PWR Neurological Rehabilitation Techniques 2

Question 1

Which neuroplasticity principle underlies the PWR!Moves approach to Parkinson's rehabilitation?

Accepted Answer

Use it or lose it — repetitive task-specific practice strengthens neural pathways

Answer

PWR!Moves is grounded in 'use it or lose it' neuroplasticity, where intensive, repetitive, task-specific practice reinforces threatened motor circuits.

Question 2

What is the primary role of the supplementary motor area (SMA) in Parkinson's disease motor deficits?

Accepted Answer

It normally drives internally cued movement but is underactivated due to dopamine loss

Answer

The SMA relies on dopaminergic input for internally cued movements; its underactivation in PD explains why external cues can partially substitute for lost internal drive.

Question 3

A PWR therapist uses a metronome during gait training. Which mechanism best explains the therapeutic benefit?

Accepted Answer

Auditory cueing bypasses deficient internal timing via the cerebellum and premotor cortex

Answer

Rhythmic auditory stimulation provides an external timing signal processed via cerebellar-premotor pathways, compensating for impaired internal rhythm generation.

Question 4

During PWR!Up training, which biomechanical principle is most emphasized to counteract axial rigidity?

Accepted Answer

Spinal extension and anti-gravity postural activation

Answer

PWR!Up focuses on spinal extension and anti-gravity muscle activation to counteract the characteristic flexed posture caused by axial rigidity in PD.

Question 5

Which outcome measure is most appropriate for tracking dual-task cognitive-motor performance in Parkinson's rehabilitation?

Accepted Answer

Timed Up and Go with a secondary cognitive task (TUGcog)

Answer

The TUGcog adds a simultaneous cognitive task to the standard TUG, capturing the dual-task interference that significantly affects functional mobility in PD.

(PWR) Parkinson's Wellness Recovery Moves Certification Practice Test

(PWR) Parkinson's Wellness Recovery Moves Certification Practice Test

PWR Neurological Rehabilitation Techniques 2