures the distance a patient walks in 6 minutes, reflecting cardiovascular and functional endurance in neurological conditions.

The Timed Up and Go (TUG) test primarily assesses which functional ability in neurological patients?

Answer: Mobility and fall risk

The TUG measures time to rise from a chair, walk 3 meters, turn, return, and sit, providing a valid index of mobility and fall risk.

Intrathecal baclofen (ITB) therapy is best suited for patients with which presentation of spasticity?

Answer: Severe spasticity unresponsive to oral agents

ITB delivers baclofen directly into the cerebrospinal fluid via an implanted pump, reserved for severe generalized spasticity refractory to oral therapy.

Mirror therapy for phantom limb pain or hemiplegia works by:

Answer: Creating a visual illusion of normal limb movement to modulate cortical representation

Mirror therapy uses a mirror to create the visual illusion of the affected limb moving normally, rewiring maladaptive cortical representations.

Which assistive technology is most appropriate for a patient with ALS who retains only voluntary eye movement?

Answer: Eye-gaze communication device

Eye-gaze systems track pupil or corneal reflection to allow computer control and communication using only voluntary eye movements.

Botulinum toxin injections in neurological rehabilitation primarily target which component of spasticity?

Answer: Focal muscle overactivity at the neuromuscular junction

Botulinum toxin blocks acetylcholine release at the neuromuscular junction, temporarily reducing focal muscle hypertonicity and spasticity.