OT Neurological Rehabilitation 1 — Questions and Answers
Question 1: Which standardized assessment is most appropriate for evaluating upper extremity function in a stroke patient?
- Fugl-Meyer Assessment (Correct answer)
- Berg Balance Scale
- Mini-Mental State Examination
- Barthel Index
Correct answer: Fugl-Meyer Assessment
The Fugl-Meyer Assessment specifically measures motor recovery and upper extremity function following stroke.
Question 2: A client with traumatic brain injury demonstrates difficulty initiating tasks despite understanding the steps involved. This is most consistent with which deficit?
- Apraxia
- Anosognosia
- Initiation deficit (frontal lobe dysfunction) (Correct answer)
- Perseveration
Correct answer: Initiation deficit (frontal lobe dysfunction)
Difficulty initiating tasks despite preserved knowledge indicates frontal lobe dysfunction affecting executive initiation.
Question 3: When treating a client with multiple sclerosis, which energy conservation principle is MOST important to emphasize?
- Work hardening
- Activity pacing (Correct answer)
- Strengthening exercises
- Sensory re-education
Correct answer: Activity pacing
Activity pacing helps MS clients manage fatigue, their most common and disabling symptom.
Question 4: Which positioning technique best prevents shoulder subluxation in a hemiplegic upper extremity?
- Arm trough on wheelchair (Correct answer)
- Sling worn during all activities
- Overhead pulley stretching
- Ice application every hour
Correct answer: Arm trough on wheelchair
An arm trough supports the hemiplegic limb in the wheelchair, maintaining joint alignment and preventing subluxation.
Question 5: The Constraint-Induced Movement Therapy (CIMT) approach for stroke rehabilitation is based on which principle?
- Learned non-use reversal (Correct answer)
- Sensory integration
- Proprioceptive neuromuscular facilitation
- Bilateral training
Correct answer: Learned non-use reversal
CIMT reverses learned non-use by restraining the unaffected limb and forcing use of the affected extremity.
Question 6: A client with Parkinson's disease has difficulty with handwriting. Which OT intervention is MOST evidence-based?
- LSVT BIG (Lee Silverman Voice Treatment) (Correct answer)
- Weighted pen and adaptive writing surface
- Occupational rest and activity avoidance
- Bilateral task training only
Correct answer: LSVT BIG (Lee Silverman Voice Treatment)
LSVT BIG uses high-amplitude movement training to improve motor function including handwriting in Parkinson's disease.
OT Neurological Rehabilitation 1
Which standardized assessment is most appropriate for evaluating upper extremity function in a stroke patient?