Occupational Therapist Test Neurological Rehabilitation Flashcards

What is the term for involuntary, rhythmic muscle contractions and relaxations triggered by sustained stretch, often seen after stroke?

Answer: Clonus

Clonus is a series of involuntary rhythmic muscle contractions caused by hyperexcitability of the stretch reflex following upper motor neuron lesions.

Which standardized assessment is considered the gold standard for measuring functional independence in ADLs after neurological injury?

Answer: FIM

The Functional Independence Measure (FIM) is the most widely used tool for assessing independence in self-care, mobility, and cognition following neurological injury.

The Neurodevelopmental Treatment (Bobath/NDT) approach to stroke rehabilitation primarily focuses on:

Answer: Inhibiting abnormal tone and facilitating normal movement patterns

NDT focuses on inhibiting abnormal muscle tone and facilitating normal postural alignment and movement patterns through handling techniques.

A client with a right hemisphere stroke is most likely to demonstrate:

Answer: Left-sided unilateral neglect

Right hemisphere stroke commonly causes left unilateral neglect, where the client fails to attend to the contralateral (left) side of space.

Which Brunnstrom recovery stage indicates that a patient can perform relatively isolated joint movements outside of synergy patterns?

Answer: Stage 5

Brunnstrom Stage 5 is characterized by movement combinations out of synergy, allowing more isolated joint control in the extremities.

Constraint-Induced Movement Therapy (CIMT) is most appropriate for clients who have:

Answer: Hemiplegia with some residual active wrist and finger extension

CIMT requires a minimum of 10° active wrist extension and 10° active finger extension in the affected hand to qualify, and constrains the unaffected limb to drive use of the affected side.