Occupational Therapist Test Neurological Rehabilitation Flashcards

LSVT BIG is an evidence-based OT/PT intervention developed specifically for clients with:

Answer: Parkinson's disease

LSVT BIG uses high-amplitude, high-effort movement training to counteract the reduced motor output (hypokinesia) characteristic of Parkinson's disease.

A client with a C6 complete spinal cord injury can most likely achieve independent performance of which task with appropriate adaptive equipment?

Answer: Self-feeding using a universal cuff

C6 SCI preserves radial wrist extensors enabling tenodesis grasp; with a universal cuff, the client can achieve independent self-feeding.

Which of the following is CONTRAINDICATED in the management of spasticity because it increases muscle tone?

Answer: High-speed passive range of motion

High-speed passive movement activates the velocity-sensitive stretch reflex, increasing spastic resistance; slow, prolonged stretching is preferred to reduce tone.

Which type of cerebral palsy is characterized by slow, involuntary writhing movements resulting from basal ganglia damage?

Answer: Athetoid (dyskinetic) CP

Athetoid CP results from basal ganglia damage and produces slow, sinuous, involuntary movements (athetosis) that worsen with voluntary movement attempts.

For a client at Rancho Level IV (Confused-Agitated) after TBI, the most appropriate OT priority is:

Answer: Ensuring safety and reducing agitation through environmental modification

At Rancho Level IV, clients are severely agitated and confused, so OT focuses on providing a calm, low-stimulation, safe environment and basic orienting activities.

The most effective OT strategy for a client with homonymous hemianopia following occipital stroke is:

Answer: Teaching compensatory visual scanning techniques toward the blind field

Compensatory scanning training teaches clients to actively turn their head and eyes toward the blind visual field to compensate for the lost hemifield.